Geisinger - Geisinger Marketplace Value

Pennsylvania, 2018

  • Plan Type

    POS

  • Metal Tier

    Catastrophic

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $7,350

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,350
Deductible (Family) $14,700
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Available
Pregnancy Not available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Pennsylvania

Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,350
Deductible (Family) $14,700
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Available
Pregnancy Not available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Pennsylvania

Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Select HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350