Geisinger - Geisinger Marketplace Extra HMO 10/50/500

Pennsylvania, 2019

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $5,000

  • Deductible

    $500

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) $500
Deductible (Family) $1,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per stay after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $300 Copay after deductible
Laboratory Outpatient and Professional Services No charge
X-Ray and Diagnostic Imaging No charge

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 Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient $300 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $45 Copay after deductible
Non Preferred Brand Rx $80 Copay after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Pennsylvania

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 HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 Extra HMO 10/50/4500 Deductible $4,500 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 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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
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 Extra HMO 10/50/4500 Deductible $4,500 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 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
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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) $500
Deductible (Family) $1,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per stay after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $300 Copay after deductible
Laboratory Outpatient and Professional Services No charge
X-Ray and Diagnostic Imaging No charge

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 Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient $300 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $45 Copay after deductible
Non Preferred Brand Rx $80 Copay after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Pennsylvania

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 HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 Extra HMO 10/50/4500 Deductible $4,500 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 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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
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 Extra HMO 10/50/4500 Deductible $4,500 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 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
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 Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Geisinger Marketplace HMO 30/60/6600 Deductible $6,600 Coinsurance Not applicable Out of Pocket $7,900
Plan Geisinger Marketplace Extra HMO 10/50/500 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000