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Geisinger - Geisinger Marketplace PPO 30/60/6600
Pennsylvania, 2019
Plan Type
PPO
Metal Tier
Expanded Bronze
Out of Pocket Maximum
$7,900
Deductible
$6,600
Emergency Room Care: No charge after deductible
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) | $6,600 |
|---|---|
| Deductible (Family) | $13,200 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $7,900 |
| Out of Pocket Maximum (Family) | $15,800 |
Doctor Visits
| Primary Care Visit | Data Not Available |
|---|---|
| Specialist Visit | Data Not Available |
| Inpatient Facility | No charge after deductible |
| Inpatient Physician | No charge after deductible |
| Emergency Room Services | No charge after deductible |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | No charge after deductible |
|---|---|
| Laboratory Outpatient and Professional Services | No charge after deductible |
| X-Ray and Diagnostic Imaging | No charge 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 | Available |
| Weight Loss | Available |
Other
| Mental / Behavioral Health Inpatient | No charge after deductible |
|---|---|
| Mental / Behavioral Health Outpatient | Data Not Available |
| Rehabilitative Speech Therapy | Data Not Available |
| Rehabilitative Occupational & Physical Therapy | Data Not Available |
| Outpatient Facility | No charge after deductible |
| Outpatient Surgery | No charge after deductible |
Prescription Drugs
| Generic Rx | No charge after deductible |
|---|---|
| Preferred Brand Rx | No charge after deductible |
| Non Preferred Brand Rx | No charge after deductible |
| Specialty Drugs | No charge after deductible |
Other Plans in Pennsylvania
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 20/40/3000 | Deductible $3,000 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/4650 | Deductible $4,650 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Geisinger Marketplace PPO 30/60/6600 | Deductible $6,600 | Coinsurance Not applicable | Out of Pocket $7,900 |