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

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) $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 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 30/60/4650 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 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
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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) $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 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 30/60/4650 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 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