Geisinger Health Plans

Geisinger Marketplace All-Access PPO 40/80/8400

Plan Overview

Medical Deductible
  • Individual: 8400
  • Family: 16800
  • Per Person: 8400
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: 8550
  • Family: 17100
  • Per Person: 8550
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $40 Copay
Specialist
  • Standard: $80 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: No Charge after deductible
Non Preferred Brand Drugs
  • Standard: No Charge after deductible
Generic Drugs
  • Standard: No Charge after deductible
Specialty Drugs
  • Standard: No Charge after deductible

Inpatient Coverage

Hospital Services
  • Standard: No Charge after deductible
Inpatient Services
  • Standard: No Charge after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: No Charge after deductible
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