Debunking Geisinger’s “Limited” Network Myth

Contrary to popular belief, selecting a Geisinger Insurance plan does not confine individuals solely to Geisinger-owned facilities. Rather, it opens doors to a vast network comprising over 30,000 doctors and 180 hospitals, offering expert care and services across Pennsylvania and bordering states. From the bustling streets of Philadelphia to the renowned medical hub of Johns Hopkins and the trusted care of Lehigh Valley Health Network, Geisinger's network spans far and wide, giving you access to quality healthcare wherever you may be.

In today’s article, we will provide a comprehensive breakdown of the GHP network, debunking prevalent myths and clarifying misconceptions to empower potential members with accurate information regarding their healthcare choices.

Unlocking the Benefits of the All-Access PPO Plan

One of the standout features of the All-Access Network is its provision for national coverage. Under any GHP plan, members can rest assured knowing they are covered anywhere in the country for urgent care or emergencies at in-network cost sharing. This means that whether you find yourself in your hometown or across the country, you can seek immediate necessary medical attention without worrying about being outside of your network.?

Within the state of Pennsylvania, the Geisinger network includes not just our flagship Geisinger doctors and hospitals but over 30,000 other doctors and 180 hospitals throughout the state and beyond. Whether seeking routine check-ups, specialized treatments, or emergency services, members of Geisinger Insurance plans can rest assured that they can access a broad spectrum of healthcare options tailored to their needs. If an employee resides in any of the 43 counties in Geisinger’s ever-expanding service area, chances are that their doctor or preferred hospital accepts Geisinger Health Plan insurance.?

The inclusion of renowned medical institutions such as Johns Hopkins and the Children’s Hospital of Philadelphia (CHOP) complement our Geisinger hospital and physician network. In addition, our members have access to local partners such as the Lehigh Valley Health Network, Hershey Medical Center, St. Lukes, Wellspan, Mt. Nittany and many more throughout our service area. These institutions are esteemed for their expertise, innovation, and commitment to excellence in healthcare delivery. By partnering with such prestigious providers, Geisinger Insurance provides its members with top-quality care from trusted professionals, regardless of where they are located within the network.

However, it's important to note that while urgent care and emergency services are covered nationwide, follow-up care is required to be sought within the network. This ensures continuity of care and maximizes the benefits provided by the Geisinger Health Plan.

How Geisinger Extends Its Commitment Beyond Borders

Geisinger recognizes and accommodates the diverse needs of its covered groups, particularly those with dependents residing out of state or has a portion of the workforce outside of Pennsylvania. To effectively address this, all group health plans through Geisinger incorporate a national network known as First Health. This National Network? is incorporated specifically to address the healthcare needs of out-of-area employees and dependents, ensuring seamless access to medical services regardless of geographical boundaries. Whether it involves children attending college in another state or employees stationed elsewhere, the First Health Network, a subsidiary of Aetna, guarantees that benefits follow in-network protocols, providing peace of mind and uninterrupted healthcare coverage.

Companies with five or more employees can extend coverage to out-of-state employees through the First Health Network, provided it doesn't exceed 40% of the total enrolling employees. Irrespective of company size, out-of-state dependents can also be covered through the First Health Network, given that an All-Access Network is chosen.

Whether a PA Based business has out of state employees, or employees with out-of-state dependents, enrolling in an All-Access PPO plan unlocks the full potential of Geisinger/First Health's national coverage. This strategic choice means that employees and their dependents receive comprehensive healthcare benefits, regardless of their location. With the First Health Network, they gain access to more than 5,000 hospitals, over 90,000 ancillary facilities, and over 550,000 professional providers at over 1 million healthcare service locations. By choosing the All-Access PPO plan, families can confidently make healthcare decisions, knowing they have access to a robust network of providers and services across the country.

It's important to underscore Geisinger's commitment to accessible and comprehensive healthcare that transcends physical borders. By offering robust national coverage options and an extensive network of healthcare providers, the All-Access Network reflects Geisinger's unwavering dedication to prioritizing the health and well-being of its members. Through innovative solutions like the First Health Network and the All-Access PPO plan, Geisinger continues to demonstrate its commitment to providing exceptional care that transcends geographical limitations, ensuring that members and their families receive the support they need, wherever they may be.?

Conclusion

At Geisinger, we are a diverse team of 24,000 dedicated individuals - doctors, nurses, researchers, caregivers, educators, and innovators - united in our mission to improve the health of our communities.

Over a century ago, Abigail Geisinger recognized the need for advanced healthcare in her small central Pennsylvania town. Her vision was clear: "Make my hospital right; make it the best." Today, we carry on her legacy by striving for excellence in all that we do.

With our commitment to innovation and quality, Geisinger ensures that top-notch healthcare is accessible to all. Our extensive network, comprising over 30,000 doctors and 180 hospitals, means that individuals receive tailored care no matter where they are located.?

As we move forward, Geisinger remains dedicated to delivering exceptional care that transcends borders so that everyone receives the support they need to live healthier lives. With our team of dedicated professionals and our unwavering commitment to excellence, we stand ready to continue providing the highest standard of care for generations to come.