2014 Geisinger Gold Preferred 200 (PPO) H9412-002 By Geisinger Gold

Geisinger Gold Preferred 200 (PPO) By Geisinger Gold

Geisinger Gold Preferred 200 (PPO) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Geisinger Gold. This plan from Geisinger Gold works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Geisinger Gold Preferred 200 (PPO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Geisinger Gold and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

2014 Medicare Advantage Plan Details

Plan Name:
Geisinger Gold Preferred 200 (PPO)
Plan ID:
Provider: Geisinger Gold
Plan Year:2014
Plan Type: Local PPO *
Monthly Premium C+D: $58.00
MOOP: $5,000

Coverage Area for Geisinger Gold Preferred 200 (PPO)

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The Geisinger Gold Preferred 200 (PPO) H9412-002 is available to residents in New Jersey, and has a in-network Maximum Out-of-Pocket limit of $5,000 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Geisinger Gold Preferred 200 (PPO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $5,000 This is a very nice safety net. This plan does not provide additional Medicare prescription drug (Part-D) coverage.

Geisinger Gold Preferred 200 (PPO) is a Local PPO *. A preferred provider organization (PPO) is a medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

Ratings for Geisinger Gold Preferred 200 (PPO) H9412

2014 Overall Rating
Part C Summary Rating
Total Experience Rating
Complaints, Improvements
Total Customer Service Rating
Total Preventative Rating
Chronic And Long Term Care

Member Experience Rating for Geisinger Gold Preferred 200 (PPO)

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination

Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating
Members Leaving the Plan
Complaints about Health Plan
Access to Service
Performance Problems
Health Plan Quality Improvement

Customer Service Rating for Geisinger Gold Preferred 200 (PPO)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancel Screening
Cardiovascular Screening
Diabetes Care
Glaucoma Testing
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment

Ratings For Managing Chronic And Long Term Care

Total Rating
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Diabetes Care - Cholesterol
Controlling Blood Pressure
Rheumatoid Arthritis
Improving Bladder Control
Reducing Risk of Falling
Plan - Cause Readmissions

Source: CMS.
Plans as of September 3, 2013.
Star Rating as of September 27, 2013.
For More Information on Ratings Please See the CMS Tech Notes Here.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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