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  • Geisinger Form Mc 32 26

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SUBSCRIBER APPLICATION CHANGE FORM Check if you are a member of Geisinger Health Plan Gold M.C. 32-26 100 NORTH ACADEMY AVENUE DANVILLE, PA 17822 SECTION I. SUBSCRIBER GROUP NUMBER DIVISION NUMBER.

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Healthcare delivered to your home Geisinger at Home™ brings healthcare to eligible Geisinger Gold Medicare Advantage members where they need it most — right where they live. Geisinger's at-home care program helps keep patients healthier, safer and better connected to their care team.

Designed for people 65 and older, this revolutionary approach to primary care puts everything needed for better health under one roof.

Geisinger Gold Classic (HMO) plans Covered services including hospitalization, routine office visits, physicals, immunizations, diagnostic tests and x-rays, are covered with affordable, predictable costs. Vision, hearing, dental and fitness benefits are included.

Plans are available that include the following coverage: Anesthesia. Fillings. Root canal.

MAILING INSTRUCTIONS - Send your completed claim form and itemized bill(s) to: Geisinger Health Plan, Attn: Claims, PO Box 853910 Richardson, TX 75085-3910.

Geisinger Gold HMO and PPO products received 4.5 stars by CMS for the 2023 rating. Geisinger Gold offers supplemental benefits and offers comprehensive health coverage with access to 29,000 in-network physicians, 3,000 pharmacies and 100+ health centers.

Continued enrollment in Geisinger Gold depends on annual contract renewal. This information is not a complete description of benefits. Contact the plan for more information. $0 You must also continue to pay your Medicare Part B premium which for most people in 2023 is $164.90 per month.

How to change doctors? Whether you're looking for a new primary care physician or would like to switch from your current Geisinger provider, changing doctors is easy! Click here to find a primary care provider near you or request an appointment by calling 800-275-6401.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232