Geisinger Gold Member Update
4
Caring: our new brand Member Update SPRING 2016 In this issue Online EOB, New OTC program for Secure Rx.....2 Formulary updates............3 Summer discounts............4 You can review your benefits, get information on doctors and hospitals, email the Customer Service Team, and more. Visit GeisingerGold.com. Benefits and programs available to members may vary by plan. Please consult your Evidence of Coverage (EOC) and other benefit documents for details on your specific coverage. The Gold Member Update is published quarterly. Comments are welcomed: [email protected]. Y0032_16106_1 File and Use 4/16/16 Photo credits: iStock/Thinkstock Geisinger Health System announced the launch of a new brand and campaign to build awareness of its commitment to kindness and compassion. The health system – including Geisinger Health Plan – launched a communications program to introduce the community to Geisinger’s unique story. The campaign will be seen in newspapers, radio, billboards and social media throughout Pennsylvania and southern New Jersey. On Super Bowl Sunday, new television commercials debuted re- gionally introducing the new Geisinger slogan: “Caring: It’s such an old idea it almost seems brand new.” This theme will carry throughout the new brand identity. Over the next six to eight months, GHP will introduce the brand as well. Our logo has changed, but our commitment to provid- ing quality care and excellent service remains the same. We’ve updated our newsletter with a new design, but the content hasn’t changed. It’s still the same publication you’ve come to rely on for the latest news and important updates.
Transcript of Geisinger Gold Member Update
Caring: our new brand
Member UpdateSPRING 2016
In this issue
Online EOB, New OTC program for Secure Rx.....2
Formulary updates............3
Summer discounts............4
You can review your benefits, get information on doctors and hospitals, email the Customer Service Team, and more. Visit GeisingerGold.com. Benefits and programs available to members may vary by plan. Please consult your Evidence of Coverage (EOC) and other benefit documents for details on your specific coverage.
The Gold Member Update is publishedquarterly. Comments are welcomed: [email protected].
Y0032_16106_1 File and Use 4/16/16 Photo credits: iStock/Thinkstock
Geisinger Health System announced the launch of a new brand and campaign to build awareness of its commitment to kindness and compassion. The health system – including Geisinger Health Plan – launched a communications program to introduce the community to Geisinger’s unique story.
The campaign will be seen in newspapers, radio, billboards and social media throughout Pennsylvania and southern New Jersey. On Super Bowl Sunday, new television commercials debuted re-gionally introducing the new Geisinger slogan: “Caring: It’s such an old idea it almost seems brand new.” This theme will carry throughout the new brand identity.
Over the next six to eight months, GHP will introduce the brand as well. Our logo has changed, but our commitment to provid-ing quality care and excellent service remains the same. We’ve updated our newsletter with a new design, but the content hasn’t changed. It’s still the same publication you’ve come to rely on for the latest news and important updates.
2 Geisinger Gold Member Update
Explanation of benefits available online
Attention Secure Rx plan members:update on over-the-counter medicationsEffective April, 1 2016, there are changes to the way you purchase your over-the-counter (OTC) medication and supplies. You should have received a debit card in the mail with instructions for use. This card can be used like a regular credit or debit card for approved OTC items at a participating location. At the beginning of each calendar quarter (every three months), Geisinger Gold will apply a balance for you to use on approved OTC items.
Participating locations include Dollar General, Family Dollar, CVS/Pharmacy, Rite Aid, Walgreens* and Walmart. A list of eligible and non-eligible items will be included with your new card.
Please call the Customer Service Team at (800) 498-9731 (TTY: 711) if you have any questions or did not receive your card. For OTC card services, including checking your balance and finding a participating retailer call 1-888-682-2400, or go to www.myotccard.com.
*Please note, Walgreens is not a part of Geisinger Gold’s Medicare Prescription Drug Coverage (Part D) pharmacy network. Any prescriptions filled a Walgreen’s will not be covered by your benefits. Only OTC items are covered.
Geisinger Gold members who register as users of our website can take advantage of convenient online options. The Explanation of Benefits (EOB) document for medical services is now available online. This document includes information on all services you receive for easier reference.
If you would prefer to view your EOB online and stop receiving a paper copy please visit TheHealthPlan.com and sign up as a registered user. If you have any questions about your benefits or coverage, please call the Customer Service Team at (800) 498-9731 (TDD: 711) from 8 a.m. to 8 p.m., Monday through Friday.
Formulary updates
Brand Name Status $0 Deductible
FormularyStandard
FormularyPrior
AuthorizationQuantity
LimitDetailed Limits
Formulary Alternative(s)
COTELLIC F Specialty25%
coinsuranceYes Yes
90 tablets/30 days
Mekinist*, Tafinlar*, Zelboraf*, Keytruda*,
Opdivo*, Yervoy*
DARZALEX F Specialty25%
coinsuranceYes No
Thalomid, Farydak*, Pomalyst*, Revlimid*,
Kyprolis*, Velcade*
EMPLICITI F Specialty25%
coinsuranceYes No
Thalomid, Farydak*, Pomalyst*, Revlimid*,
Kyprolis*, Velcade*
GENVOYA F Specialty25%
coinsuranceNo No
Atripla, Complera, Stribild, Triumeq
IMLYGIC F Specialty25%
coinsuranceYes Yes
1 million PFU/ml vial: one time fill of 4 ml; 100 million PFU/ml vial: 8 ml per 28 days
Proleukin, Intron A, PegIntron
KEVEYIS NFacetazolamide, spironolactone
MYRBETRIQ FBrand
Preferred25%
coinsuranceNo
NINLARO F Specialty25%
coinsuranceYes Yes
3 capsules/28 days
Thalomid, Farydak*, Pomalyst*, Revlimid*,
Kyprolis*, Velcade*
SYNJARDY FBrand
Preferred25%
coinsuranceStep Therapy
requiredYes 2 tablets/day
Jardiance*, Invokana*, Invokamet*, Glyxambi*
TAGRISSO F Specialty25%
coinsuranceYes Yes
30 tablets/30 days
Gilotrif*, Iressa*, Tarceva*
YONDELIS F Specialty25%
coinsuranceYes No
Members can review the formulary online at GeisingerGold.com. The online formulary includes recent updates to covered drugs, quantity limits, tiering levels, and pharmacy management procedures. For questions regarding drug benefits, please call (800) 988-4861, Monday through Friday from 8 a.m. to 8 p.m. Members may also call to receive a printed version of the online formulary. Formulary updates apply only to members with Geisinger Gold Medicare Prescription Drug Coverage (Part D). Please consult your Evidence of Coverage or call the Customer Service Team at (800) 498-9731, 7 days a week from 8 a.m. to 8 p.m., for information on drugs covered under Medicare Part B. (F = Formulary, NF = Non-Formulary)
* Indicates prior authorization (PA) or step therapy (ST)
100 N. Academy Ave.Danville, PA 17822-3240
NON-PROFITORG.
U.S. POSTAGEPAID
Geisinger
Save money on family fun
Dorney Park & Wild Water KingdomPurchase tickets at www.dorneypark.com/geisinger• Save up to $15 on single day tickets. These
tickets are “good-any-day” admission tickets.• Family Fun Days (June 24-26, August 19-21):
One-day admission tickets are $28.50, plus taxes and fees.
HersheyparkPurchase tickets at http://tinyurl.com/ghp2015. Use promotion code12871.• Before July 5, members receive $20.85 off
one-day admission.• Starting July 5, members receive $14.85 off
one-day admission.
Dutch WonderlandPurchase tickets through the link on our Accessories page. • Single day admission tickets are $32.99,
plus taxes and fees.
To access our Accessories Program page online, log into TheHealthPlan.com, select
“Member Health & Wellness,” and click on “Accessories Program.”
All discounts above only apply to tickets purchased online.
You can take advantage of discount amusement park tickets this summer.
