Summary of Benefits - Geisinger Health Plan

Dear REHP Member:
You have an important decision to make when choosing your health coverage for 2013. One of the plans
you can select is Geisinger Gold Classic. Gold offers many advantages to more than 57,000
Pennsylvania residents. Now you can enjoy these advantages, too:
 Benefits: Easy to use, comprehensive benefits, including worldwide emergency coverage!
 Quality: Gold is the #1 ranked Medicare Advantage plan in Pennsylvania and 6th in the nation.*
 Extra Care: In addition to your doctor, you’ll have a nurse to help you manage a chronic illness,
newly diagnosed condition or care after a hospital stay.
 Safety and Security: The Geisinger name represents a rich heritage in providing quality health care
and an ongoing commitment to the communities we serve. We’ve offered quality coverage to
Medicare recipients since 1994.
To help with your decision, this booklet includes the following information:
 Summary of Benefits: Describes the Geisinger Gold plan available to you.
 Accessories Brochure: Describes discounted services available to you.
 Fitness Center Information: Describes the fitness center benefit available to you.
 Application Forms: A second application is enclosed in case you have a spouse who’s eligible for
Medicare. Postage-paid envelopes are also provided.
 Provider List: Includes information on more than 38,000 physicians and 96 hospitals in our
network. Use the index in the back to quickly find your physician. If the physician is not listed in the
index, check under the physician’s specialty to see if he or she participates.
Enrolling is easy. Just call us to enroll over the phone. If you prefer, you can complete the enclosed
application or enroll online at http://www.geisingergold.com/Enrollment/PEBTF.aspx. Our staff will be
happy to help. Call (800) 540-8653 or TDD 711, 8 am – 8 pm seven days a week. Please specify that
you are a PEBTF REHP member.
Call us today, we’ll be glad to assist with any questions along the way. Thank you for considering
Geisinger Gold Classic!
Sincerely,
Dudley Gerow
Chief Government Programs Officer
*NCQA’s Medicare Health Insurance Plan Rankings 2012-2013
Geisinger Gold is offered by Geisinger Health Plan, a health plan with a Medicare contract. All
Medicare beneficiaries may apply. You must continue to pay your Part B premium.
100 NORTH ACADEMY AVENUE • DANVILLE, PA 17822-3220
TEL. 800.540.8653 • TDD 711
HPGOV01
PEBTF Info Packet Cover Letter 912
Rev. 9/12
Summary of Benefits
Introduction to Summary of Benefits
Thank you for your interest in Geisinger Gold Classic.
Our plan is offered by Geisinger Health Plan/Geisinger
Gold Classic, a Medicare Advantage Health Maintenance Organization (HMO). This Summary of Benefits
tells you some features of our plan. It doesn’t list every
service that we cover or list every limitation or exclusion. To get a complete list of our benefits, please call
Geisinger Gold Classic and ask for the “Evidence of
Coverage.”
You Have Choices In Your Health Care
As a Medicare beneficiary, you can choose from different Medicare options. One option is the Original Medicare (Part A and B) Plan. Another option is a Medicare
health plan, like Geisinger Gold Classic. You may have
other options, too. You make the choice. No matter
what you decide, you are still in the Medicare Program.
You may join or leave a plan only at certain times.
Please call Geisinger Gold Classic at the telephone
number listed at the end of this introduction or
1-800-MEDICARE (1-800-633-4227) for more information. TTY/TDD users should call 1-877-486-2048.
You can call this number 24 hours a day, 7 days a week.
How Can I Compare My Options?
You can compare Geisinger Gold Classic and the Original Medicare Plan using this Summary of Benefits. The
charts in this booklet list some important health benefits. For each benefit, you can see what our plan covers
and what the Original Medicare Plan covers.
Our members receive all of the benefits that the Original Medicare Plan offers. We also offer more benefits,
which may change from year to year.
Where Is Geisinger Gold Classic Available?
Adams, Berks, Bradford, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne,
Lycoming, Mifflin, Monroe, Montour, Northampton,
Northumberland, Perry, Pike, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming,
York counties.
Who Is Eligible To Join Geisinger Gold Classic?
You can join Geisinger Gold Classic if you are entitled
to Medicare Part A and enrolled in Medicare Part B and
live in the service area.
Can I Choose My Doctors?
Geisinger Gold Classic has formed a network of doctors, specialists, and hospitals. You can only use doctors
who are part of our network. The health providers in
our network can change at any time.
You can ask for a current Provider Directory, or for an
up-to-date list, visit us at https://www.thehealthplan.
com/providersearch/selectsearch.cfm.
Our customer service number is listed at the end of this
introduction.
What Happens If I Go To A Doctor
Who’s Not In Your Network?
If you choose to go to a doctor outside of our network,
you must pay for these services yourself. Neither Geisinger Gold Classic nor the Original Medicare Plan will
pay for these services.
Does My Plan Cover Medicare Part B
Or Part D Drugs?
Please consult the REHP for details on prescription
drug coverage.
What Types Of Drugs May Be
Covered Under Medicare Part B?
Some outpatient prescription drugs may be covered
under Medicare Part B. These may include, but are not
limited to, the following types of drugs. Contact Geisinger Gold Classic for more details.
• Some Antigens: If they are prepared by a doctor and
administered by a properly instructed person (who
could be the patient) under doctor supervision.
• Osteoporosis Drugs: Injectable drugs for osteoporosis
for certain women with Medicare.
• Erythropoietin (Epoetin Alfa or Epogen®): By injection if you have end-stage renal disease (permanent
kidney failure requiring either dialysis or transplantation) and need this drug to treat anemia.
• Hemophilia Clotting Factors: Self-administered clotting factors if you have hemophilia.
• Injectable Drugs: Most injectable drugs administered
incidental to a physician’s service.
• Immunosuppressive Drugs: Immunosuppressive drug
therapy for transplant patients if the transplant was
paid for by Medicare, or paid by a private insurance
that paid as a primary payer to your Medicare Part A
coverage, in a Medicare-certified facility.
• Some Oral Cancer Drugs: If the same drug is available
in injectable form.
• Oral Anti-Nausea Drugs: If you are part of an anticancer chemotherapeutic regimen.
• Inhalation and Infusion Drugs provided through
DME.
Please call Geisinger Gold Classic for more information
about Geisinger Gold Classic.
Visit us at
www.thehealthplan.com/gold/pebtf.aspx
or, call us:
Seven days a week from 8 a.m. - 8 p.m.
Current members should call toll-free (800)-498-9731 .
(TTY/TDD (800)-447-2833 )
Prospective members should call toll-free (800) 5408653. (TTY/TDD (800)-447-2833 )
For more information about Medicare, please call Medicare at 1-800-MEDICARE (1-800-633-4227).
TTY users should call 1-877-486-2048. You can call 24
hours a day, 7 days a week.
Or, visit www.medicare.gov.
If you have special needs, this document may be available in other formats.
If you have any questions about
this plan’s benefits or costs,
please contact Geisinger Gold
for details.
Summary of Benefits
REHP
1 - Premium and Other Important
Information
• In 2012 the monthly Part B Premium was $99.90 and may change
for 2013 and the annual Part B deductible amount was $140 and may
change for 2013.
• If a doctor or supplier does not accept assignment, their costs are often
higher, which means you pay more.
• Most people will pay the standard
monthly Part B premium. However,
some people will pay a higher premium because of their yearly income
(over $85,000 for singles, $170,000
for married couples). For more
information about Part B premiums
based on income, call Medicare at
1-800-MEDICARE (1-800-6334227). TTY users should call 1-877486-2048. You may also call Social
Security at 1-800-772-1213. TTY
users should call 1-800-325-0778.
General
• You must pay your monthly Medicare premiums to remain covered for
benefits under the REHP.
• Retirees that retired on or after
7/1/05 must also pay their retiree
REHP contribution.
• Most people will pay the standard
monthly Part B premium. For more
information on Part B premiums
based on income, call Social Security at 1-800-772-1213. TTY users
should call 1-800-325-0778.
• There is an annual out-of-pocket
maximum of $2,500.
• There is no plan deductible.
• There is no lifetime maximum for
Medicare covered services.
2 - Doctor and
Hospital Choice
(For more
information, see Emergency Care
- #15 and Urgently Needed Care #16.)
• You may go to any doctor, specialist or hospital that accepts Medicare.
In-Network
• You must go to network doctors,
specialists, and hospitals.
• Referral required for network specialists (for certain benefits).
IMPORTANT
INFORMATION
5
Summary of Benefits
Original Medicare
Summary of Benefits
Original Medicare
REHP
3 - Inpatient
Hospital Care
(includes Substance Abuse and
Rehabilitation
Services)
• In 2012 the amounts for each benefit period were:
• Days 1 - 60: $1156 deductible
• Days 61 - 90: $289 per day
• Days 91 - 150: $578 per lifetime
reserve day
• These amounts may change for
2013.
• Call 1-800-MEDICARE (1-800633-4227) for information about
lifetime reserve days.
• Lifetime reserve days can only be
used once.
• A “benefit period” starts the day
you go into a hospital or skilled
nursing facility. It ends when you go
for 60 days in a row without hospital
or skilled nursing care. If you go into
the hospital after one benefit period
has ended, a new benefit period
begins. You must pay the inpatient
hospital deductible for each benefit
period. There is no limit to the number of benefit periods you can have.
In-Network
• No limit to the number of days
covered by the plan each hospital
stay.
• $0 copay for each Medicare covered hospital stay.
• Except in an emergency, your doctor must tell the plan that you are
going to be admitted to the hospital.
4 - Inpatient Mental Health Care
• In 2012 the amounts for each benefit period were:
• Days 1 - 60: $1156 deductible
• Days 61 - 90: $289 per day
• Days 91 - 150: $578 per lifetime
reserve day
• These amounts may change for
2013.
• You get up to 190 days of inpatient
psychiatric hospital care in a lifetime.
Inpatient psychiatric hospital services count toward the 190-day lifetime
limitation only if certain conditions
are met. This limitation does not apply to inpatient psychiatric services
furnished in a general hospital.
6
In-Network
• No limit to the number of days
covered by the plan each hospital
stay.
• $0 copay for each Medicare covered hospital stay.
• Except in an emergency, your doctor must tell the plan that you are
going to be admitted to the hospital.
INPATIENT CARE
Summary of Benefits
Original Medicare
REHP
• In 2012 the amounts for each
benefit period after at least a 3-day
covered hospital stay were:
• Days 1 - 20: $0 per day
• Days 21 - 100: $144.50 per day
• These amounts may change for
2013.
• A “benefit period” starts the day
you go into a hospital or SNF. It
ends when you go for 60 days in a
row without hospital or skilled nursing care. If you go into the hospital
after one benefit period has ended, a
new benefit period begins. You must
pay the inpatient hospital deductible for each benefit period. There
is no limit to the number of benefit
periods you can have.
General
• Authorization rules may apply.
In-Network
• Plan covers up to 100 days each
benefit period
• No prior hospital stay is required.
• $0 copay days 1-100
6 - Home Health Care
(includes medically necessary intermittent skilled nursing care, home
health aide services, and rehabilitation
services, etc.)
• $0 copay.
General
• Authorization rules may apply.
In-Network
• $0 copay for Medicare-covered
home health visits
7 - Hospice
• You pay part of the cost for outpatient drugs and inpatient respite
care.
• You must get care from a Medicarecertified hospice.
General
• You must get care from a Medicarecertified hospice. Your plan will pay
for a consultative visit before you
select hospice.
• 20% coinsurance
In-Network
• $10 copay for each Medicare-covered primary care doctor visit.
• $15 copay for each Medicare-covered specialist visit.
OUTPATIENT CARE
8 - Doctor Office Visits
7
Summary of Benefits
5 - Skilled Nursing Facility (SNF)
(in a Medicare-certified skilled nursing facility)
Summary of Benefits
Original Medicare
REHP
9 - Chiropractic Services
• Supplemental routine care not
covered
• 20% coinsurance for manual
manipulation of the spine to correct
subluxation (a displacement or misalignment of a joint or body part)
if you get it from a chiropractor or
other qualified providers.
In-Network
• $15 copay for each Medicare-covered chiropractic visit
• Medicare-covered chiropractic
visits are for manual manipulation
of the spine to correct subluxation (a
displacement or misalignment of a
joint or body part) if you get it from
a chiropractor.
10 - Podiatry
Services
• Supplemental routine care not
covered.
• 20% coinsurance for medically
necessary foot care, including care
for medical conditions affecting the
lower limbs.
In-Network
• $15 copay for each Medicare-covered podiatry visit
• Medicare-covered podiatry visits
are for medically-necessary foot care.
11 - Outpatient Mental Health
Care
• 35% coinsurance for most outpatient mental health services
• Specified copayment for outpatient partial hospitalization program
services furnished by a hospital or
community mental health center
(CMHC). Copay cannot exceed the
Part A inpatient hospital deductible.
• “Partial hospitalization program” is
a structured program of active outpatient psychiatric treatment that is
more intense than the care received
in your doctor’s or therapist’s office
and is an alternative to inpatient
hospitalization.
General
• Authorization rules may apply.
In-Network
• $10 copay for each Medicare-covered group or individual therapy visit
12 - Outpatient
Substance Abuse Care
20% coinsurance
General
• Authorization rules may apply.
In-Network
• $0 copay for each Medicare-covered group or individual therapy visit
8
Summary of Benefits
REHP
13 - Outpatient Services
• 20% coinsurance for the doctor’s
services
• Specified copayment for outpatient hospital facility services Copay
cannot exceed the Part A inpatient
hospital deductible.
• 20% coinsurance for ambulatory
surgical center facility services
General
• Authorization rules may apply.
In-Network
• $0 copay for each Medicare-covered ambulatory surgical center visit
• $0 copay for each Medicare-covered outpatient hospital facility visit
14 - Ambulance Services
(medically necessary ambulance
services)
• 20% coinsurance
In-Network
• $0 copay for Medicare-covered
ambulance benefits.
• If you are admitted to the hospital,
you pay $0 for Medicare-covered
ambulance benefits.
15 - Emergency Care
(You may go to any emergency
room if you reasonably believe you
need emergency care.)
• 20% coinsurance for the doctor’s
services
• Specified copayment for outpatient
hospital facility emergency services.
• Emergency services copay cannot exceed Part A inpatient hospital
deductible for each service provided
by the hospital.
• You don’t have to pay the emergency room copay if you are admitted
to the hospital as an inpatient for the
same condition within 3 days of the
emergency room visit.
• Not covered outside the U.S. except under limited circumstances.
General
• $50 copay for Medicare-covered
emergency room visits
• Worldwide coverage.
• If you are admitted to the hospital
within 3-day(s) for the same condition, you pay $0 for the emergency
room visit.
16 - Urgently
Needed Care
(This is NOT emergency care, and
in most cases, is out of the service
area.)
• 20% coinsurance, or a set copay
• NOT covered outside the U.S.
except under limited circumstances.
General
• $25 copay for Medicare-covered
urgently-needed-care visits
• If you are admitted to the hospital
within 3-day(s) for the same condition, you pay $0 for the urgentlyneeded-care visit.
9
Summary of Benefits
Original Medicare
Summary of Benefits
Original Medicare
17 - Outpatient
Rehabilitation
Services
(Occupational Therapy, Physical
Therapy, Speech and Language
Therapy)
REHP
• 20% coinsurance
General
• Authorization rules may apply.
In-Network
• $10 copay for Medicare-covered
Occupational Therapy visits
• $10 copay for Medicare-covered
Physical Therapy and/or Speech and
Language Pathology visits
18 - Durable Medical Equipment
(includes wheelchairs, oxygen, etc.)
• 20% coinsurance
General
• Authorization rules may apply.
In-Network
• $0 copay for Medicare-covered
durable medical equipment
19 - Prosthetic
Devices
(includes braces, artificial limbs and
eyes, etc.)
• 20% coinsurance
General
• Authorization rules may apply.
In-Network
• $0 copay for Medicare-covered
prosthetic devices
20 - Diabetes
Programs and
Supplies
• 20% coinsurance for diabetes selfmanagement training
• 20% coinsurance for diabetes supplies
• 20% coinsurance for diabetic
therapeutic shoes or inserts
General
• Authorization rules may apply.
In-Network
• $0 copay for Medicare-covered
Diabetes self-management training
• $0 copay for Medicare-covered
Diabetes monitoring supplies
• $0 copay for Medicare-covered
Therapeutic shoes or inserts
21 - Diagnostic Tests, X-Rays, Lab
Services, and
Radiology Services
• 20% coinsurance for diagnostic
tests and x-rays
• $0 copay for Medicare-covered lab
services
• Lab Services: Medicare covers
medically necessary diagnostic lab
services that are ordered by your
treating doctor when they are
General
• Authorization rules may apply.
In-Network
• $0 copay for Medicare-covered lab
services
• $0 copay for Medicare-covered
diagnostic procedures and tests
• $0 copay for Medicare-covered
OUTPATIENT MEDICAL
SERVICES AND SUPPLIES
10
Summary of Benefits
Original Medicare
provided by a Clinical Laboratory
Improvement Amendments (CLIA)
certified laboratory that participates
in Medicare. Diagnostic lab services
are done to help your doctor diagnose or rule out a suspected illness or
condition. Medicare does not cover
most supplemental routine screening
tests, like checking your cholesterol.
X-rays
• $0 copay for Medicare-covered
diagnostic radiology services (not
including X-rays)
• $0 copay for Medicare-covered
therapeutic radiology services
• 20% coinsurance for Cardiac Rehabilitation services
• 20% coinsurance for Pulmonary
Rehabilitation services
• 20% coinsurance for Intensive
Cardiac Rehabilitation services
• This applies to program services
provided in a doctor’s office. Specified cost sharing for program services
provided by hospital outpatient
departments.
General
• Authorization rules may apply.
In-Network
• $10 copay for Medicare-covered
Cardiac Rehabilitation Services
• $10 copay for Medicare-covered
Intensive Cardiac Rehabilitation
Services
• $10 copay for Medicare-covered
Pulmonary Rehabilitation Services
• No coinsurance, copayment or
deductible for the following:
• - Abdominal Aortic Aneurysm
Screening
• - Bone Mass Measurement. Covered once every 24 months (more
often if medically necessary) if you
meet certain medical conditions.
• - Cardiovascular Screening
• Cervical and Vaginal Cancer
Screening. Covered once every
2 years. Covered once a year for
women with Medicare at high risk.
General
• $0 copay for all preventive services
covered under Original Medicare at
zero cost sharing.
• Any additional preventive services
approved by Medicare mid-year will
be covered by the plan or by Original Medicare.
In-Network
• $10 copay for an annual physical
exam
• The plan covers the following
supplemental education/wellness
PREVENTIVE
SERVICES,
WELLNESS/
EDUCATION AND OTHER
SUPPLEMENTAL BENEFIT
PROGRAMS
23 -Preventive Services, Wellness/
Education and other Supplemental
Benefit Programs
11
Summary of Benefits
22 - Cardiac and Pulmonary Rehabilitation Services
REHP
Summary of Benefits
Original Medicare
REHP
• Colorectal Cancer Screening
• Diabetes Screening
• Influenza Vaccine
• Hepatitis B Vaccine for people with
Medicare who are at risk
• HIV Screening. $0 copay for the
HIV screening, but you generally
pay 20% of the Medicare-approved
amount for the doctor’s visit. HIV
screening is covered for people with
Medicare who are pregnant and
people at increased risk for the infection, including anyone who asks for
the test. Medicare covers this test
once every 12 months or up to three
times during a pregnancy.
• Breast Cancer Screening (Mammogram). Medicare covers screening
mammograms once every 12 months
for all women with Medicare age
40 and older. Medicare covers one
baseline mammogram for women
between ages 35-39.
• Medical Nutrition Therapy Services
Nutrition therapy is for people who
have diabetes or kidney disease (but
aren’t on dialysis or haven’t had a
kidney transplant) when referred by
a doctor. These services can be given
by a registered dietitian and may
include a nutritional assessment and
counseling to help you manage your
diabetes or kidney disease
• Personalized Prevention Plan
• Services (Annual Wellness Visits)
• Pneumococcal Vaccine. You may
only need the Pneumonia vaccine
once in your lifetime. Call your doctor for more information.
• Prostate Cancer Screening
• Prostate Specific Antigen (PSA) test
only. Covered once a year for all men
programs:
• Health Club Membership/Fitness
Classes
• Nursing Hotline
• $0 copay for Enhanced Preventive
Health Services.
• New preventive services have
been added for 2013. Please see the
“Original Medicare” colunm for a
list of covered services. Contact plan
for details.
12
Summary of Benefits
Original Medicare
REHP
24 - Kidney Disease and Conditions
• 20% coinsurance for renal dialysis
• 20% coinsurance for kidney disease
education services
13
Summary of Benefits
with Medicare over age 50.
• Smoking and Tobacco Use Cessation (counseling to stop smoking
and tobacco use). Covered if ordered
by your doctor. Includes two counseling attempts within a 12-month
period. Each counseling attempt includes up to four face-to-face visits.
• Screening and behavioral counseling interventions in primary care to
reduce alcohol misuse
• Screening for depression in adults
• Screening for sexually transmitted
infections (STI) and high-intensity
behavioral counseling to prevent
STIs
• Intensive behavioral counseling for
Cardiovascular Disease (bi-annual)
• Intensive behavioral therapy for
obesity
• Welcome to Medicare Preventive
Visits (initial preventive physical
exam) When you join Medicare Part
B, then you are eligible as follows.
During the first 12 months of your
new Part B coverage, you can get
either a Welcome to Medicare Preventive Visits or an Annual Wellness
Visit. After your first 12 months,
you can get one
• Annual Wellness Visit every 12
months.
In-Network
• $0 copayfor Medicare-covered
renal dialysis
• $0 copay for Medicare-covered
kidney disease education services
Summary of Benefits
Original Medicare
REHP
• Most drugs are not covered under
Original Medicare. You can add prescription drug coverage to Original
Medicare by joining a Medicare Prescription Drug Plan, or you can get
all your Medicare coverage, including prescription drug coverage, by
joining a Medicare Advantage Plan
or a Medicare Cost Plan that offers
prescription drug coverage.
General
• This plan does not cover Medicare
Part D prescription drugs. Prescription drugs are covered under the
REHP Prescription Drug Plan.
Your REHP Prescription Drugs benefits will continue to be serviced by
MEDCO at (800) 899-2674.
In Network
• You pay $0 copayment for Part B
covered drugs.
• Preventive dental services (such as
cleaning) not covered.
In-Network
• $0 copay for Medicare-covered
dental benefits
• In general, you pay 100% for dental services. Dental implants are
covered under very limited medical conditions to restore function
lost through disease when no other
treatment option is available.
• Dental implants will be covered
in the following instances: Dental
implants are the only alternative
following oral surgery to reconstruct a jaw following the removal
of a tumor, or after oral surgery to
reconstruct a jaw due to a developmental (congenital) malformation,
and where a review of your situation by a dental consultant confirms that dental implants are the
only viable alternative.
PRESCRIPTION
DRUG BENEFITS
25 - Outpatient
Prescription Drugs
OUTPATIENT MEDICAL
SERVICES AND SUPPLIES
26 - Dental Services
14
Summary of Benefits
Original Medicare
REHP
• Supplemental routine hearing exams and hearing aids not covered.
• 20% coinsurance for diagnostic
hearing exams.
In-Network
• $0 copay for Medicare-covered
diagnostic hearing exams
28 - Vision Services
• 20% coinsurance for diagnosis and
treatment of diseases and conditions
of the eye.
• Supplemental routine eye exams
and glasses not covered.
• Medicare pays for one pair of eyeglasses or contact lenses after cataract
surgery.
• Annual glaucoma screenings covered for people at risk.
In-Network
• $0 copay for
• one pair of Medicare-covered
eyeglasses or contact lenses after
cataract surgery
• $0 copay for Medicare-covered
exams to diagnose and treat diseases
and conditions of the eye.
• $0 copay for in-network glaucoma
screening once per year for people
who are at high risk of glaucoma.
Over-the-Counter Items
• Not covered.
General
• The plan does not cover Over-theCounter items.
Transportation
(Routine)
• Not covered.
In-Network
• This plan does not cover supplemental routine transportation.
Acupuncture
• Not covered.
In-Network
• This plan does not cover Acupuncture.
15
Summary of Benefits
27 - Hearing
Services
Notes
Notes
Notes
Notes
Accessories Program
&
SilverSneakers® Fitness
Program
Accessories Program
Valuable Discounts for Members
The Accessories Program is available to all
Geisinger Gold members. All you need is your
member ID card, or use the online services
available. No referrals are needed. There is no
charge for using the Accessories Program. Your
health plan may already cover some services for
which a discount is available through the
Accessories Program. You should exhaust your
covered benefits first before taking advantage
of the Accessories Program.
What about specialty services and products?
ChooseHealthyTM provides discounts on
complementary health care services, such as:
• Chiropractic Care – Many people find chiropractic
treatment to be beneficial, especially for ailments
such as lower back pain and headaches originating
in the neck. Receive a 25% discount off the usual
fee for services from any American Specialty Health
Networks chiropractor. This includes mobilization and
•
•
•
Are vision services included?
Yes. The program includes ways to cut costs on vision
care products and services.
• Eyewear and Eye Exams – Get substantial savings
through LensCrafters®, Target Optical, Sears
Optical® and most Pearle Vision Centers®, as well
as independent providers. Receive a $5 discount on
routine examinations and $5 off contact lens exams.
Discounts are available on eyeglass lenses, frames,
coatings, tints, lens treatments, and conventional (not
disposable) contact lenses.
Accessories Program
What health discounts are available?
• Fitness Center Discounts – Receive a discount on
memberships at participating fitness centers. See the
most up-to-date list of these centers on our Web site.
• Weight Watchers® – If you’re looking for help taking
off a few pounds, consider joining Weight Watchers. It
can teach you how to lose weight safely and keep it off
through a combination of support and flexible food,
activity and maintenance plans. Please see the back of
this brochure for more information.
•
adjustment of tissues and joints. It may also include
x rays, ultrasound, cold pack treatments or electrical
muscle stimulation.
Massage Therapy – It’s often used to alleviate stress and
boost blood flow. Visit any ASH Networks massage
therapist and receive a 25% discount on fees.
Acupuncture – Used to treat back pains, headaches,
chronic pain and neurological disorders, acupuncture
is a way to modify or prevent pain. Receive a 25%
discount from ASH Networks providers. Call (877)
335-2746 for more information.
Fitness Centers – In addition to our own fitness
center network, members have access to fitness centers
through ASH Networks. Visit the Web for a complete
list.
Health Products – Receive a 15 to 40% discount
through Choose HealthyTM, plus free standard
shipping on health products, including vitamins,
nutritional supplements, exercise DVDs and much
more. (Products are available through ASH Networks.)
• Mail Order Contact Lenses – You can receive
replacement conventional lenses by mail. Ordering is
easy, either online (www.eyemedcontacts.com) or by
calling EyeMed Vision Care at (800) 508-1399. The
contact lenses will be shipped directly to you. Lenses
are 100% guaranteed. (Other Accessories Program
discounts do not apply.)
• Laser Vision Correction – Save 15% off the regular
price for LASIK and PRK treatments (or 5% off
promotional prices) through U.S. Laser Network. This
includes pre- and post-operative care. LASIK and PRK
procedures must be performed at a LasikPlus Center
to receive discounts. Pre- and post-operative care may
be received from other providers, but members will be
responsible for costs. Call (877) 552-7376 for more
information.
If you have questions about
the Accessories Program, call us today!
Current members should call the Customer Service
Team at (800) 498-9731
Prospective members should call: (800) 514-0138
8:00 a.m. to 8:00 p.m.,
7 days a week, Oct. - Feb.
or 8:00 a.m. to 8:00 p.m., Mon. - Fri., March - Sept.
TDD: 711
For more information on additional discounts and
recent additions to the Accessories Program,
please visit and log in to the Member section
at www.GeisingerGold.com.
Special offers on Weight Watchers programs vary by
county. Members should call the Customer Service Team
for more information.
ChooseHealthy is a trademark of American Specialty Health Networks, Inc. ChooseHealthy is a discount
program; it is not insurance. ChooseHealthy provides discount complementary health care services from participating providers. You are obligated to pay for all health care services but will receive a discount from those health
care providers who have contracted with the discount plan. ChooseHealthy does not make payments directly to
participating providers in the discount plan. ChooseHealthy has no liability for providing or guaranteeing service
and assumes no liability for the quality of service rendered.
The products and services described in this booklet are neither offered nor guaranteed under our contract with
the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding
these products and services may be subject to the Geisinger Gold grievance process.
Should a problem arise with a value-added service, please contact the Geisinger Gold Customer Service Team.
The Accessories Program is made available solely for the convenience of those members who are interested in
the discounted health items and services offered. Geisinger Health Plan and Geisinger Indemnity Insurance
Company (collectively “Health Plan”) do not endorse the individual practitioners, services and products of the
Accessories Program and do not guarantee results or outcomes. Health Plan accepts no responsibility for loss that
may arise from reliance on the services. Health Plan makes no representation or warranty about quality, suitability
or fitness for a particular purpose of any product or service offered under the Program. The practitioners, services
or products of the Accessories Program should not be used as a substitute for medical diagnosis and treatment.
Health Plan recommends that members consult with their physician before using any health services or products
pursuant to the Program.
In order to take advantage of Accessories Program discounts, members may be required to show their Member
Identification Card or provide other information directly to vendors who participate in the Accessories Program.
Member understands that his/her disclosure of information directly to the vendor whether in person, over-thephone, internet or any other manner is done at their own risk and Health Plan assumes no liability relative to the
member’s voluntary disclosure of such information. Health Plan will not disclose member information to the
vendor.
These discounts and services are not included in the Health Plan benefits plans and are provided strictly as a
convenience as indicated above. This Program and any of the practitioners, services and products in the Program
are not guaranteed for any length of time and may be discontinued with or without notice to members.
Be Healthy
and feel younger
with the SilverSneakers® Fitness
Program – one of the benefits you’ll
receive when you join Geisinger Gold
Check out the ways you can use your
SilverSneakers membership.
SilverSneakers at a fitness location
As a SilverSneakers Fitness Program member you’ll have free access to
more than 11,000 fitness locations across the country, where on-site
staff members are available to help you meet your personal wellness
goals. Many locations offer amenities such as exercise equipment, pools,
saunas, SilverSneakers fitness classes and other fun classes and activities.
Other types of fitness locations may also be available in your area.
Join Geisinger Gold and get started today!
SilverSneakers Online
The SilverSneakers members-only website,
silversneakers.com/member, is a comprehensive, easy-to-use wellness
resource. Being part of a thriving and secure online community will
allow you to create exercise and nutrition plans, track fitness progress,
find health articles and recipes, and do much more.
To find out more about what
you’ll receive as a Geisinger Gold
and SilverSneakers member,
please call 1-800-631-1656,
TTY 711, Monday through Friday,
8 a.m. to 5 p.m. EST.
SilverSneakers® Steps
SilverSneakers Steps is a personalized fitness program for members who
can’t get to a SilverSneakers location. Once you enroll in Steps, you
may select one of four kits that best fits your lifestyle and fitness level –
walking, cardio, resistance or yoga. The Steps wellness tools can help
you get fit at home or on the go.
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Fitness Locations
Lists are subject to change and updated regularly. Please visit silversneakers.com for the most recent location updates.
Adams
Gettysburg
Gettysburg Rehab at Herr’s Ridge
820 Chambersburg Rd.
(717) 337-4206
Amenities: E, P, SC
Wellspan Rehabilitation at
Deatrick Commons
16C Deatrick Dr.
(717) 337-3300
Amenities: E, P, W, SC
Berks
Birdsboro
Berks Encore
201 E. Main St.
(610) 582-1603
Amenities: E, SC
Douglassville
Snap Fitness
180 Old Swede Rd.
(610) 385-5555
Amenities: E
Fleetwood
Tri-Valley Branch YMCA
607 Crisscross Rd.
(610) 944-6515
Amenities: E, SC
Hamburg
Anytime Fitness
500 Hawk Ridge Dr., Ste. 2
(484) 660-3790
Amenities: E
Call before first visit
Mohnton
Reading YMCA - Mifflin Branch
140 Chestnut St.
(610) 750-5036
Amenities: E, SC
Topton
The Lutheran Home at Topton
One S. Home Ave.
(610) 682-1400
Amenities: E, SC
Reading
Albright College Schumo Center
for Fitness and Well-Being
13th and Bern St.
(610) 929-6715
Amenities: E, SC
Wyomissing
Body Zone Sports &
Wellness Complex
3103 Paper Mill Rd.
(610) 376-2100
Amenities: E, P, W, SC
Berks Encore
40 N. 9th St.
(610) 374-3195
Amenities: SC
Blair
Altoona
Snap Fitness
228 E. Chestnut Ave.
(814) 941-7627
Amenities: E
Flying Hills Fitness Center
201 Love Rd.
(610) 775-9651
Amenities: E, S, SC
St. Joseph’s Medical Center
5438 Perkiomen Ave.
(610) 404-2230
Amenities: E
Valhalla Health & Fitness Club
4970 DeMoss Rd.
(610) 779-6006
Amenities: E, S, SC
Sinking Spring
Colonial Fitness
172 Shillington Rd.
(610) 777-7801
Amenities: E, S, SC
The Summit Tennis &
Athletic Club
2900 Plank Rd., Ste. 1
(814) 946-1668
Amenities: E, S, P, W, SC
Duncansville
Snap Fitness
167 Glimcher Dr.
(814) 696-9996
Amenities: E
Hollidaysburg
Hollidaysburg Area YMCA
1111 Hewitt St.
(814) 695-4467
Amenities: E, P, SC
Berks Encore
61 N. 3rd St.
(610) 562-4721
Amenities: SC
Sinking Spring Family YMCA
4920 Penn Ave.
(610) 678-0484
Amenities: E, SC
Roaring Spring
The Garver Memorial YMCA
820 Grove St.
(814) 224-5101
Amenities: E, SC
Kutztown
The Gym Kutztown
14943 Kutztown Rd.
(610) 683-6465
Amenities: E, SC
Temple
Bodyworks Health & Fitness Club
5370 Allentown Pike
(610) 921-2422
Amenities: E, SC
Tyrone
ProCare Health Systems
187 Hospital Dr.
(814) 684-6309
Amenities: E, SC
Women-only locations, including Curves®, are available nationwide. For a
location near you, please visit silversneakers.com or call 1-888-423-4632
(TTY: 711), Monday through Friday 8 a.m. to 8 p.m. EST.
Milton
Greater Susquehanna Valley
YMCA Milton Branch
12 Bound Ave.
(570) 742-7321
Amenities: E, S, P, SC
Mount Carmel
Mt. Carmel Outpatient Rehab
2616 Locust Gap Hwy.
(570) 339-3909
Amenities: E, P
Sunbury
Greater Susquehanna Valley
YMCA Sunbury Branch
1150 N. 4th St.
(570) 286-5636
Amenities: E, S, P, SC
Perry
Duncannon
Duncannon Senior
Citizens Center
27 N. High St.
(717) 834-4777
Amenities: SC
Newport
Kings Fitness
235 Walnut St.
(717) 567-2123
Amenities: E, SC
Pike
Dingmans Ferry
Pike Physical Therapy &
Fitness Center
1346 Rte. 739
(570) 686-4300
Amenities: E, SC
Schuylkill
Ashland
Center Street Fitness
1028 Center St.
(570) 875-2086
Amenities: E, SC
Orwigsburg
Schuylkill Racquet & Fitness
Rte. 61
(570) 366-1422
Amenities: E, S, SC
Pottsville
Schuylkill YMCA
520 N. Centre St.
(570) 622-7850
Amenities: E, SC
Schuylkill Haven
Anytime Fitness
950 E. Main St., Ste. 215
(570) 593-8177
Amenities: E
Call before first visit
St. Clair
Gudinas & Kristoff Xtreme
Fitness Center
17 N. Front St.
(570) 429-2404
Amenities: E, SC
Tamaqua
Reading YMCA -Tamaqua Branch
1201 E. Broad St.
(570) 668-2903
Amenities: E, SC
Snyder
Beaver Springs
Middlecreek Area Community
Center
67 Elm St.
(570) 658-2276
Amenities: E, SC
Middleburg
Grace Covenant Community
Church - Step by Step Mentoring
99 Cafe Ln.
(570) 837-5809
Amenities: SC
Selinsgrove
The Booty Boutique
964 Rte. 522
(570) 898-4977
Amenities: SC
Amenities Legend
E Exercise
Equipment
S Steam/Sauna
P Pool
W Whirlpool
SC SilverSneakers
Classes
* Seasonal Pool
Shamokin Dam
Champs Gym & Fitness
15 Stetler Ave.
(570) 743-6411
Amenities: E, SC
Susquehanna
New Milford
Blue Ridge Racquet & Health Club
305 Church St.
(570) 465-3282
Amenities: E, S
Tioga
Mansfield
Tioga County Branch YMCA
40-42 Besanceney Dr.
(570) 662-2999
Amenities: E, SC
Union
Lewisburg
Gold’s Gym - Lewisburg
131 Silvermoon Ln.
(570) 568-4653
Amenities: E, SC
The Donald Heiter
Community Center
100 North 5th St.
(570) 524-5000
Amenities: SC
(cont.)
Fitness Locations (cont.)
Lists are subject to change and updated regularly. Please visit silversneakers.com for the most recent location updates.
Edwardsville
Every Woman’s Workout
7B Gateway Shopping Center
(570) 718-1244
Amenities: E
Muncy
Eastern Lycoming YMCA
50 Fitness Dr.
(570) 546-8822
Amenities: E, S, P, W, SC
Hazle Township
Circuit For Women
1090 N. Church St.
(570) 453-3180
Amenities: E
Williamsport
Williamsport YMCA
320 Elmira St.
(570) 323-7134
Amenities: E, P, SC
Luzerne
Changes Health and
Fitness Center
161 Main St.
(570) 718-0440
Amenities: E
Mifflin
Burnham
Juniata Valley YMCA
105 1st Ave.
(717) 248-5019
Amenities: E, P, SC
Pittston
Greater Pittston YMCA
10 N. Main St.
(570) 655-2255
Amenities: E, S, P, SC
Monroe
Brodheadsville
The Body Shop
120 Shafer Dr.
(570) 992-3020
Amenities: E, SC
Sugarloaf
Gerrie’s Fitness Center
20 Gould’s Ln.
(570) 788-3881
Amenities: E, SC
Wilkes-Barre
Wilkes-Barre Family YMCA
40 W. Northampton St.
(570) 823-2191
Amenities: E, P, SC
Lycoming
Jersey Shore
Jersey Shore Branch YMCA
826 Allegheny St.
(570) 398-2150
Amenities: E, S, SC
Montoursville
Lycoming Physical Therapy
1009 Broad St.
(570) 368-8389
Amenities: E, SC
Kunkletown
Pocono Family YMCA Eldred Branch
RR 2 Box 11
(570) 421-2525
Amenities: E, SC
Pocono Manor
Pocono Mountain Fitness
1 Manor Dr.
(570) 606-3489
Amenities: E, S, SC
Stroudsburg
Pocono Family YMCA
809 Main St.
(570) 421-2525
Amenities: E, S, P, W, SC
Montour
Danville
Danville Area Community Center
1 Liberty St.
(570) 275-3001
Amenities: E, P, SC
Northampton
Bangor
Snap Fitness
426 Blue Valley Dr.
(610) 588-5300
Amenities: E
Bethlehem
Bethlehem Township
Community Center
2900 Farmersville Rd.
(610) 332-1900
Amenities: E, S, P, W, SC
Bethlehem YMCA
430 E. Broad St.
(610) 867-7588
Amenities: E, S, P, W, SC
Hanover Township
Community Center
3660 Jacksonville Rd.
(610) 317-8701
Amenities: E, SC
Easton
Family YMCA of Easton,
Philipsburg & Vicinity
1225 W. Lafayette St.
(610) 258-6158
Amenities: E, S, P, W, SC
Nazareth
Nazareth YMCA
33 S. Main St.
(610) 759-3440
Amenities: E, S, P, W, SC
Penn Argyl
Penn Argyl Community Center
25 S. Main St.
(610) 759-3440
Amenities: SC
Northumberland
Marion Heights
Star, Inc. Physical
Therapy & Fitness
600 Park Ave.
(570) 373-3300
Amenities: E, SC
Women-only locations, including Curves®, are available nationwide. For a
location near you, please visit silversneakers.com or call 1-888-423-4632
(TTY: 711), Monday through Friday 8 a.m. to 8 p.m. EST.
Bradford
Towanda
YMCA of Bradford County
9 College Ave.
(570) 268-9622
Amenities: E, P*, SC
State College (cont.)
Victory Sports and Fitness
178 Rolling Ridge Dr.
Hills Plaza South
(814) 235-7676
Amenities: E, SC
Cambria
Ebensburg
ShapeShifters Fitness
162 Industrial Park Rd.
(814) 472-8573
Amenities: E, S, SC
Clearfield
Clearfield
Clearfield YMCA
21 N. 2nd St.
(814) 765-5521
Amenities: E, S, P, SC
Johnstown
East Hills Recreation
101 Community College Way
Ste. 118
(814) 269-0303
Amenities: E, SC
DuBois
DuBois Area YMCA
25 Parkway Dr.
(814) 375-9622
Amenities: E, S, P, W, SC
Greater Johnstown
Community YMCA
100 Haynes St.
(814) 535-8381
Amenities: E, P, SC
Mineral Point
Jackson Twp. Senior Center
200 Adams Ave.
(814) 322-3327
Amenities: SC
Northern Cambria
X-Treme Fitness
901 Philadelphia Ave.
(814) 420-8195
Amenities: E, SC
Centre
Philipsburg
Moshannon Valley YMCA
103 N. 14th St.
(814) 342-0889
Amenities: E, SC
State College
North Club
1510 Martin St.
(814) 237-1510
Amenities: E, S, SC
DuBois YMCA - Treasure Lake
100 Coral Reef Rd.
(814) 372-2374
Amenities: E, S, SC
Clinton
Lock Haven
Fitness Unlimited - Lock Haven
Rear 121 E. Main St.
(570) 748-4164
Amenities: E, S, SC
Columbia
Berwick
Berwick Area YMCA
231 W. 3rd St.
(570) 752-5981
Amenities: E, S, P, SC
Bloomsburg
Bloom Health and Fitness
1150 Old Berwick Rd.
(570) 784-6344
Amenities: E, S, SC
Bloomsburg Area YMCA
30 E. 7th St.
(570) 784-0188
Amenities: E, P, SC
Amenities Legend
E Exercise
Equipment
S Steam/Sauna
P Pool
W Whirlpool
SC SilverSneakers
Classes
* Seasonal Pool
Cumberland
Camp Hill
Center for Independent
Living of Central PA
207 House Ave., Ste. 107
(717) 731-1900
Amenities: E, SC
IGNITE Training & Fitness
115 St. Johns Church Rd.
(717) 920-1748
Amenities: E, SC
Carlisle
Gold’s Gym - Carlisle PA
1225 Ritner Hwy.
(717) 218-0282
Amenities: E, S, SC
Mechanicsburg
Synergy Fitness
2151 Fisher Rd.
(717) 609-2839
Amenities: SC
Shippensburg
Shippensburg Fitness Center
117 W. Burd St.
(717) 530-1668
Amenities: E, S, SC
Dauphin
Halifax
Kings Health and Fitness
1299 Armstrong Valley Rd.
(717) 896-8990
Amenities: E, SC
(cont.)
Fitness Locations (cont.)
Lists are subject to change and updated regularly. Please visit silversneakers.com for the most recent location updates.
Harrisburg
Gold’s Gym - Linglestown
4450 Oakhurst Blvd.
(717) 579-7683
Amenities: E, SC
Chambersburg (cont.)
Snap Fitness
89 St. Paul Dr.
(717) 264-7627
Amenities: E
Clarks Summit
Total Tone
100 Old Lackawanna Trl., Unit 6
(570) 585-7200
Amenities: E
Gold’s Gym Harrisburg
4251 Chambers Hill Rd.
(717) 564-1829
Amenities: E, SC
Greencastle
Sports Inn 24 Hr. Fitness, Inc.
50 Pine Dr.
(717) 597-5099
Amenities: E, S
Dunmore
Greater Scranton YMCA
706 N. Blakely St.
(570) 342-8115
Amenities: E, P, W, SC
Fulton
McConnellsburg
Fulton County Medical Center
214 Peach Orchard Rd.
(717) 485-6149
Amenities: E, SC
Mayfield
Racqueteers Fitness and Health
603 Rte. 6
(570) 876-5432
Amenities: E, S, SC
Jewish Community
Center of Harrisburg
3301 N. Front St.
(717) 236-9555
Amenities: E, S, P, W, SC
Platinum Health & Fitness
7015 Old Jonestown Rd.
(717) 652-7490
Amenities: E, S, SC
Snap Fitness
2308 Patton Rd.
(717) 540-5414
Amenities: E
Thrive
100 N. Cameron St., Ste. 108
(717) 238-1887
Amenities: E, SC
Hershey
The Athletic Club of Hershey
3003 Elizabethtown Rd.
(717) 534-2340
Amenities: E, SC
Franklin
Chambersburg
Anytime Fitness
1515 Lincoln Way E.
(717) 809-7498
Amenities: E
Call before first visit
Results Therapy & Fitness
1600 Orchard Dr.
(717) 262-4650
Amenities: E, SC
Huntingdon
Huntingdon
ProCare Health & Fitness Huntingdon
295 S. 4th St.
(814) 643-4151
Amenities: E, P, SC
Mount Union
Snap Fitness
1 W. Shirley St.
(814) 542-4242
Amenities: E
Juniata
McAlisterville
Fayette Area Lions Den
Fitness & Recreation Center
158 Lions Den Dr.
(717) 463-3300
Amenities: E, SC
Lackawanna
Carbondale
Carbondale YMCA
82 N. Main St.
(570) 282-2210
Amenities: E, S, P, SC
Moosic
Pro Fitness Club
3356 Birney Ave.
(570) 346-5211
Amenities: E, SC
Moscow
North Pocono FitnessQuest
6270 Rte. 502
(570) 842-2000
Amenities: E, S, SC
Old Forge
Anytime Fitness
405 S. Main St.
(570) 903-7220
Amenities: E
Call before first visit
Scranton
Uno Fitness
3 W. Olive St., Ste. 210
(570) 341-9811
Amenities: E, SC
South Abington
Birchwood Fitness
105 Edella Rd.
(570) 586-4030
Amenities: E, S, SC
Women-only locations, including Curves®, are available nationwide. For a
location near you, please visit silversneakers.com or call 1-888-423-4632
(TTY: 711), Monday through Friday 8 a.m. to 8 p.m. EST.
Lancaster
Adamstown
Reading YMCA Adamstown Branch
71 E. Main St.
(717) 484-4996
Amenities: E, SC
Elizabethtown
Masonic Life Center
Masonic Village at Elizabethtown
One Masonic Dr.
(717) 361-5699
Amenities: E, P, W, SC
Lancaster
Universal Athletic Club
2323 Oregon Pike
(717) 569-5396
Amenities: E, S, P, W, SC
Landisville
Hempfield Area
Recreation Commission
950 Church St.
(717) 898-3102
Amenities: E, S, P, W, SC
Lititz
Lititz Rec Center
301 W. Maple St.
(717) 626-5096
Amenities: E, P, SC
Marietta
Snap Fitness
312 Honeysuckle Dr.
(717) 426-1600
Amenities: E
Mount Joy
Snap Fitness
763 E. Main St.
(717) 653-1044
Amenities: E
New Holland
New Holland Recreation Center
123 N. Shirk Rd.
(717) 354-4747
Amenities: E, P, SC
Lebanon
Annville
Annville Fitness Center
807 E. Main St. (rear)
(717) 867-2421
Amenities: E, SC
Lehigh
Allentown
Allentown YMCA & YWCA
425 S. 15th St.
(610) 434-9333
Amenities: E, S, P, SC
JCC of Allentown
702 N. 22nd St.
(610) 435-3571
Amenities: E, S, P, SC
Lehigh County Senior Center
1633 W. Elm St.
(610) 437-3700
Amenities: P, SC
The Fitness Plaza
1124 Glenlivet Dr.
(610) 481-0100
Amenities: E, S, W, SC
Amenities Legend
E Exercise
Equipment
S Steam/Sauna
P Pool
W Whirlpool
SC SilverSneakers
Classes
* Seasonal Pool
Catasauqua
Suburban North Family YMCA
880 Walnut St.
(610) 264-5221
Amenities: E, S, SC
Macungie
O2 OxyFit and Martial Arts Dojo
6480 Alburtis Rd.
(610) 391-0040
Amenities: E, SC
Whitehall
Fitness Line
5581 Roosevelt St.
(610) 262-9519
Amenities: E, S, SC
Luzerne
Dallas
Big Bear Fitness Corp.
1144 Memorial Hwy.
(570) 675-2749
Amenities: E, S, SC
(cont.)
SilverSneakers eligibility limitations (including residency requirements) may apply. Geisinger Gold Medicare Advantage
plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare
contract. Geisinger Gold Medicare Supplement plans are offered by Geisinger Indemnity Insurance Company.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact
the plan. Limitations, copayments, and restrictions may apply to Geisinger Gold services. Geisinger Gold benefits,
formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. Members
must continue to pay your Medicare Part B premium.
SilverSneakers® is a registered mark of Healthways, Inc.
Y0032 12243_6 File and Use 9/4/12
Fitness Locations (cont.)
Mifflinburg
First Evangelical Lutheran Church
404 Market St.
(570) 966-0266
Amenities: SC
Shrewsbury
Southern Branch YMCA
100 Constitution Ave.
(717) 235-0446
Amenities: E, P, SC
Wayne
Honesdale
Wayne County - YMCA
105 Park St.
(570) 253-2083
Amenities: E, SC
York
Eastern York County YMCA
4075 E. Market St., Ste. 2
(717) 755-7144
Amenities: E, SC
Wyoming
Tunkhannock
High Energy Fitness & Karate
112-B River St.
(570) 836-0156
Amenities: E, S, SC
York
Dillsburg
Anytime Fitness
868 US 15
(717) 432-5500
Amenities: E
Call before first visit
HardKohr Sports & Fitness
2810 E Prospect Rd.
(717) 757-4833
Amenities: E, SC
Amenities Legend
E Exercise
Equipment
S Steam/Sauna
P Pool
W Whirlpool
SC SilverSneakers
Classes
* Seasonal Pool
Snap Fitness
180 Leader Heights Rd.
(717) 741-2348
Amenities: E
YMCA of York
90 N. Newberry St.
(717) 843-7884
Amenities: E, P, SC
Dover
Bob Hoffman YMCA
1705 Palomino Rd.
(717) 292-5622
Amenities: E, SC
Hanover
Club 2000 Health &
Fitness Center
28 Baltimore St.
(717) 632-6009
Amenities: E, SC
Gold’s Gym - Hanover
1665 Broadway St.
(717) 634-5336
Amenities: E, S, SC
Red Lion
Anytime
Fitness
[Limitations
may apply. Geisinger Gold is an HMO with a Medicare Advantage contract available to all Medicare
3117
Cape
Horn
Rd. in Blair, Cambria, Carbon, Clearfield, Clinton, Columbia, Dauphin, Huntington, Juniata,
beneficiaries residing
(717)
246-2420
Lackawanna,
Lancaster, Lebanon, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Schuylkill,
Amenities:
E
Snyder, Union and Wyoming counties. All Medicare beneficiaries with Medicare Parts A and B may apply.
Call
before first®visit
is a registered mark of Healthways Health Support, Inc.]
SilverSneakers
HPM50 7187-1-a-r 7/12/07
Multi-language Interpreter Services
English: We have free interpreter services to answer any questions you may have about our health or
drug plan. To get an interpreter, just call us at 1-800-498-9731. Someone who speaks English/Language
can help you. This is a free service.
Spanish: Tenemos servicios de intérprete sin costo alguno para responder cualquier pregunta que
pueda tener sobre nuestro plan de salud o medicamentos. Para hablar con un intérprete, por favor
llame al 1-800-498-9731. Alguien que hable español le podrá ayudar. Este es un servicio gratuito.
Chinese Mandarin: 㒠ⅻ㙟∪⏜忈䤓劊幠㦜┰᧨ソ┸㌷屲䷣␂ℝ⋴ㅆ㒥嗾䓸≬棸䤓↊⇤䠠桽ᇭⰑ㨫
㌷榏尐㷳劊幠㦜┰᧨庆咃䟄 1-800-498-9731ᇭ㒠ⅻ䤓₼㠖ぴ⇫ⅉ⛧㈗⃟㎞ソ┸㌷ᇭ扨㢾₏欈⏜忈
㦜┰ᇭ
Chinese Cantonese: ㌷⺜㒠⊠䤓⋴ㅆ㒥塴䓸≬椹♾厌ⷧ㦘䠠⟞᧨䍉㷳㒠⊠㙟∪⏜彊䤓劊巾㦜╨ᇭⰑ
榏劊巾㦜╨᧨嵚咃榊 1-800-498-9731ᇭ㒠⊠嶪₼㠖䤓ⅉ❰⺖㲑㎞䍉㌷㙟∪ヺ┸ᇭ抨㢾₏檔⏜彊㦜
╨ᇭ
Tagalog: Mayroon kaming libreng serbisyo sa pagsasaling-wika upang masagot ang anumang mga
katanungan ninyo hinggil sa aming planong pangkalusugan o panggamot. Upang makakuha ng
tagasaling-wika, tawagan lamang kami sa 1-800-498-9731. Maaari kayong tulungan ng isang
nakakapagsalita ng Tagalog. Ito ay libreng serbisyo.
French: Nous proposons des services gratuits d'interprétation pour répondre à toutes vos questions
relatives à notre régime de santé ou d'assurance-médicaments. Pour accéder au service d'interprétation,
il vous suffit de nous appeler au 1-800-498-9731. Un interlocuteur parlant Français pourra vous aider.
Ce service est gratuit.
Vietnamese: Chúng tôi có dӏch vө thông dӏch miӉn phí ĜӇ trҧ lӡi các câu hӓi vӅ chѭѫng sӭc khӓe và
chѭѫng trình thuӕc men. NӃu quí vӏ cҫn thông dӏch viên xin gӑi 1-800-498-9731 sӁ có nhân viên nói
tiӃng ViӋt giúp Ĝӥ quí vӏ. ây là dӏch vө miӉn phí .
German: Unser kostenloser Dolmetscherservice beantwortet Ihren Fragen zu unserem Gesundheitsund Arzneimittelplan. Unsere Dolmetscher erreichen Sie unter 1-800-498-9731. Man wird Ihnen dort auf
Deutsch weiterhelfen. Dieser Service ist kostenlos.
Korean: 鲮ꩡ鱉 넍ꊁ ꚩ뾍 鿅鱉 꼲븽 ꚩ뾍꾅 隵뼑 덽ꓭ꾅 鲪뼩 麑ꍡ隕녅 ꓩꊁ 뭪꾢 ꫑ꟹ걙ꌱ
뇑險뼍隕 넽걪鱽鲙. 뭪꾢 ꫑ꟹ걙ꌱ 넩끞뼍ꇙꐩ 놹쀉 1-800-498-9731 ꘽냱ꈑ ꓭ넍뼩 늱겢겑꿙.
뼑霢꽩ꌱ 뼍鱉鲩鲮녅閵 鵹꿵 麑ꍩ阸넺鱽鲙 넩 ꫑ꟹ걙鱉 ꓩꊁꈑ 끩꾶鷞鱽鲙.
Y0032 H8468 12243_5 File and Use 9/4/12
Russian: ʫ̛̭̣ ̱ ̭̏̌ ̨̡̛̦̦̱̯̏̚ ̨̨̪̬̭̼̏ ̨̨̨̛̯̦̭̯̖̣̦̽ ̵̨̨̨̭̯̬̌̏̐ ̛̛̣ ̡̨̨̛̥̖̥̖̦̯̦̔̌̐ ̪̣̦̌̌, ̼̏
̨̥̙̖̯̖ ̨̨̨̭̪̣̯̭̏̽̏̌̽́̚ ̛̛̦̹̥̌ ̛̖̭̪̣̯̦̼̥̍̌ ̛̱̭̣̱̥̐̌ ̸̨̡̨̛̪̖̬̖̏̔̏. ˋ̨̯̼̍ ̨̨̨̭̪̣̯̭̏̽̏̌̽́̚
̛̱̭̣̱̥̐̌ ̸̨̡̛̪̖̬̖̏̔̌, ̨̨̛̪̦̯̖̏̚ ̦̥̌ ̨̪ ̴̨̯̖̣̖̦̱ 1-800-498-9731. ʦ̥̌ ̨̡̙̖̯̌ ̨̨̪̥̺̽
̨̡̛̭̯̬̱̦̔, ̡̨̨̯̬̼̜ ̨̨̛̬̯̐̏ ̨̪-p̡̛̱̭̭. ʪ̦̦̌̌́ ̱̭̣̱̐̌ ̖̭̪̣̯̦̍̌̌́.
Arabic: ϢΟήΘϣ ϰϠϋ ϝϮμΤϠϟ .ΎϨϳΪϟ ΔϳϭΩϷ΍ ϝϭΪΟ ϭ΃ ΔΤμϟΎΑ ϖϠόΘΗ ΔϠΌγ΃ ϱ΃ Ϧϋ ΔΑΎΟϺϟ ΔϴϧΎΠϤϟ΍ ϱέϮϔϟ΍ ϢΟήΘϤϟ΍ ΕΎϣΪΧ ϡΪϘϧ ΎϨϧ·
ΔϴΑήόϟ΍ ΙΪΤΘϳ Ύϣ κΨη ϡϮϘϴγ .1379-894-008-1 ϰϠϋ ΎϨΑ ϝΎμΗϻ΍ ϯϮγ ϚϴϠϋ βϴϟ ˬϱέϮϓ ΔϴϧΎΠϣ ΔϣΪΧ ϩάϫ .ϚΗΪϋΎδϤΑ.
Italian: È disponibile un servizio di interpretariato gratuito per rispondere a eventuali domande sul
nostro piano sanitario e farmaceutico. Per un interprete, contattare il numero 1-800-498-9731. Un
nostro incaricato che parla Italianovi fornirà l'assistenza necessaria. È un servizio gratuito.
Portugués: Dispomos de serviços de interpretação gratuitos para responder a qualquer questão que
tenha acerca do nosso plano de saúde ou de medicação. Para obter um intérprete, contacte-nos através
do número 1-800-498-9731. Irá encontrar alguém que fale o idioma Português para o ajudar. Este
serviço é gratuito.
French Creole: Nou genyen sèvis entèprèt gratis pou reponn tout kesyon ou ta genyen konsènan plan
medikal oswa dwòg nou an. Pou jwenn yon entèprèt, jis rele nou nan 1-800-498-9731. Yon moun ki
pale Kreyòl kapab ede w. Sa a se yon sèvis ki gratis.
Polish: UmoǏliwiamy bezpųatne skorzystanie z usųug tųumacza ustnego, który pomoǏe w uzyskaniu
odpowiedzi na temat planu zdrowotnego lub dawkowania leków. Aby skorzystađ z pomocy tųumacza
znajČcego jħzyk polski, naleǏy zadzwoniđ pod numer 1-800-498-9731. Ta usųuga jest bezpųatna.
Hindi: ¡˜ȡšȯ èȡèؙ ™ȡ ‘ȡ €ȧ ™Ȫ‡“ȡ €ȯ –ȡšȯ ˜Ʌ ]”€ȯ Ǒ€ Ȣ —Ȣ Ĥư €ȯ ‡ȡ– ‘ȯ “ȯ €ȯ Ǔ›f ¡˜ȡšȯ
”ȡ ˜Ǖݏ ‘—
Ǖ ȡǒŸ™ȡ ȯȡfȱ `”›Þ’ ¡ɇ . f€ ‘—
Ǖ ȡǒŸ™ȡ ĤȡƯ €š“ȯ €ȯ Ǔ›f, – ¡˜Ʌ 1-800-498-9731 ”š
•Ȫ“ €šɅ . €Ȫ_ å™ǒƠ ‡Ȫ Ǒ¡Û‘ȣ –Ȫ›ȡ ¡Ȱ ]”€ȧ ˜‘‘ €š €ȡ ¡Ȱ . ™¡ f€ ˜Ǖݏ ȯȡ ¡Ȱ .
Japanese:ਊ঺भ௏೨௏೨৳૫धఇષ૪্ఇউছথपঢ়घॊओସਖपउ௦इघॊञीप‫ؚ‬૮મ
भৢ๨१‫ش‬অ५ऋँॉऽघओकःऽघ‫ৢ؛‬๨॑ओ৷୵पऩॊपम‫ ؚ‬पउਗ਼ਵ
ऎटऔः‫؛‬঩মୁ॑ਵघয঻ऋ੍ରःञखऽघ‫؛‬ऒोम૮મभ१‫ش‬অ५दघ‫؛‬
Y0032 H8468 12243_5 File and Use 9/4/12