PARTC

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C)
Insurance Provider
Geisinger Gold
CMS Rating
Plan Type
MSA
Annual Deductible
$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Plan Details

Costs and Other Important Information

Plan Year:
2013
Optional Supplemental Benefits?
No
Choice of Doctors?
Any Doctor
Prescription Drugs Covered?
No
Out-Of-Pocket Spending Limit
Not Applicable
Other Deductibles?
In Network: No. Out of Network: No
Health Plan Deductible
$0
Monthly Drug Plan Premium
Not Applicable
Monthly Health Plan Premium
$0.00

Benefits

Service
In Network
Out of Network
Doctor Office Visits
Not Applicable
Not Applicable
Specialist Office Visit
Not Applicable
Not Applicable
Outpatient Services
Not Applicable
Not Applicable
Emergency Care
Not Applicable
Not Applicable
Ambulance Services
Not Applicable
Not Applicable
Kidney Disease and Conditions
Not Applicable
Not Applicable
Home Health Care
Not Applicable
Not Applicable
Durable Medical Equipment
Not Applicable
Not Applicable
Inpatient Hospital Care
Not Applicable
Not Applicable
Skilled Nursing Facility (SNF)
Not Applicable
Not Applicable
Inpatient Mental Health Care
Not Applicable
Not Applicable

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Not Rated
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability
Not Rated

Physician Finder

Physicians that accept Geisinger Gold Reserve (MSA) for Pennsylvania

/
GOLDSTEIN, SCOTT
5501 OLD YORK RD
PHILADELPHIA, PA 19141
PEREZ-SCHWARTZ, LUZ
3551 N BROAD ST
PHILADELPHIA, PA 19140
ALBURGER, PHILIP
3551 N BROAD ST
PHILADELPHIA, PA 19140
CAHILL, PATRICK
3551 NORTH STREET
PHILADELPHIA, PA 19140
MELTONTATE, DELIA
1415 NORTH BROAD STREET, SUITE 224
PHILADELPHIA, PA 19122
SINGHAL, AJAY
1648 HUNTINGDON PIKE
MEADOWBROOK, PA 19046
Details
SCOTT GOLDSTEIN, D.O.
Phone Number
(215) 456-6679
Office Locations
5501 OLD YORK RD
PHILADELPHIA, PA 19141
5501 OLD YORK RD PHILADELPHIA PA, 19141

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
prescription plan?
Q:Does Giesinger Gold have a prescription plan?
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: The plans vary by area. Currently with this carrier, they have two kinds of plans, health only plan , health and drug plans, you may try your zip code to get a quote and then try the Narrow by tool, then you will find the available plans with this carrier on the all plans page. (zip code :16922/15520 etc, this carrier provides health and drug plans in these areas)
Answered on 1/6/2014 by Anonymous 

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