Medicare Blog

which nursing homes take geisinger medicare

by Trudie Kilback Published 3 years ago Updated 2 years ago
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What is a Geisinger gold Medicare Advantage plan?

Medicare Advantage plans, like Geisinger Gold, include your hospital, medical and prescription drug coverage all in one. We also offer additional benefits, like vision and dental coverage, that are included when you enroll in a Geisinger Gold Medicare Advantage plan.

What is the Geisinger at home program?

The Geisinger at Home team has worked with our EHR team to organize documentation and create a single location for information about the patient’s wishes, goals of care, and health care surrogate. One Geisinger patient who had had surgery for bowel cancer was discharged home but in time developed metastatic disease.

Why did the Geisinger at home team visit the patient's home?

Recently the patient had developed skin breakdown due to declining health and had increasing difficulty leaving home. Her primary care case manager called the Geisinger at Home team to request a visit, and the team including a community health worker made an immediate trip to the home.

How do I get prescription drug coverage from Geisinger gold?

Prescription drug coverage from Geisinger Gold is offered exclusively to Geisinger Gold members. Geisinger Gold may add or remove drugs from our formulary during the year. For more information, contact the Pharmacy Service Team at 800-988-4861, seven days a week, 8 a.m. – 8 p.m., or 711 (TTY/TDD), seven days a week, 8 a.m. – 8 p.m.

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Is Geisinger Healthcare good?

Geisinger Choice Since 1985, GHP and its affiliates have provided high-quality, affordable health-care benefits. GHP is among the top ten health plans in the nation, according to the National Committee for Quality Assurance's (NCQA) Private Health Insurance Plan Rankings for 2013-2014.

What is Geisinger provider choice?

1. Geisinger Provider Choice — Features a multilevel network where a member's out-of-pocket costs, such as copays, deductibles and coinsurance, are determined by the network group to which the provider they choose to see is designated. Members can see any provider from any group at any time.

Is Geisinger only in PA?

Geisinger comprises ten hospital campuses, two research centers, a college of medicine and a 550,000-member health plan serving more than three million residents in central, south-central and northeast Pennsylvania and beyond.

Is Geisinger a Medicare?

– Geisinger Health Plan (GHP) announced its Geisinger Gold Medicare Advantage plans for 2022 with benefits designed to make better health easier for its members and premiums starting as low as $0 per month. Medicare's annual enrollment period begins Oct. 15 and ends Dec. 7, 2021.

What is the difference between Tier 1 and Tier 2 insurance?

Tier 1 usually includes a select network of providers that have agreed to provide services at a lower cost for you and your covered family members. Tier 2 provides you the option to choose a provider from the larger network of contracted PPO providers, but you may pay more out-of-pocket costs.

Does Geisinger cover dental?

Geisinger Health Plan offers your employees dental coverage through our partnership with Guardian Dental.

Does Geisinger Health Plan cover out of state?

What if we have employees who live out of state or out of Geisinger Health Plan's service area? They're covered.

Is Guthrie part of Geisinger?

The Guthrie Campus of Geisinger Commonwealth School of Medicine is headquartered in Sayre, PA, with office space at Guthrie, One Guthrie Square. The Guthrie Campus serves the following counties: Pennsylvania – Bradford, Tioga and Sullivan; New York – Broome, Chemung, Schuyler, Steuben, Tioga and Tompkins.

What is Geisinger Medical Center known for?

GMC is the flagship hospital for Geisinger, which has long been known for its innovative approach to patient care. Geisinger was one of the first adopters of the electronic health record, and is at the forefront of genomic medicine with its MyCode Community Health Initiative.

What is Geisinger Gold plan?

Geisinger Gold Preferred (PPO) is a PPO plan that offers predictable costs and the freedom to choose any doctor or hospital you wish. No Primary Care Physician selection or referrals are needed. You can use any provider who is part of our network, or you can choose to use an out-of-network provider.

What is Geisinger flex card?

Flex card “This is available for one of our Geisinger Gold Medicare Advantage plans this year and is a great benefit that members should take advantage of if they have it,” says Kolb. “It can be used to help pay for dental, vision and hearing devices.”

How does Geisinger Gold work?

Geisinger Gold Classic (HMO) plans A Primary Care Physician works as your personal family doctor to coordinate your medical care. Covered services including hospitalization, routine office visits, physicals, immunizations, diagnostic tests and x-rays, are covered with affordable, predictable costs.

Who can help you with Medicare?

Families, social workers, doctors, and other healthcare workers can help figure out the best care arrangement for you or your loved ones. We can help you understand your options and get you started on the path to enrolling in a Medicare Advantage plan. 2

How long does Medicare cover skilled nursing?

Medicare Part A and Medicare Advantage will cover a skilled nursing facility stay for up to 100 days as long as you meet a list of criteria.

What is Medicare Advantage?

Medicare Advantage is a type of all-in-one health plan that includes Medicare Part A, Medicare Part B and, often, Medicare Part D, 3 which is prescription drug coverage. If you are a current Medicare beneficiary, you will continue to receive the same Original Medicare services when you sign up for Medicare Advantage.

How Can You Purchase a Medicare Advantage Policy?

Plans are offered by private companies and vary based on where you live. You can start your research online by looking up plans offered in your area. 4

What does switching to Medicare Advantage mean?

Switching to a Medicare Advantage plan means you may be able to get coverage for some in-home services and possibly lower your out-of-pocket costs. The additional coverage options, restrictions and out-of-pocket costs may vary from plan to plan, and not every plan covers in-home support services.

What conditions require a stay in a skilled nursing facility?

Conditions that require a stay in a skilled nursing facility include strokes, broken bones, wound care or post-surgery care. You may also need to transition to a skilled nursing facility after being hospitalized for an illness so that you can work with nurses, physical therapists and occupational therapists before you return home.

What are some examples of long term care facilities?

Examples of a long-term care facility include a nursing home or an assisted living facility. Conditions that require a stay in a skilled nursing facility include strokes, broken bones, wound care or post-surgery care. You may also need to transition to a skilled nursing facility after being hospitalized for an illness so ...

How to find a nursing home?

Find out about nursing homes in your area 1 Find and compare nursing homes in your area. 2 Ask people you trust, like your family, friends, or neighbors if they’ve had personal experience with nursing homes. They may be able to recommend a nursing home to you. 3 Ask your doctor if he or she provides care at any local nursing homes. If so, ask which nursing homes so you can continue to see your doctor while you're in the nursing home. 4 Visit the Eldercare Locator for more information on long-term care choices in your area. 5 Contact your local senior and community activity center. 6 If you’re in the hospital, ask your social worker about discharge planning as early in your hospital stay as possible. The hospital’s staff should be able to do these:#N#Help you find a nursing home that meets your needs#N#Help with your transfer when you’re ready to be discharged

Can a doctor recommend a nursing home?

They may be able to recommend a nursing home to you . Ask your doctor if he or she provides care at any local nursing homes. If so, ask which nursing homes so you can continue to see your doctor while you're in the nursing home.

What is Geisinger at home?

To tackle these challenges, just over 18 months ago Geisinger launched a novel delivery model called Geisinger at Home that moves comprehensive care upstream and into the homes of this dependent population. Working closely with patients’ primary care physicians, a team of doctors, nurses, dieticians, case managers, pharmacists, mobile paramedics, and other support staff bring care to frail, medically complex patients where they live. In addition to providing services such as regular home assessments, necessary testing, acute care and wound care the program offers specialty care as needed. Unlike hospital-at-home models, which typically provide episodic care for three to five days, ours is longitudinal, starting with a comprehensive in-home assessment and care plan and coordinating with primary care and providing ongoing clinical services as needed.

What is Geisinger's highest needs patient?

Working with Geisinger’s highest needs patients has meant directly providing care to a good number of dying patients. End-of-life discussions and coordinated care are as important as any other element of our work. For these critical patients, the staff engages in frequent discussions with both the patient and family about the patient’s prognosis, priorities and wishes. This has required that all team members become competent and comfortable with skills needed to help patients and families make decisions regarding end of life. Specialized training incorporates interactive sessions with role playing and case studies involving trained actors playing patients (so-called “standardized patients”). The Geisinger at Home team has worked with our EHR team to organize documentation and create a single location for information about the patient’s wishes, goals of care, and health care surrogate.

About Geisinger - Shamokin Area Community Hospital SNF

Selecting the right skilled nursing facility can be critical to your speedy recovery. Geisinger - Shamokin Area Community Hospital SNF located in Coal Run, PA, in Northumberlnd County, offers a variety of therapies and care services to help you regain your independence.

Nearby Skilled Nursing Facilities

If Geisinger - Shamokin Area Community Hospital SNF isn't quite what you're looking for, take a look at a few other nearby facilities that might be a better match.

Nearby Cities

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