GEI
Geisinger Health Plan — Basic
FEHB Offered in 2027|Geisinger Health Plan|Traditional|HMO
Premium
biweekly · employee paysSelf Only
$127.50biweekly · employee pays
vs 2026−$87.92 -40.8%
Lowest$117.79 (2024)
Highest$215.42 (2026)
Since 2021-0.9%
Self Plus One
$268.63biweekly · employee pays
vs 2026−$187.36 -41.1%
Lowest$254.49 (2024)
Highest$455.99 (2026)
Since 2021-4.9%
Self & Family
$274.48biweekly · employee pays
vs 2026−$184.24 -40.2%
Lowest$244.94 (2024)
Highest$458.72 (2026)
Since 2021-3.8%
Premium history
SharePeriodRate type
Year by year
follows the chart's share, period and rate-type selection| Year | Self Only | Δ | Self Plus One | Δ | Self & Family | Δ | Listed as |
|---|
Changelog
- 2021First appears in OPM rate tablesNew plan option for 2021.
- 2025Largest increase: +43.3%Self Only employee share went from $117.79 to $168.82.
- 2027Largest decrease: -40.8%Self Only employee share went from $215.42 to $127.50.
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $0 | $0 | $0 |
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Net deductible | $0 | $0 | $0 |
| Annual out-of-pocket maximum | $8,550 | $17,100 | $17,100 |
- Type of accountNot Applicable
- Tier 0$0 Copayment
- Tier 1$15 Copayment
- Tier 2$60 Copayment
- Tier 3$90 Copayment
- Tier 4$150 Copayment
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)Deductible waived
- Deductible waiver (with Medicare Part B as Primary)Deductible waived
- Deductible Waiver with Parts A & BDeductible waived
- Out-of-Pocket Maximum with Parts A & B$8,550
- Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays Nothing
- Specialty Physician Office Visit with Parts A & BMember Pays Nothing
- Inpatient Hospital Services with Parts A & BMember Pays Nothing
- Outpatient Hospital Services with Part AMember Pays Nothing
- Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
- Part B Premium Reimbursement with Parts A & BNo
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part C$0
- Out-of-Pocket Maximum with Part C$8,550
- Primary Care Physician Office Visit with Medicare Advantage (Part C) Primary$35 Copayment
- Specialty Physician Office Visit with Part C$50 Copayment
- Inpatient Hospital Services with Part C30% Coinsurance
- Outpatient Hospital Services with Part C30% Coinsurance
- Outpatient physician services (with Medicare Advantage Part C as Primary)30% Coinsurance
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays Nothing
- Primary Care Office Visit$35 Copayment
- Specialist Office Visit$50 Copayment
- Emergency Care$250 Copayment
- Urgent Care$35 Copayment
- Doctor Costs for Inpatient Surgery30% Coinsurance
- Hospital Inpatient Cost Per Admission30% Coinsurance
- Hospital Room Costs30% Coinsurance
- Other Inpatient Hospital Costs30% Coinsurance
- Doctor Costs for Outpatient Surgery30% Coinsurance
- Other Outpatient Surgery Costs30% Coinsurance
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)30% Coinsurance
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)30% Coinsurance
- Enhanced Lab Network30% Coinsurance
- Applied Behavioral Analysis (ABA)30% Coinsurance
- Chiropractic$35 Copayment
- Occupational Therapy$50 Copayment
- Physical Therapy$50 Copayment
- Speech Therapy$50 Copayment
- Professional Services (Mental Health and Substance Use Disorder)$35 Copayment
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)30% Coinsurance
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)30% Coinsurance
- Diagnosis and Treatment (Infertility Services)30% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)30% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)30% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)30% Coinsurance
- Surgical Procedures30% Coinsurance
- Reconstructive Surgery30% Coinsurance
- Hearing Services30% Coinsurance
- Hearing Aids (external)Not Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays Nothing
- Hospice CareMember Pays Nothing
- Home Health Services (Skilled Nursing Care)Member Pays Nothing
- Durable Medical EquipmentMember Pays Nothing
- Outpatient Rehabilitation (Skilled Nursing Care Facility)30% Coinsurance
- Diabetes EducationMember Pays Nothing
- Nutritional CounselingMember Pays Nothing
- Routine Dental Exams and Cleaning for AdultsNot Covered
- Routine Dental Exams and Cleaning for ChildrenNot Covered
- Routine Eye ExamsCovered
- Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
- EyeglassesNot Covered
- Contact LensesNot Covered
- AcupunctureMember Pays All Charges
- Chronic Disease Management: Heart DiseaseCovered
- Chronic Disease Management: ObesityCovered
- Chronic Disease Management: HypertensionCovered
- Chronic Disease Management: AsthmaCovered
Out-of-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | Not applicable | Not applicable | Not applicable |
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Net deductible | Not applicable | Not applicable | Not applicable |
| Annual out-of-pocket maximum | Not applicable | Not applicable | Not applicable |
- Type of accountNot Applicable
- Tier 0$999 Copayment
- Tier 1$999 Copayment
- Tier 2$999 Copayment
- Tier 3$999 Copayment
- Tier 4$999 Copayment
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)Not applicable
- Deductible waiver (with Medicare Part B as Primary)Not applicable
- Deductible Waiver with Parts A & BNot applicable
- Out-of-Pocket Maximum with Parts A & BNot applicable
- Primary Care Physician Office Visit with Medicare A & B PrimaryNot applicable
- Specialty Physician Office Visit with Parts A & BNot applicable
- Inpatient Hospital Services with Parts A & BNot applicable
- Outpatient Hospital Services with Part ANot applicable
- Outpatient physician services (with Medicare Part B as Primary)Not applicable
- Part B Premium Reimbursement with Parts A & BNot applicable
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
- Specialty Physician Office Visit with Part CNot applicable
- Inpatient Hospital Services with Part CNot applicable
- Outpatient Hospital Services with Part CNot applicable
- Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays All Charges
- Primary Care Office VisitMember Pays All Charges
- Specialist Office VisitMember Pays All Charges
- Emergency CareMember Pays All Charges
- Urgent CareMember Pays All Charges
- Doctor Costs for Inpatient SurgeryMember Pays All Charges
- Hospital Inpatient Cost Per AdmissionMember Pays All Charges
- Hospital Room CostsMember Pays All Charges
- Other Inpatient Hospital CostsMember Pays All Charges
- Doctor Costs for Outpatient SurgeryMember Pays All Charges
- Other Outpatient Surgery CostsMember Pays All Charges
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)Member Pays All Charges
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)Member Pays All Charges
- Enhanced Lab NetworkMember Pays All Charges
- Applied Behavioral Analysis (ABA)Member Pays All Charges
- ChiropracticMember Pays All Charges
- Occupational TherapyMember Pays All Charges
- Physical TherapyMember Pays All Charges
- Speech TherapyMember Pays All Charges
- Professional Services (Mental Health and Substance Use Disorder)Member Pays All Charges
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Diagnosis and Treatment (Infertility Services)Member Pays All Charges
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)Member Pays All Charges
- Artificial Insemination Services (e.g. ICI, IVI, IUI)Member Pays All Charges
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical ProceduresMember Pays All Charges
- Reconstructive SurgeryMember Pays All Charges
- Hearing ServicesMember Pays All Charges
- Hearing Aids (external)Not Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays All Charges
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays All Charges
- Hospice CareMember Pays All Charges
- Home Health Services (Skilled Nursing Care)Member Pays All Charges
- Durable Medical EquipmentMember Pays All Charges
- Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays All Charges
- Diabetes EducationMember Pays All Charges
- Nutritional CounselingMember Pays All Charges
- Routine Dental Exams and Cleaning for AdultsNot Covered
- Routine Dental Exams and Cleaning for ChildrenNot Covered
- Routine Eye ExamsNot Covered
- Eye Exams for Medical Condition or Non-Surgical TreatmentNot Covered
- EyeglassesNot Covered
- Contact LensesNot Covered
- AcupunctureMember Pays All Charges
- Chronic Disease Management: Heart DiseaseNot Covered
- Chronic Disease Management: ObesityNot Covered
- Chronic Disease Management: HypertensionNot Covered
- Chronic Disease Management: AsthmaNot Covered
States
1Pennsylvania
Counties covered
| State | Area |
|---|---|
| Pennsylvania | Adams, Bedford, Berks, Blair, Bradford, Cambria, Cameron, Carbon, Centre, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Elk, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York |
Service area over time
| Year | States / areas listed |
|---|---|
| 2027 | Pennsylvania |
| 2026 | Pennsylvania |
| 2025 | Pennsylvania |
| 2024 | Pennsylvania |
| 2023 | Pennsylvania |
| 2022 | Pennsylvania |
| 2021 | Pennsylvania |