GEI
Geisinger Health Plan — Standard
FEHB Offered in 2027|Geisinger Health Plan|Traditional|HMO
Premium
biweekly · employee paysSelf Only
$147.67biweekly · employee pays
vs 2026−$94.49 -39.0%
Lowest$77.63 (2014)
Highest$242.16 (2026)
Since 2013+38.4%
Self Plus One
$312.20biweekly · employee pays
vs 2026−$201.61 -39.2%
Lowest$186.94 (2017)
Highest$513.81 (2026)
Since 2016+37.4%
Self & Family
$300.28biweekly · employee pays
vs 2026−$219.70 -42.3%
Lowest$193.31 (2014)
Highest$519.98 (2026)
Since 2013+15.8%
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
- 2012Tracked since 2012Earliest plan year in the data set.
- 2016Self Plus One enrollment addedOPM introduced the Self Plus One enrollment type government-wide in 2016.
- 2020Largest increase: +35.3%Self Only employee share went from $106.36 to $143.95.
- 2027Largest decrease: -39.0%Self Only employee share went from $242.16 to $147.67.
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $350 | $700 | $700 |
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Net deductible | $350 | $700 | $700 |
| Annual out-of-pocket maximum | $5,000 | $10,000 | $10,000 |
- Type of accountNot Applicable
- Total Annual Part B Premium Reimbursement Amount Per Enrollee (MAPD)$900
- 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)$0
- Deductible waiver (with Medicare Part B as Primary)$0
- Deductible Waiver with Parts A & B$0
- Out-of-Pocket Maximum with Parts A & B$0
- 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 & B$900 Maximum
- Requirement for Part B ReimbursementPart B Only
- Deductible Waiver with Part C$350
- Out-of-Pocket Maximum with Part C$5,000
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryMember Pays Nothing
- Specialty Physician Office Visit with Part CMember Pays Nothing
- Inpatient Hospital Services with Part CMember Pays Nothing
- Outpatient Hospital Services with Part CMember Pays Nothing
- Outpatient physician services (with Medicare Advantage Part C as Primary)Member Pays Nothing
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays Nothing
- Primary Care Office Visit$20 Copayment
- Specialist Office Visit$35 Copayment
- Emergency Care$150 Copayment
- Urgent Care$20 Copayment
- Doctor Costs for Inpatient Surgery20% Coinsurance
- Hospital Inpatient Cost Per Admission20% Coinsurance
- Hospital Room Costs20% Coinsurance
- Other Inpatient Hospital Costs20% Coinsurance
- Doctor Costs for Outpatient Surgery20% Coinsurance
- Other Outpatient Surgery Costs20% Coinsurance
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)20% Coinsurance
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)20% Coinsurance
- Enhanced Lab Network20% Coinsurance
- Applied Behavioral Analysis (ABA)$20 Copayment
- Chiropractic$20 Copayment
- Occupational Therapy$35 Copayment
- Physical Therapy$35 Copayment
- Speech Therapy$35 Copayment
- Professional Services (Mental Health and Substance Use Disorder)$20 Copayment
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)20% Coinsurance
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)20% Coinsurance
- Diagnosis and Treatment (Infertility Services)20% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)20% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)20% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)20% Coinsurance
- Surgical Procedures20% Coinsurance
- Reconstructive Surgery20% Coinsurance
- Hearing Services20% 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)20% 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 |
| 2020 | Pennsylvania |
| 2019 | Pennsylvania |
| 2018 | Pennsylvania |
| 2017 | Pennsylvania |
| 2016 | Pennsylvania |
| 2015 | Pennsylvania |
| 2014 | Pennsylvania |
| 2013 | Pennsylvania |