Geisinger Gold Value Rx (HMO)
Available to residents of Lycoming County, PA for 2026. Contract H3954, plan 163, segment 0.
Plan details
| Monthly drug premium | $23.00 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H3954-163-0 |
| Offered by | Geisinger Gold |
| Parent organization | Risant Health, Inc. |
| Formulary drugs | 3,659 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3954 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $5.00 |
| Tier 3 | 25% |
| Tier 4 | 50% |
| Tier 5 | 33% |
| Tier 6 | $0.00 |
Also available in 62 other PA counties
- Adams
- Allegheny
- Armstrong
- Beaver
- Bedford
- Berks
- Blair
- Bradford
- Bucks
- Butler
- Cambria
- Cameron
- Carbon
- Centre
- Chester
- Clarion
- Clearfield
- Clinton
- Columbia
- Crawford
- Cumberland
- Dauphin
- Delaware
- Elk
- Fayette
- Forest
- Franklin
- Fulton
- Greene
- Huntingdon
- Jefferson
- Juniata
- Lackawanna
- Lancaster
- Lebanon
- Lehigh
- Luzerne
- McKean
- Mifflin
- Monroe
- Montgomery
- Montour
- Northampton
- Northumberland
- Perry
- Philadelphia
- Pike
- Potter
- Schuylkill
- Snyder
- Somerset
- Sullivan
- Susquehanna
- Tioga
- Union
- Venango
- Warren
- Washington
- Wayne
- Westmoreland
Plan facts come from the CMS quarterly prescription drug plan public use files.