Mental health and substance abuse network changes
Effective July 1, 2016, we are making some changes to our network of mental health and substance abuse providers. Geisinger Health Plan (GHP) has selected Magellan Healthcare to provide mental health and substance abuse services as covered by your clients’ GHP plans. Magellan offers a broad network of experienced providers, as well as nurse case managers working together with GHP staff. Magellan’s valuable online extras, such as their web-based learning programs, will provide members with additional resources.

Some providers may no longer be in the network. Members who are being seen by the affected providers have been notified by letter and given further instruction regarding their transition of care. To verify whether a provider is part of the new network, please visit www.mgln.us/GHPprovidersearch. Magellan will continue to add providers to the network on an ongoing basis, so please visit frequently to view the most updated list.

If you have any questions or would like additional information or assistance, please contact Magellan at 800-424-4701 (TDD/TTY: 711) from 9:00 a.m. – 6:30 p.m. After July 1, 2016, members can contact Magellan using the phone number listed on the back of their member ID card.

We also sent a letter to employers notifying them of this change. You can review a copy of the employer letter here.


Important information about your commission payments
We will introduce a new, streamlined per subscriber per month (pspm) compensation plan beginning July 1, 2016. It is unique by specific market segment: one schedule for the 2-50 small group segment and another one for the 51-99 mid-market segment. Please refer to this updated schedule which includes production requirements and payment levels.

We first announced this change at the end of May. As a reminder, the impact from the revised commission schedule on earnings will vary by agency. Your first payment which includes the new schedule will be issued in August 2016. All business sold prior to July 1, 2016 will reflect the new payment rate.

Also, note that this change does not alter the established payment schedule of $25 per subscriber per month for the GHP small group level-funded TPA product, which is offered to employers with 25-99 enrolled subscribers.

If you have any questions, please contact our broker hotline at 866-488-6653.


"Mammothon" held at GHP
GHP recently held its first mammothon event in an effort to increase breast cancer screening rates among our members. A total of 175 employees from every GHP department volunteered their time to make calls, scheduling a total of 461 mammogram appointments in four days. For each scheduled appointment, GHP also donated $10 to the American Cancer Society.

Breast cancer is the second leading cause of cancer-related deaths in women and accounted for nearly 40,000 deaths in 2013, according to the National Committee for Quality Assurance (NCQA). GHP’s efforts targeted 4,500 members ages 50-74 and exceeded our goal to schedule 110 mammograms.

As a leader in the health insurance industry, GHP is committed to keeping our members healthy. The mammothon was just one step in an ongoing effort to educate our members on the importance of breast cancer screenings.


Save on family fun
GHP members can take advantage of discount amusement park tickets this summer.

  1. Dorney Park & Wild Water Kingdom
    Purchase tickets at www.dorneypark.com/geisinger
    • Save up to $15 on single day tickets. These tickets are "good-any-day" admission tickets.
    • Family Fun Days (June 24-26, August 19-21): One-day admission tickets are $28.50, plus taxes and fees.

  2. Hersheypark
    Purchase tickets at http://tinyurl.com/ghp2015 and use promotion code 12871
    • Before July 5, members receive $20.85 off one-day admission.
    • Starting July 5, members receive $14.85 off one-day admission.

  3. Dutch Wonderland
    Purchase tickets through the link on our accessories web page.
    • Single day admission tickets are $32.99, plus taxes and fees.
All discounts above only apply to tickets purchased online. To access our Accessories Program page online, members can log into TheHealthPlan.com, select "Member Health & Wellness," and click on "Accessories Program."

Please share this information with your clients by passing along our flier.


Are you using Litmos?
Litmos is an online tool that GHP uses to communicate relevant business information to brokers. Messages include product updates, plan changes, quarterly Marketplace handbooks, federal Marketplace updates, wellness information and marketing brochures. Every time GHP has a new communication, you will receive an email with a direct link to the information. To access Litmos on your own, log in here. For username, password or general questions, please contact Jackie Brocious at 570-214-8607.
Do you have a comment or suggestion? Would you like to add someone to our distribution list? Email us at brokerupdate@thehealthplan.com. We look forward to hearing from you.
June 2016

  REMINDERS

2016 Q3 group handbook now available

GHP's 2016 third quarter handbook for group business is now available. Click here to access and download the PDF.

Questions? Call us.

Whether you have questions about member benefits, appointment information or commissions, the broker hotline will send you in the right direction. Call us at 866-488-6653.