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Insurance · Geisinger Health Plan

Geisinger logoPhoenixville · Center City Philadelphia · Avondale · Virtual statewide

Geisinger Health Plan coverage for addiction treatment in Pennsylvania

Pennsylvania Recovery Center is in network with Geisinger Health Plan for partial hospitalization and intensive outpatient addiction treatment at our Phoenixville, Center City Philadelphia and Avondale offices.

Geisinger members outside southeastern Pennsylvania can also use our virtual IOP, which runs statewide for clinically appropriate clients — no drive required.

Why Geisinger members come to us

In-network PHP & IOP

A Pennsylvania plan and a Pennsylvania provider, billed at contracted in-network rates.

Statewide virtual option

Live in central or northeastern PA? Virtual IOP keeps you in network from home.

Authorizations handled

We request and maintain Geisinger authorization for your level of care.

Measured outcomes

BARC-10 and PHQ-9 / GAD-7 scores documented from admission through discharge.

Andrea Kiotis, MA, LPC, CAADC

Clinically reviewed by Andrea Kiotis, MA, LPC, CAADC Clinical Director.

Last updated:

Choose the right schedule

Levels of care for Geisinger-covered treatment

Start with the support you need now, then step down as recovery becomes more stable.

About 6 hours a day · 5 days a week

Partial Hospitalization Program (PHP)

Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.

Explore our PHP program

9–15 hours a week · Day or evening

Intensive Outpatient Program (IOP)

A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.

Explore our IOP program

Secure online care · Statewide access

Virtual IOP across Pennsylvania

Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.

Explore our statewide virtual IOP

Geisinger plans we work with

Geisinger Health Plan covers behavioral health across several product lines:

  • Geisinger Health Plan commercial
  • GHP Marketplace
  • Geisinger Gold (Medicare Advantage)
  • Geisinger Health Options
  • Employer group plans
  • Geisinger Family (managed Medicaid)

Plan names change and benefits vary by employer group, so the only way to know for certain is a live benefit check. We will run one for you at no cost and with no obligation.

How Geisinger covers PHP and IOP

Geisinger covers substance use treatment as a behavioral health benefit under Pennsylvania and federal parity requirements, including the partial hospitalization and intensive outpatient levels of care we provide.

Because Geisinger is an integrated Pennsylvania health system, its reviewers are familiar with local outpatient programs and the step-down path from PHP to IOP to aftercare.

Prior authorization is usually required for partial hospitalization, and continued care is reviewed periodically. Admissions and our clinical team handle both.

Geisinger has supported telehealth behavioral health broadly, which is what makes virtual IOP practical for members who live hours from Chester County. We confirm the telehealth benefit during verification.

Not sure what your Geisinger plan covers? We will check it for you.

Call (610) 233-4342

How we verify your Geisinger benefits

Free, confidential and usually finished the same day you call.

1. Call or request a check

Call (610) 233-4342 or take the free level-of-care assessment. It takes a few minutes.

2. Share your plan details

We need your member ID, date of birth and the name on the plan — nothing more.

3. We contact your insurer

Our admissions team runs the benefit check directly with the plan at no cost to you.

4. You get clear answers

We explain what is covered, what your share may be, and when you can start.

What Geisinger members typically pay

Commercial and marketplace Geisinger plans generally apply a deductible and then coinsurance or a per-day copay to outpatient behavioral health. Geisinger Gold and managed Medicaid products often have a lower or zero cost share.

We verify which applies to your specific plan and tell you the number before your first session, so nothing about the bill is a surprise later.

What your benefits pay for

We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.

53%

of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.

+9

point average gain on the BARC-10 recovery capital scale from admission to discharge.

-5.95

point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.

Where you can use your Geisinger coverage

Phoenixville

2215 Kimberton Road, Phoenixville, PA 19460

Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.

Learn about our Phoenixville office →

Center City Philadelphia

1026 Winter Street, Philadelphia, PA 19107

Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.

Learn about our Philadelphia office →

Avondale

1284 Gap Newport Pike, Avondale, PA 19311

Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.

Learn about our Avondale office →

Communities we serve across southeastern Pennsylvania

Conditions we treat

Geisinger benefits typically apply across our full range of outpatient treatment programs. Learn more about the conditions we treat at our Phoenixville, Center City Philadelphia, and Avondale offices — or through virtual IOP anywhere in Pennsylvania.

Need detox or inpatient first?

If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.

Geisinger Health Plan questions

Is Pennsylvania Recovery Center in network with Geisinger Health Plan?

Yes — we are in network with Geisinger Health Plan for partial hospitalization and intensive outpatient addiction treatment. We still verify your specific plan before you begin.

I live far from Phoenixville. Can I still use my Geisinger benefits?

Yes, through virtual IOP. Clinically appropriate Pennsylvania residents attend structured groups and individual therapy online, so you can stay in network without relocating or commuting.

Does Geisinger cover both PHP and IOP?

Both are standard covered levels of outpatient care. PHP runs about six hours a day, five days a week; IOP runs nine to fifteen hours a week in day, evening or virtual tracks.

Does Geisinger Gold cover rehab?

Geisinger Gold is a Medicare Advantage plan and covers medically necessary substance use treatment. Cost sharing differs from commercial plans, so we verify your specific Gold plan.

Do I need a referral?

Some Geisinger products require a primary care referral or prior authorization for behavioral health. Our admissions team identifies what your plan needs and coordinates it with the plan directly.

How fast can I start?

Once benefits and authorization are confirmed, most clients begin within days. Call (610) 233-4342 and we will start the check immediately.

Pennsylvania Recovery Center

Let's verify your Geisinger benefits

Free, confidential, and usually finished the same day. Our admissions line is answered 24/7 at (610) 233-4342.

Call Now · (610) 233-4342