Terms and Conditions

Geisinger Health System offers the "ProvenExperience™" mobile application as an optional application to assist Geisinger patients in providing feedback about a recent experience at Geisinger. By using the mobile application, you are agreeing to the following terms and conditions. IF YOU DO NOT AGREE TO THESE TERMS, DO NOT USE THE MOBILE APPLICATION.

- In using the mobile application, you have the option of entering some information that is specific to you. Any personally identifiable information that you submit may be stored within the application so it can be used to display specific information. Such information may also be stored in other Geisinger data management systems for improvement purposes. This information is considered your personal information and Geisinger only will identify the information by individual or use the information in an individual context to process your request made in the mobile application. The information may be used in a non-identifiable manner to understand if this feature is used and how in order to make updates or enhancements to the mobile application.

- Refunds consist of money that you as a patient have paid or are paying towards the cost of your care and can be made if you did not receive the best experience at your visit or hospital stay. Refunds are only available for services received at Geisinger entities and only for the specific service for which you did not receive the best experience. Refunds do not apply for disagreements with your insurance over what is covered, or your share of cost (deductibles or co-pays). In addition, refunds may not be given in cases of disagreement with medical decision-making (e.g., choice of drug or treatment plan) or Geisinger’s refusal to provide or prescribe a particular medication (e.g., pain medication, antibiotics). You agree that if you select a refund via the mobile application, you will be contacted within 2 business days to process your request. If you have not yet paid the amount, a credit for the requested amount will be deducted from your bill. If you have paid the amount of your request, a refund for the amount requested will be granted.

- You agree that the mobile application is not a substitute for medical advice and you will contact your provider with any questions.

- The mobile application is a "Related Service" to Geisinger.org and you accept the overall terms and conditions for Geisinger.org found at http://www.geisinger.org/pages/terms-and-privacy/pages/terms-and-conditions.html.

- You may discontinue use of the mobile application at any time with no impact to other services or applications you receive at Geisinger.

- You agree that the law applicable to any claim or dispute relating to the mobile application or you use thereof and all activity and any dispute that might arise between you and Geisinger, its doctors, nurses, staff or other affiliates hereunder, regardless of where you reside, shall be determined by where you primarily receive medical care at a Geisinger site.

Close
hands

ProvenExperience™

  I accept the Terms and Conditions

Go
Geisinger
ProvenExperience™

We're here to listen to your feedback.

hands
Geisinger

Which aspects of your care were outstanding?

 

Geisinger

Where did your experience go wrong?

You put your trust in us, and we didn't meet your expectations. Let us know what happened so we can make it right.

Geisinger

We'd like to hear from you.

What would you like to do next?

*Please select all that apply
Geisinger

Your copay was: $1,000

You place your trust in us and we place our trust in you.

How much of your copay would you like back?

$0
$500
$1000
*Please enter the dollar amount of your refund
Geisinger

We need more details to get you your refund.

Geisinger

Connect with the patient experience team.

You will receive a call within 2 business days, 8 AM - 5 PM, Monday through Friday.

Do you have a preference?

Geisinger

Refund Request Notice

Refund requests are subject to the following Terms and Conditions.

500 characters
Geisinger

Thank You!

We appreciate you taking the time to provide feedback on your experience. If there's anything else we can do, please call us at 570-808-3977.

Give us your e-mail and we'll send you a confirmation.

Send Confirmation Email

Connect with us on social media.

Thank You!

We apologize that your experience at Geisinger was not the best.

If there's anything else we can do, please call us at 570-808-3977.

Give us your e-mail and we'll send you a confirmation.

Send Confirmation Email
Geisinger
refund selection