2021 GEHA Medical Benefits Guide

High Option

Self Only premiums.

Enroll code 311 . geha.com/Enroll

$108.14

Non-Postal worker biweekly

Comprehensive brand-name and specialty prescription coverage. Works best with Medicare and includes a $600 Medicare Part B premium reimbursement. X Low copays for doctor visits ( $20 primary and specialist). X $600 Medicare Part B premium reimbursement. geha.com/Medicare X $2,500 hearing aid benefit. X Low cost-share for a variety of inpatient and outpatient services ( 10% coinsurance). Benefits included with your High plan. Unlimited telehealth visits with MDLIVE geha.com/MDLIVE Vision discount 8 geha.com/Vision Hearing aid discount 8 geha.com/Hearing Gym membership 8 geha.com/Fitness Electric toothbrush 8 geha.com/Toothbrush Teeth whitening 8 geha.com/Whitening Health Advice Line geha.com/Healthline Medical alert system 8 geha.com/LifeAlert Biometric screening geha.com/Screenings Lab Card services geha.com/LabCard Yearly deductible & out-of-pocket max 2 for High. What you pay in-network. 3

$104.78

Postal worker biweekly – Category 1

$94.72

Postal worker biweekly – Category 2

$234.31

Retirees monthly

Self Plus One premiums.

Enroll code 313 . geha.com/Enroll

$251.93

Non-Postal worker biweekly

$244.74

Postal worker biweekly – Category 1

$223.18

Postal worker biweekly – Category 2

$545.85

Retirees monthly

Self and Family premiums.

Enroll code 312 . geha.com/Enroll

$314.13

Non-Postal worker biweekly

$306.32

Postal worker biweekly – Category 1

$282.90

Postal worker biweekly – Category 2

$680.61

Retirees monthly

$350 $5,000 $700 $10,000

Yearly deductible Out-of-pocket max Yearly deductible Out-of-pocket max

Self Only

Self Plus One Self and Family

These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains your health benefits enrollment. 12

www.geha.com

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