Definitions.
Helpful resources.
If you have questions about the information contained in this benefits guide please call one of our helpful Benefits Advisers.
Calendar year deductible
What you pay each year before the plan begins to pay out benefits.
800.262.4342
Talk to a Benefits Adviser who can help you choose from GEHA‘s portfolio of plans.
Coinsurance
The percentage you pay for a covered health care service, after you‘ve met your deductible.
geha.com/Select-A-Plan
Answer a few questions to see which plan may be your best fit.
Copay
A fixed amount you pay for a service or prescription.
Portion of monthly HDHP premium that GEHA contributes to a Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA). A health care provider who is a part of GEHA‘s provider network. These providers agree to limit what they will charge you. The remaining amount after you subtract the annual GEHA contribution from the annual deductible. This is your out-of-pocket cost before plan benefits begin. The maximum amount you pay each year for coverage. Includes copays, deductibles and coinsurance, but not premiums. Once the limit is met, the plan pays the remainder of your covered health care expenses for the rest of the year. Cost of health care goods and services after subtracting the insurance company’s negotiated discount. For complete details see the definition of “Plan allowance” in Section 10 of any GEHA plan brochure. geha.com/PlanBrochure
Search our extensive nationwide network for a provider or a medical facility (including urgent care clinics) near you.
GEHA contribution
geha.com/Find-Care
In-network provider
geha.com/Prescriptions
Verify drug costs based on your medical plan and prescription dosage.
Net deductible (HDHP)
geha.com/Rates
Get details on medical plans and supplemental benefits for each.
geha.com/Medicare
Explore how GEHA medical plans work with Medicare.
Out-of-pocket max
geha.com/MinuteClinic
Find a MinuteClinic® near you, where available.
Plan allowance
geha.com/OutsideUSA
Learn about your coverage when you’re outside of the United States.
U.S. Office of Personnel Management. The official source of information for federal employees eligible for FEHB plans.
opm.gov/Healthcare-Insurance
PPO
A preferred provider organization.
Premium
What you pay monthly or biweekly for coverage.
geha.com/Enroll
Tips for new enrollees or for those who are changing plans.
Prescription benefits
What you pay as a copay or percentage of coinsurance for medication.
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