2021 GEHA Medical Benefits Guide

HDHP

Self Only premiums.

Enroll code 341 . geha.com/Enroll

$61.37

Non-Postal worker biweekly

A lower-than-expected deductible. Low premiums. GEHA contributes to an HSA. X GEHA contributes $900 (Self Only) or $1,800 (Self Plus One or Self and Family) to your HSA, which can reduce the yearly net deductible 8 to $600 or $1,200 , respectively. X Reduce your out-of-pocket expenses with a health savings account (HSA). geha.com/HSA Benefits included with your HDHP plan. Unlimited telehealth visits with MDLIVE 6 geha.com/MDLIVE Vision benefit and discount 8 geha.com/Vision Hearing aid discount 7 geha.com/Hearing Gym membership 7 geha.com/Fitness Electric toothbrush 7 geha.com/Toothbrush Teeth whitening 7 geha.com/Whitening Health Advice Line geha.com/Healthline Medical alert system 7 geha.com/LifeAlert Biometric screening geha.com/Screenings

$58.91

Postal worker biweekly – Category 1

$50.94

Postal worker biweekly – Category 2

$132.96

Retirees monthly

Self Plus One premiums.

Enroll code 343 . geha.com/Enroll

$131.94

Non-Postal worker biweekly

$126.66

Postal worker biweekly – Category 1

$109.51

Postal worker biweekly – Category 2

$285.87

Retirees monthly

Self and Family premiums.

Enroll code 342 . geha.com/Enroll

$159.04

Non-Postal worker biweekly

Yearly net deductible 8 for HDHP. What you pay in-network. 3

$152.68

Postal worker biweekly – Category 1

Yearly deductible Yearly net deductible after GEHA contribution

$132.01

Postal worker biweekly – Category 2

$1,500

$600

Self Only

$344.60

Retirees monthly

$3,000

$1,200

Self Plus One, Self and Family

Out-of-pocket max 2 for HDHP. What you pay in-network. 3 Self Only Out-of-pocket max

$5,000

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.

$10,000

Self Plus One, Self and Family

Out-of-pocket max

6

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