2021 GEHA Medical Benefits Guide

Standard Option

Self Only premiums.

Enroll code 314 . geha.com/Enroll

$62.66

Non-Postal worker biweekly

Traditional coverage. Affordable premiums.

$60.16

Postal worker biweekly – Category 1

X $15 copay for in-network primary care visits, $30 copay for in-network specialist visits. X Pay $0 for routine, in-network maternity care. X Pay $0 for unlimited telehealth visits, including behavioral health therapists and dermatologists, through MDLIVE. X Plan works well with Medicare. geha.com/Medicare Benefits included with your Standard plan. Unlimited telehealth visits with MDLIVE geha.com/MDLIVE Vision discount 7 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 Lab Card services geha.com/LabCard

$52.01

Postal worker biweekly – Category 2

$135.77

Retirees monthly

Self Plus One premiums.

Enroll code 316 . geha.com/Enroll

$134.73

Non-Postal worker biweekly

$129.35

Postal worker biweekly – Category 1

$111.83

Postal worker biweekly – Category 2

$291.92

Retirees monthly

Self and Family premiums.

Enroll code 315 . geha.com/Enroll

$164.85

Non-Postal worker biweekly

$158.26

Postal worker biweekly – Category 1

$136.83

Postal worker biweekly – Category 2

Yearly deductible & out-of-pocket max 2 for Standard. What you pay in-network. 3

$357.17

Retirees monthly

$350 $6,500 $700 $13,000

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. 8

www.geha.com

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