2022 GEHA Medicare Benefits Guide

Included with Standard

With Medicare A & B primary, go to any provider that accepts Medicare assignment 1 • Unlimited telehealth visits, including behavioral health with MDLIVE geha.com/MDLIVE • Preventive care; adult routine screenings • Lab, X-ray and diagnostic test services • MinuteClinic © (where available) geha.com/MinuteClinic • Primary physician office visit • Specialist care; office visit • Urgent care • Emergency care • Hospital care; inpatient and outpatient • Professional surgical services; inpatient and outpatient • Outpatient professional and facility High Tech Imaging (MRI, CT, PET, etc.) • Chiropractic care (manipulative therapy), including X-rays; up to 20 visits per year

What you pay

Telehealth visits, including behavioral health and dermatology geha.com/MDLIVE Vision discount 3 (see page 4) geha.com/Vision Hearing aid benefit and discount 3 geha.com/Hearing Gym membership discount 3 geha.com/Fitness Electric toothbrush discount 3 geha.com/Toothbrush Teeth whitening discount 3 geha.com/Whitening Medical alert system discount 3

$0

• Preventive dental care; twice yearly

50%

geha.com/LifeAlert For a complete list of included benefits visit geha.com/Savings

Out-of-pocket maximum in-network 1 ,2

What you pay

$6,500 $13,000

Self Only

Self Plus One and Self and Family

3 These benefits are neither offered nor guaranteed under contract with the FEHB program, but are made available to all enrollees who become members of a GEHA medical plan and their eligible family members.

Ready to enroll? opm.gov | 800.332.9798

1 Refer to GEHA’s 2022 plan brochure RI 71-006 (High and Standard) at geha.com/PlanBrochure 2 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before GEHA begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.

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2022 GEHA MEDICARE BENEFITS

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