2022 GEHA Medicare Benefits Guide

Included with Elevate Plus

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

What you pay

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

• 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 • Chiropractic care (manipulative therapy), including X-rays; up to 15 visits per year • Acupuncture; up to 20 treatments per year • Professional surgical services; inpatient and outpatient $0

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

What you pay

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

$6,000 $12,000

Self Only

Self Plus One and Self and Family

NEW! Subscribers can select an annual plan perk. Options include a SilverSneakers fitness benefit, a Fitbit wearable device including monthly Fitbit Premium Membership, a $125 gift card for DICK’S Sporting Goods or REI, or a Daily Burn virtual fitness subscription. 3 See page 5. geha.com/PlanPerk

4 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 71-018 (Elevate and Elevate Plus) at geha.com/PlanBrochure 2 The out-of-pocket maximum is the maximum amount of coinsurance and copays 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. 3 These benefits are neither offered nor guaranteed under contract with the FEHB program, but are made available to subscribers who become a member of GEHA’s Elevate and Elevate Plus medical plans.

13

2022 GEHA MEDICARE BENEFITS

Powered by