2022 GEHA Medicare Benefits Guide

Compare premiums for all plans If you are a retired federal employee, you can sign up for a GEHA medical plan by completing OPM form 2809, available through the Office of Personnel Management at opm.gov

Elevate What you pay

HDHP What you pay

Standard What you pay

Elevate Plus What you pay

High What you pay

Self only

Enrollment codes

254

341

314

251

311

$105.61

$136.95

$135.77

$171.44

$227.20

Monthly (retirees)

Elevate What you pay

HDHP What you pay

Standard What you pay

Elevate Plus What you pay

High What you pay

Self Plus One

Enrollment codes

256

343

316

253

313

$242.90

$294.44

$291.92

$395.44

$530.31

Monthly (retirees)

Elevate What you pay

HDHP What you pay

Standard What you pay

Elevate Plus What you pay

High What you pay

Self and Family

Enrollment codes

255

342

315

252

312

$295.71

$361.83

$357.17

$413.04

$654.87

Monthly (retirees)

Free e-books and videos Learn more about your options with Medicare and GEHA at geha.com/Medicare

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.

03 2022 GEHA MEDICARE BENEFITS

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