Included with HDHP
Medical benefits with Medicare A & B primary in-network 1
What you pay
Telehealth visits, including behavioral health and dermatology 2,3 geha.com/MDLIVE Vision benefit and discount 5 (see page 4) geha.com/HDHPVision Hearing aid discount 5 geha.com/Hearing Gym membership discount 5 geha.com/Fitness Electric toothbrush discount 5 geha.com/Toothbrush Teeth whitening discount 5 geha.com/Whitening Medical alert system discount 5
• Unlimited telehealth visits, including behavioral health with MDLIVE geha.com/MDLIVE
$0
2,3
• Preventive care; adult routine screenings • Preventive dental care, twice yearly
$0
• Primary physician office visit • Specialist care; office visit • Urgent care • Emergency care • Hospital care; inpatient and outpatient • MinuteClinic © (where available) geha.com/MinuteClinic • Lab services • Other diagnostic services • Professional surgical services • Chiropractic care (manipulative therapy), including X-rays; up to 20 visits per year • Acupuncture; up to 20 treatments per year
5% 2
geha.com/LifeAlert For a complete list of included benefits visit geha.com/Savings
Out-of-pocket maximum in-network 1,4
What you pay
$5,000 $10,000
Self Only
Self Plus One and Self and Family
5 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.
Additional vision benefit with HDHP . GEHA’s HDHP plan includes a complete vision benefit in addition to vision discounts through EyeMed. 5 Learn more at geha.com/HDHPVision
Ready to enroll? opm.gov | 800.332.9798
1 In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or a percentage of the provider’s negotiated amount. For out-of-network benefits, refer to GEHA’s 2022 plan brochure RI 71-014 (HDHP) at geha.com/PlanBrochure 2 Calendar year deductible applies. 3 If the deductible is met, high deductible health plan (HDHP) member will be charged by MDLIVE but GEHA will then reimburse the member 100% of the billed charges. 4 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.
09 2022 GEHA MEDICARE BENEFITS
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