2022 GEHA Medical Benefits Guide

Vision benefits and discounts for all plans

What you pay for an annual eye exam at a qualified EyeMed provider $0 COPAY Elevate and Elevate Plus $5 COPAY HDHP , Standard and High

With all GEHA medical plans, you get low copays on eye exams, and discounts on frames and lenses through EyeMed. ™

The EyeMed network includes LensCrafters, Target Optical, independent eye doctors and top optical retailers. Members also save on LASIK at participating locations.

Elevate, Standard, Elevate Plus and High What you pay

HDHP What you pay

Vision discounts in-network 1,2

60% of price Up to $50 Up to $70 Up to $135

$0 under $100 plus 80% over $100

Frames (retail price)

$10 $10

Eyeglass lenses, standard plastic single vision (retail price) Eyeglass lenses, standard plastic bifocal lens (retail price) Eyeglass lenses, standard plastic progressive lens (retail price)

No more than $75

Eyeglass lens options, UV treatment, tint (solid and gradient), standard plastic scratch coating

$15

$15

$45

$45

Eyeglass lens options, standard anti-reflective coating

85% of price

$10 under $110 plus 85% over $110

Contact lens, conventional (retail price)

HDHP is GEHA’s only plan to include a complete vision benefit in addition to vision discounts through EyeMed. Learn more about this benefit at geha.com/HDHPVision

1 Elevate, Standard, Elevate Plus and High plans only when you visit an EyeMed provider. 2 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.

20 2022 GEHA MEDICAL PLANS

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