2022 GEHA Medical Benefits Guide

GEHA works with Medicare A & B GEHA offers five medical plan, each with coverage that coordinates with Medicare. For more information, including benefits and rates, visit geha.com/Medicare

You’ve got options with retail prescriptions Pay less for prescriptions filled at an in-network pharmacy location. Locations include any CVS Pharmacy location, but you don’t have to go to a CVS to pay in-network prices. Find an in-network pharmacy location at geha.com/Find-Care Save more with mail order prescriptions With CVS Caremark’s Mail Service Pharmacy, you can save money and have your routine prescriptions delivered to your home, postage-paid, within about 14 days from the time you submit your prescription. Mail order is not available for the Elevate plan option.

Elevate + Medicare

HDHP + Medicare

Standard + Medicare

Elevate Plus + Medicare

High + Medicare

Plan service

Yes

Yes

NEW! Choice of plan perk 1

No

No

No

NEW! $800 Medicare Part B reimbursement Coverage for in- and out-of-network care 2 100% medical coverage (copays and deductibles waived) with Medicare A & B primary

Yes

No

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Yes

Yes

Yes

Yes

Mail service pharmacy

No

Non-preferred drug coverage 3

Yes

Yes

Yes

Yes

No

Vision and hearing aid discounts or benefit 4,5,6 Coverage for care outside of the United States

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

NEW! in 2022 Elevate and Elevate Plus subscribers can select a plan perk from several health and wellness options, including SilverSneakers fitness benefit for Elevate Plus only. 1 To learn more, see page 14 or visit geha.com/PlanPerk

1 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. 2 Though the Elevate Plus plan on it’s own does not provide out-of-network medical coverage when it’s combined with Medicare and the provider accepts Medicare assignment, out-of-network cost shares are waived. There are no out-of-network pharmacy benefits for Elevate and Elevate Plus. 3 With High plan, when Medicare A & B is primary, you pay a lower coinsurance for preferred and non-preferred brand medications. 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 GEHA and their eligible family members. 5 The HDHP plan also includes additional vision benefits. Learn more at geha.com/HDHPVision 6 Standard, Elevate Plus and High also include additional hearing aid benefits. Learn more at geha.com/Hearing

25 2022 GEHA MEDICAL PLANS

Powered by