2023 GEHA Medical Benefits Guide

GEHA works with Medicare A and B

GEHA offers five medical plans, each with coverage that coordinates with Medicare. For more information, including benefits and rates, visit geha.com/Medicare

Elevate and Medicare

HDHP and Medicare

Standard and Medicare

Elevate Plus and Medicare

High and Medicare

Plan service

NEW! $1,000 Medicare Part B premium reimbursement 100% medical coverage (copays and deductibles waived) with Medicare A & B primary

Yes

No

No

No

No

Yes

Yes

Yes

No

No

Yes

Yes

Yes

Hearing aid benefit 1

No

No

Coverage for in-network and out-of-network care 1 Coverage for care outside of the United States

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Non-preferred drug coverage 2

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

Mail service pharmacy

No

Choice of plan perk 3

Yes

No

No

No

No

1 Though the Elevate Plus plan on its 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. 2 With High plan, when Medicare A & B is primary, you pay a lower coinsurance for preferred and non-preferred brand medications. 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 medical plan. This is a brief description of the features of Government Employees Health Association, Inc.’s medical plans. Before making a final decision, please read the GEHA Federal brochures which are available at geha.com/PlanBrochure. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.

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2023 GEHA medical plans

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