2023 GEHA Medical Benefits Guide

HDHP Learn all about this plan at geha.com/HDHP

• Low premiums with a lower net deductible than many traditional plans • Reduce out-of-pocket expenses and enjoy a triple tax advantage with a health savings account (HSA) geha.com/HSA • GEHA contributes to your HSA. Use your HSA money to reduce your net deductible or save it and let it grow tax-free in your account. Premium and enrollment code Employed – biweekly Retired – monthly 341 Self Only $69.37 $150.30 343 Self Plus One $149.15 $323.15 342 Self and Family $183.28 $397.11

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 which maintains your health benefits enrollment.

How often you use your plan:

Prescription benefit need:

Health care style: for the analytical health care consumer, focused on savings

Low

Average

High

Low

Average

High

How this plan pays you back: • Up to two adults ages 18 and over can earn up to $250 (maximum $500 per household) per year in Health Rewards geha.com/HealthRewards • GEHA contributes $900 (Self Only) or $1,800 (Self Plus One or Self and Family) to your HSA

GEHA HSA contribution

Yearly deductible in-network 1

Annual deductible

You pay 2

$1,500

$900

$600

Self Only

$3,000

$1,800

$1,200

Self Plus One or Self and Family

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. 2 The net deductible is the remaining amount after you subtract the annual GEHA contribution from the annual deductible. This is your out-of-pocket cost before plan benefits begin. Out-of-pocket maximum in-network 1,2 You pay Self Only $5,000 Self Plus One or Self and Family $10,000 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. 2 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.

08

2023 GEHA medical plans

Powered by