High and Medicare Learn all about this plan at geha.com/High
• Comprehensive brand-name and specialty prescription coverage • NEW! $1,000 Medicare Part B premium reimbursement. geha.com/MRA • You pay $0 for deductibles, copays and coinsurance whether your provider is in-network or out-of-network, even outside the United States • You pay $0 for inpatient and outpatient hospital services, surgeries and office visits • $2,500 hearing aid benefit and additional discount
Premium and enrollment code
Retired – monthly
$229.10 $527.56
311 Self Only
313 Self Plus One 312 Self and Family
$659.52 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: maximum coverage and dependable support
Low Low
Average Average
High High
Low Low
Average Average
High High
How this plan pays you back: • NEW! $1,000 Medicare Part B premium reimbursement • Adults ages 18 and over can earn up to $250 (maximum $500 per household) per year in Health Rewards. geha.com/HealthRewards
Yearly deductible with Medicare A & B primary 1
You pay
$0
Self Only
$0
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.
Out-of-pocket maximum in-network 1,2
You pay
$5,000
Self Only
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.
14
2023 GEHA Medicare benefits
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