Medical benefits with Medicare A & B primary in-network 1
You pay
Unlimited telehealth visits, including mental health, with MDLIVE Preventive care; adult routine screenings Vision coverage; eye exams 2 Primary physician office visit Mental health office visit MinuteClinic ® where available Chiropractic care (manipulative therapy), including X-rays; up to 12 visits per year Acupuncture; up to 20 treatments per year
$0
$10
$30
Specialist care office visit
$50
Urgent care facility
ER visit Hospital care; inpatient and outpatient X-rays and other diagnostic services Lab services Outpatient professional surgical services
25% 3
$250
Inpatient professional surgical services
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 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. 3 Calendar year deductible applies.
Prescription benefits in-network 1,2,3
You pay
$4
30-day retail generic
50% ( $500 max)
30-day retail preferred brand-name
100%
30-day retail non-preferred brand-name
50% ( $500 max)
30-day specialty CVS exclusive generic and preferred brand-name
100%
30-day specialty CVS exclusive non-preferred brand-name
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 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications. 3 To provide a low premium, this plan does not include mail-order prescriptions or out-of-network pharmacy coverage, and it has a limited pharmacy network. Find a pharmacy at geha.com/Find-Care
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2023 GEHA Medicare benefits
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