2023 GEHA Medicare Benefits Guide

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

• Low premiums with a lower net deductible than many traditional plans • GEHA contributes to your HRA. Use your HRA money to reduce your net deductible or reimburse Medicare premiums.

Premium and enrollment code

Retired – monthly

$150.30

341 Self Only

$323.15

343 Self Plus One

342 Self and Family $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 HRA

GEHA HRA 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

$5,000

Self Only

$10,000

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 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.

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2023 GEHA Medicare benefits

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