FEHB Standard 2026
The family-friendly plan for those who want strong coverage and affordable copays
FEHB Standard plan highlights
- Low deductible and predictable copays for the services families use most
- 100% maternity physician coverage for your growing family, including doula services, preconception program and maternal mental health visits with an in-network provider
- Earn up to $250 per year per subscriber and covered spouse (up to $500 total) for healthy behaviors with our Health Rewards program
- For retirees, the plan that pairs with Medicare to give you more, with waived coinsurance and copays, excluding prescription benefits
- Included vision discount at no additional cost7
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2026 FEHB Standard rates
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Biweekly — employed
|
$86.75
|
$186.51
|
$231.45
|
|
Monthly — retired
|
$187.95
|
$404.11
|
$501.47
|
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only
$86.75
|
Self Plus One
$186.51
|
Self and Family
$231.45
|
Pay frequency
Monthly — retired
|
Self Only
$187.95
|
Self Plus One
$404.11
|
Self and Family
$501.47
|
- 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 that maintains your health benefits enrollment.
Costs (what you pay in-network)
|
Medical benefit
|
What you pay
|
|---|---|
|
Preventive care
Annual physical exam, routine screenings, immunizations and more |
$0
|
|
Primary care office visits
|
$35
|
|
Mental health office visits
|
$35
|
|
Specialist office visit
|
$50
|
|
MinuteClinic / Urgent care facility visit
|
$15 / $50
|
|
Unlimited telehealth visits, including mental health, with MDLIVE
|
$0
|
|
Emergency room visit
|
35%1
|
|
Hospital care; outpatient / inpatient
|
25%1 / 25%1
|
|
Lab services (QuestSelect benefit)
|
$0
|
|
Lab services (other than QuestSelect)
|
25%
|
|
X-rays and other diagnostic services
|
25%1,2
|
|
Maternity; delivery and inpatient services
|
25%1
|
|
Maternity; childbirth / delivery professional services
|
$0
|
|
Chiropractic care (up to 20 visits per year)
|
$35
|
|
Acupuncture (up to 20 visits per year)
|
25%1
|
|
Preventive dental care, twice yearly
|
50%
|
|
Medical benefit
|
What you pay
|
|||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Medical benefit
Preventive care
Annual physical exam, routine screenings, immunizations and more |
What you pay
$0
|
Medical benefit
Primary care office visits
|
What you pay
$35
|
Medical benefit
Mental health office visits
|
What you pay
$35
|
Medical benefit
Specialist office visit
|
What you pay
$50
|
Medical benefit
MinuteClinic / Urgent care facility visit
|
What you pay
$15 / $50
|
Medical benefit
Unlimited telehealth visits, including mental health, with MDLIVE
|
What you pay
$0
|
Medical benefit
Emergency room visit
|
What you pay
35%1
|
Medical benefit
Hospital care; outpatient / inpatient
|
What you pay
25%1 / 25%1
|
Medical benefit
Lab services (QuestSelect benefit)
|
What you pay
$0
|
Medical benefit
Lab services (other than QuestSelect)
|
What you pay
25%
|
Medical benefit
X-rays and other diagnostic services
|
What you pay
25%1,2
|
Medical benefit
Maternity; delivery and inpatient services
|
What you pay
25%1
|
Medical benefit
Maternity; childbirth / delivery professional services
|
What you pay
$0
|
Medical benefit
Chiropractic care (up to 20 visits per year)
|
What you pay
$35
|
Medical benefit
Acupuncture (up to 20 visits per year)
|
What you pay
25%1
|
Medical benefit
Preventive dental care, twice yearly
|
What you pay
50%
|
Prescription benefits
Prescriptions can be filled at a broad selection of in-network pharmacies nationwide. To find a pharmacy near you, go to caremark.com.
For details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.
|
Prescription benefit3,5
|
In-network
|
|---|---|
|
30-day retail generic
|
$10
|
|
30-day retail preferred brand-name
|
40% ($350 max)6
|
|
30-day retail non-preferred brand-name
|
60% ($550 max)6
|
|
90-day mail service generic
|
$25
|
|
90-day mail service preferred brand-name
|
40% ($700 max)6
|
|
90-day mail service non-preferred brand-name
|
60% ($1,100 max)6
|
|
30-day specialty CVS exclusive generic
|
50% ($450 max)
|
|
30-day specialty CVS exclusive preferred brand-name
|
50% ($450 max)6
|
|
30-day specialty CVS exclusive non-preferred brand name
|
50% ($600 max)6
|
|
Prescription benefit3,5
|
In-network
|
|||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Prescription benefit3,5
30-day retail generic
|
In-network
$10
|
Prescription benefit3,5
30-day retail preferred brand-name
|
In-network
40% ($350 max)6
|
Prescription benefit3,5
30-day retail non-preferred brand-name
|
In-network
60% ($550 max)6
|
Prescription benefit3,5
90-day mail service generic
|
In-network
$25
|
Prescription benefit3,5
90-day mail service preferred brand-name
|
In-network
40% ($700 max)6
|
Prescription benefit3,5
90-day mail service non-preferred brand-name
|
In-network
60% ($1,100 max)6
|
Prescription benefit3,5
30-day specialty CVS exclusive generic
|
In-network
50% ($450 max)
|
Prescription benefit3,5
30-day specialty CVS exclusive preferred brand-name
|
In-network
50% ($450 max)6
|
Prescription benefit3,5
30-day specialty CVS exclusive non-preferred brand name
|
In-network
50% ($600 max)6
|
Deductible and out-of-pocket maximum
|
Network benefits3
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Yearly deductible (in-network)
|
$500
|
$1,000
|
$1,000
|
|
Out-of-pocket maximum4 (in-network)
|
$8,000
|
$16,000
|
$16,000
|
|
Network benefits3
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Network benefits3
Yearly deductible (in-network)
|
Self Only
$500
|
Self Plus One
$1,000
|
Self and Family
$1,000
|
Network benefits3
Out-of-pocket maximum4 (in-network)
|
Self Only
$8,000
|
Self Plus One
$16,000
|
Self and Family
$16,000
|
Standard benefits that go beyond
Maternity support
Health Rewards
Vision discount7
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1 Calendar year deductible applies.
2 Standard, you pay a $250 copay for advanced outpatient high tech imaging such as MRI, CT, PET, etc.
3 In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or percentage of the provider's negotiated amount.
4 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before G.E.H.A begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.
5 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.
6 If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
7 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 G.E.H.A health plan and their eligible family members.
This is a brief description of the features of the G.E.H.A Standard health plan. Before making a final decision, please read the Plan's Federal brochure RI 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
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By phone: Available 8 a.m.–8 p.m. ET
Live chat: Available 8 a.m.–7 p.m. ET
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Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336

