GEHA will be closed in observance of Thanksgiving on Thursday, November 22, and Friday, November 23. For access to care over the holidays, refer to the back of your member ID card. We will reopen at 7 a.m. Central time on Monday, November 26.

Health Reimbursement Arrangement Claim Form

This form is for GEHA High Deductible Health Plan (HDHP) members who have health reimbursement arrangements (HRAs). Use this form to get reimbursement from your HRA for qualified out-of-pocket medical expenses that are not submitted to GEHA by your doctor, hospital, dentist or pharmacy. Qualified expenses submitted by your provider are automatically reimbursed from your HRA up to the amount of your deductible.

This form is for use only by HDHP members with HRAs. No claim form is required for HSAs.