Medical Claim Form


GEHA health plan members, providers or office personnel may use this form to submit medical claims to GEHA.

Reminder: When you use a health care provider that is in GEHA's network, you will not have to fill out any claim forms in most cases. GEHA's in-network providers and facilities file claims for you as indicated on your ID card.

For more information on filing claims, click How to File a Claim.