Understanding your new ID card

GEHA | December 17, 2021

News What's New
New features added to 2022 GEHA medical ID cards.

When you receive your new 2022 GEHA ID card in the mail, you will notice it has more information on it.

We have added the deductible, out-of-pocket max and copays to the 2022 ID cards. This information was added in response to the No Surprises Act. This legislation was put in place to allow more transparency so consumers are clear about medical charges upfront before obtaining services.

If you are a Medicare primary member, you will not have new charges for deductibles, copays or out-of-pocket max. GEHA included this new information on all ID cards to comply with the No Surprises Act. Your Medicare benefit will remain the same for the 2022 plan year. GEHA will continue to waive our deductible and coinsurance for covered expenses when Medicare pays primary.

Please remember to check your plan benefits before scheduling and receiving medical services. There are times when a Medicare primary member may owe if they go to an out-of-network doctor that doesn’t participate with Medicare, if Medicare doesn’t cover a service or if their spouse is not covered.

GEHA members can locate in-network providers using our Find Care tool.

If you have any issues using your new card at your pharmacy, please contact GEHA Customer Care at 800.821.6136. Medicare primary and commercial insurance members will have different RXPCN and RXBin numbers that are not printed on their cards. Your pharmacy may need these codes to process your prescription. Please see table below for info:

If the Primary is...
If the Secondary is... RXBIN RXPCN RXGRP
GEHA n/a 004336 ADV RX1412
Other Commercial GEHA 013089 COMADV RX1412
Other Mediare Part D Plan GEHA 012114 COBADV RX1412