HDHP, Standard Option and High Option offer resources and rewards for your growing family.
If you have special concerns or questions about utilization of your maternity benefits, a GEHA maternity nurse is available to assist you. Call 800.821.6136 and ask for the Care Management Department to reach a Maternity Nurse Consultant.
- GEHA covers at 100%, one double-channel electric breast pump with double suction capability with a physician's prescription every two years. You must obtain the breast pump and supplies from a contracted breast pump provider based on your network (see below). A new prescription is required when requesting a new or replacement pump. Additional pumps may be obtained at the member's expense. GEHA members can upgrade to a different model but will be responsible for the difference in cost.
- An initial all-inclusive supply kit is provided with a new pump order. Two supplemental supply kits are allowed in a 12-month period. Supplemental supply kits contain new tubing and canisters. All other requested supplies can be obtained the member's expense.
- Contact a breast pump contracted provider in the final two months of your pregnancy. The pump and supplies will be delivered within one to five business days.
Your home network is listed on your GEHA ID card. Please refer to the chart below to determine your home network to identify a contracted breast pump provider.
|Home network||Home state||Contracted breast pump provider|
|Aetna Signature Administrators||Alaska, Arizona, California, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, Rhode Island, Vermont and Washington||Homelink 800.482.1993|
|UnitedHealthcare Options PPO||Alabama, Arkansas, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Dakota, South Carolina, South Dakota, Tennessee, Utah and Wyoming||Homelink 800.482.1993|
|UnitedHealthcare Choice Plus||Delaware, Florida, Louisiana, Maryland, North Carolina, Oklahoma, Texas, Virginia, Washington DC, West Virginia and Wisconsin||Byram 877.902.9726
McKesson Patient Care Solutions 855.406.7867
Medline Industries 833.718.2229
Q: Where can I find an explanation of maternity benefits?
A: Your GEHA plan brochure is your best source of information. Generally speaking, if you use in-network providers and have a pregnancy without complications, you will be covered at 100%. There may be circumstances in which this does not apply. Please call GEHA Customer Care at 800.821.6136 for clarification if needed.
Q: What about lab work?
A: GEHA recommends that you always use the Lab Card program offered by Quest Diagnostics. Click Lab Card for more information or call GEHA Customer Care at 800.821.6136 with any questions.
Q: How much time do I have to add my baby to my GEHA policy?
A: You have up to 60 days to add your baby to your plan. You should contact our Enrollment Department at 800.821.6136 for details.
Q: Is my baby covered under my maternity benefits while he/she is in the hospital?
A: The baby will be covered for normal nursery charges only. If your baby requires special or non-routine care, he/she will be considered under the general medical benefits as a separate person on your policy. This includes circumcision. Please see your GEHA plan brochure if you need clarification.