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Welcome to your medical plan page

What’s new in 2024

  • Infertility medical coverage only for artificial insemination (AI). Coverage for drugs associated with AI and in vitro fertilization (IVF limited to three cycles annually).
  • Coinsurance and copay max for 30-day retail preferred brand-name prescriptions is changing from 50% ($200 max) to 40% ($250 max) and max for 30-day retail for non-preferred brand-name prescription is changing from 50% ($300 max) to 60% ($350 max)
  • Coinsurance and copay max for 90-day mail service preferred brand-name prescriptions is changing from 50% ($500 max) to 40% ($550 max) and max for 90-day mail service non-preferred is changing from 50% ($600 max) to 60% ($650 max)
  • Medicare Part B subsidy of $75 per month when you choose to elect GEHA Standard Medicare Advantage Plan coverage
  • $0 copay for one primary care physician visit and two urgent care visits per year for children under 18
  • The Health Rewards incentives are changing for 2024. Activities available for rewards include a health assessment, colorectal screening, cervical cancer screening, breast cancer screening and a MDLIVE telehealth visit. Visit to view your rewardable activity opportunities.
For a complete list of plan changes, download the plan brochure.

Standard coverage

Yearly deductible

Out-of-pocket maximum

Your medical benefits

Your prescription benefits

Standard and Medicare coverage

Yearly deductible with Medicare A & B primary1

Out-of-pocket maximum

Standard and Medicare medical benefits

Standard and Medicare prescription benefits

Included benefits & discounts

Pharmacy benefits

Retail pharmacy

Fill your prescriptions at more than 67,000 in-network pharmacies nationwide including CVS, RiteAid, Walgreens, Walmart and more.

Mail service pharmacy

Have medications delivered to your door with CVS Caremark Mail Service Pharmacy. Many non-specialty drugs qualify for 90-day refills.
Learn more

Estimate medication costs

Visit our check drug costs tool, hosted by CVS Caremark, to evaluate your medication costs.
Learn more

Your exclusive discounts

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Vision discount1

With all GEHA medical plans, you get low copays on an annual eye exam and discounts on frames and lenses through EyeMed.®
Learn more
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Medical alert discount1

Get free activation, plus a 10% monthly discount, for responsive emergency help for you and your extended family.
Learn more
Hearing aid 

Hearing aid discount1

Receive TruHearing discounted pricing on hearing aids and save 30% to 60%, averaging more than $2,600 per pair. Standard plan members also receive a $2,500 hearing aid benefit.
Learn more
electric toothbrush 

Electric toothbrush discount1,2

Save more than 70% off a premium electric toothbrush by cariPRO.®
Learn more
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Teeth whitening discount1

Receive a 20% discount off the lowest published price on all Smile Brilliant® home teeth whitening products. Includes custom-fitted trays, whitening gel and desensitizing gel.
Learn more

Find care

Choose the right care

For helpful instructions on how to find in-network primary, specialty and urgent care using GEHA’s Find Care tool, watch this video.

Nurse Advice Line
Talk to a nurse 24/7/365 at no cost.
Local care for minor issues.
$0 unlimited visits with MDLIVE, including mental health.
Urgent care
Convenient local care option.
Primary and specialty care
Non-emergency doctor care.
Emergency room
Life threatening issues.
Suicide and Crisis Lifeline
Mental health, emotional distress or suicidal crisis-related emergencies.

Other care resources

Baby carriage 

Maternity resources

Count on GEHA’s maternity program for answers to your questions about pregnancy, prenatal care and your GEHA benefits.
Learn more
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Your team of health professionals

Your dedicated group of health professionals will help move you toward your health goals by assisting with lifestyle choices, medications, health care providers, educational materials and more.
Call 888.216.8246 ext. 3984
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New for 2024: Infertility benefits

Infertility coverage only for artificial insemination (AI). Coverage for drugs associated with AI and in vitro fertilization (IVF limited to 3 cycles annually). Preauthorization is required. Member must meet the Plan’s definition of infertility.
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Order your complimentary maternity resource kit

The maternity resource kit includes a wealth of knowledge about what to expect during each trimester of your pregnancy, such as e-books and gifts for both you and your baby.
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Childbirth classes

New for 2024: Up to $150 allowance for in-network or out-of-network childbirth classes provided by a covered provider or facility.
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Order your breast pump

Your breast pump benefit covers one dual suction, double-channel electric breast pump at 100%, with a physician’s prescription, every 12 months when purchased from an in-network provider (such as your OB/GYN). A new prescription is required when requesting a new or replacement pump. Additional pumps may be obtained at your expense. Limit to one pump every 12 months with birth/delivery.

To see if your preferred breast pump is available from an in-network provider, visit

Health Rewards

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How it works

This program gives two adult members per household (age 18+) the opportunity to earn Health Rewards for participating in activities that promote healthy behavior.
Earn your rewards
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Your Health Rewards card

After completing your first activity, you’ll automatically receive a Health Rewards reloadable debit card in the mail. Rewards are credited to your account once you complete a rewardable activity on our digital platform or once GEHA receives claims notification of a rewardable activity.
Activate your account
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Redeeming your rewards

You can spend your rewards on all 213(d) qualified medical expenses at pharmacies and health care providers to pay for items such as eyeglasses or contacts, orthodontics, doctor visits and dental care. Your reward dollars accumulate year-over-year up to a maximum balance of $1,250 Self Only, $2,500 Self Plus One and Self and Family.
Use your rewards


Plan documents

2024 Standard Plan Brochure Download (PDF)
2024 Standard Member Guide Browse the e-book
2024 Medical Benefits Guide Browse the e-book
2024 Summary of Benefits Coverage Download (PDF)

Helpful resources

Create your GEHA web account
Complete your Enrollment Questionnaire
Talk with GEHA Customer Care
Use the Find Care Tool
View the frequently asked questions
Access the GEHA App Visit the App Store or Google Play