Suggested for you

Dependable coverage with affordable premiums.

Standard Option 2020

View the 2019 Standard Option Plan

Traditional coverage. Affordable premiums.

With comprehensive care, this medical plan is the one you know and trust, with familiar benefits and coverage

When you enroll in GEHA’s Standard Option, you:

  • Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through MDLIVE.
  • Pay nothing for routine, in-network maternity care.
  • Get a complete range of prescription services.

More Standard Option highlights:

  • A 30-day supply of generic medication costs just $10.
  • You can visit your primary care doctor for only a $15 copay each visit.
  • This plan covers 100% of preventive care costs when you see an in-network provider.

2020 Rates

These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains your health benefits enrollment.

Self OnlySelf Plus OneSelf and Family
Non-Postal biweekly$60.54$130.18$155.52
Postal biweekly – Category 1 $58.12$124.97$149.30
Postal biweekly – Category 2 $50.25$108.05$129.08
Monthly (retirees)$131.18$282.05$336.96

Costs for services in 2020

The table below summarizes your in-network cost for medical benefits with GEHA Standard Option. For complete information, refer to the GEHA Plan Brochure.

Copays

CopayWhat you pay in-network
Primary physician office visit$15
Specialist$30
MinuteClinic (where available)$10
Urgent care$35
Annual eye exam$5 through EyeMed

Other services

ServiceWhat you pay in-network
Preventive lab servicesNothing with Lab Card
Well-child visit; up to age 22Nothing
Adult routine screeningNothing
Preventive dental care50% of allowance, twice yearly

Maternity care

ServiceWhat you pay in-network
Maternity; routine preventive careNothing

Out-of-pocket maximums and yearly deductibles

Self OnlySelf Plus OneSelf and Family
Calendar-year deductible (in-network)$350$700$700
Out-of-pocket-maximum (in-network)$6,500$13,000$13,000

Prescriptions

The table below summarizes your cost for prescription drugs with GEHA’s Standard Option. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.

To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.

Retail pharmacy – 30-day supply

In-NetworkOut of Network
Generic$10$10, plus difference between plan allowance and cost of drug
Preferred brand-name50%, up to $200 max¤50%, up to $200 max, plus difference between plan allowance and cost of drug**¤
Non-preferred brand-name50%, up to $300 max¤50%, up to $300 max, plus difference between plan allowance and cost of drug**¤

Mail service pharmacy – 90-day supply

In-NetworkOut of Network
Generic$20n/a
Preferred brand-name50%, up to $500 max¤n/a
Non-preferred brand-name50%, up to $600 max¤n/a

Key plan features

credit-card-front-grey
HEALTH REWARDS

Up to $250 in incentives for Standard Option members who complete simple and convenient health screenings.
eye-grey
VISION COVERAGE

Get in-network routine eye exams for $5 and discounts on eyewear.
dumbbell-grey
GYM DISCOUNTS

Access over 10,000 fitness centers nationwide for $25 a month (plus a $25 enrollment fee and taxes).

Is the Standard Option plan right for you?

Find out