suggested for you

Standard 2022

Highlights:

  • Affordable premiums
  • Some of the lowest copays for in-network primary care and specialist visits

How this plan pays you back:

  • Earn up to $250 (maximum $500 per household) in Health Rewards annually

View the 2021 Standard Option page

2022 Standard rates*


Self Only Self Plus One Self and Family
Biweekly – employed $62.66 $134.73 $164.85
Monthly – retired $135.77 $291.92 $357.17

Costs (in-network)

In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or a percentage of the provider’s negotiated amount. For out-of-network benefits, check the GEHA Plan Brochure.

What you pay
Unlimited telehealth visits, including behavioral health, with MDLIVE $0
Preventive care; adult routine screenings $0
Well-child visit; up to age 22 $0
Maternity; routine care $0
Hospital care; inpatient maternity $0
Lab Card services $0
MinuteClinic (where available) $10
Primary physician office visit $15
Specialist care; office visit $30
Urgent care $35
Lab services (other than Lab Card) 15%
Emergency care 15%1
Hospital care; inpatient and outpatient 15%1
Professional surgical services 15%1
X-ray and other diagnostic services 15%1
Acupuncture; up to 20 treatments per year 15%1
Preventive dental care, twice yearly 50%
Chiropractic care (manipulative therapy), including X-rays; up to 20 visits per year $30
Outpatient professional High Tech Imaging (MRI, CT, PET, etc.) $100
Outpatient facility High Tech Imaging (MRI, CT, PET, etc.) $150

Deductible and out-of-pocket max (in-network)


Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $350 $700 $700
Out-of-pocket-max (what you pay in-network) $6,500 $13,000 $13,000

Prescriptions – 30-day supply

The table below summarizes your cost for prescription drugs with the Standard plan. For details on specialty drugs that are injected or infused, check the GEHA Plan Brochure. For added convenience and management of medications, prescription benefits include access to presorted multi-dose packets. Packets can be delivered to your home or, if available, picked up at a retail location. To find drug costs with the Standard plan, use this handy check your drug costs tool.

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

Mail service pharmacy


In-network Out-of-network
Generic $20 No benefit
Preferred brand-name 50%, up to $500 max¤ No benefit
Non-preferred brand-name 50%, up to $600 max¤ No benefit



Highlights that are special to Standard

Health Rewards

Up to $250 in incentives for Standard Option members who complete simple and convenient health screenings.

Vision Coverage

Get in-network routine eye exams for $5 and discounts on eyewear.

 

Pregnancy and Childbirth

GEHA maternity benefits include discounts on breast pumps and rewards for visiting your provider.

2022 geha medical benefits guide cover image

2022 Medical Benefits Guide


Review this guide with all our plans, including rates, costs, extra services, and side-by-side comparisons

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