FEHB High 2026
The dependable plan for people who want peace of mind with maximum coverage
FEHB High plan highlights
- Comprehensive brand-name and specialty prescription drug coverage
- Low copays for doctor visits
- Earn up to $250 per year per subscriber and covered spouse (up to $500 total) for healthy behaviors with our Health Rewards program
- For retirees, the plan that pairs with Medicare to give you more, with waived coinsurance and copays for Medicare covered services, excluding prescription benefits
- Medicare enrollees receive a $1,000 annual Medicare Part B premium reimbursement. Learn more about G.E.H.A and Medicare
- Included vision discount at no additional cost7
Shopping for a Postal plan? View the 2026 PSHB High page
Looking for 2026 plan documents?
2026 FEHB High rates
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Biweekly — employed
|
$195.29
|
$432.95
|
$525.18
|
|
Monthly — retired
|
$423.13
|
$938.06
|
$1,137.89
|
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only
$195.29
|
Self Plus One
$432.95
|
Self and Family
$525.18
|
Pay frequency
Monthly — retired
|
Self Only
$423.13
|
Self Plus One
$938.06
|
Self and Family
$1,137.89
|
-
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.
Costs (what you pay in-network)
|
Medical benefit
|
What you pay
|
|---|---|
|
Preventive care
Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more |
$0
|
|
Primary care office visits
|
$30
|
|
Mental health office visits
|
$30
|
|
Specialist office visit
|
$45
|
|
MinuteClinic / Urgent care facility visit
|
$15 / $45
|
|
Unlimited telehealth visits, including mental health, with MDLIVE
|
$0
|
|
Emergency room visit
|
30%1
|
|
Hospital care; outpatient / inpatient
|
20%1 / $200 per day (up to 5 days) plus 20%
|
|
Lab services
|
$10
|
|
X-rays and other diagnostic services
|
20%1
|
|
Maternity; delivery and inpatient services
|
$200 per day (up to 5 days) plus 20%
|
|
Maternity; childbirth / delivery professional services
|
$0
|
|
Chiropractic care (up to 20 visits per year)
|
$30
|
|
Acupuncture (up to 20 visits per year)
|
20%1
|
|
Preventive dental, twice yearly
|
Balance after G.E.H.A pays $22 per visit
|
|
Medical benefit
|
What you pay
|
|||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Medical benefit
Preventive care
Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more |
What you pay
$0
|
Medical benefit
Primary care office visits
|
What you pay
$30
|
Medical benefit
Mental health office visits
|
What you pay
$30
|
Medical benefit
Specialist office visit
|
What you pay
$45
|
Medical benefit
MinuteClinic / Urgent care facility visit
|
What you pay
$15 / $45
|
Medical benefit
Unlimited telehealth visits, including mental health, with MDLIVE
|
What you pay
$0
|
Medical benefit
Emergency room visit
|
What you pay
30%1
|
Medical benefit
Hospital care; outpatient / inpatient
|
What you pay
20%1 / $200 per day (up to 5 days) plus 20%
|
Medical benefit
Lab services
|
What you pay
$10
|
Medical benefit
X-rays and other diagnostic services
|
What you pay
20%1
|
Medical benefit
Maternity; delivery and inpatient services
|
What you pay
$200 per day (up to 5 days) plus 20%
|
Medical benefit
Maternity; childbirth / delivery professional services
|
What you pay
$0
|
Medical benefit
Chiropractic care (up to 20 visits per year)
|
What you pay
$30
|
Medical benefit
Acupuncture (up to 20 visits per year)
|
What you pay
20%1
|
Medical benefit
Preventive dental, twice yearly
|
What you pay
Balance after G.E.H.A pays $22 per visit
|
Prescription benefits
Prescriptions can be filled at a broad selection of in-network pharmacies nationwide. To find a pharmacy near you, go to caremark.com.
For details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.
|
Prescription benefit2,4
|
In-network
|
|---|---|
|
30-day retail generic
|
$105
|
|
30-day retail preferred brand-name
|
25% ($250 max)5,6
|
|
30-day retail non-preferred brand-name
|
40% ($400 max)5,6
|
|
90-day mail service generic
|
$25
|
|
90-day mail service preferred brand-name
|
25% ($500 max)6
|
|
90-day mail service non-preferred brand-name
|
40% ($800 max)6
|
|
30-day specialty CVS exclusive generic
|
25% ($350 max)
|
|
30-day specialty CVS exclusive preferred brand-name
|
25% ($350 max)6
|
|
30-day specialty CVS exclusive non-preferred brand-name
|
40% ($400 max)6
|
|
Prescription benefit2,4
|
In-network
|
|||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Prescription benefit2,4
30-day retail generic
|
In-network
$105
|
Prescription benefit2,4
30-day retail preferred brand-name
|
In-network
25% ($250 max)5,6
|
Prescription benefit2,4
30-day retail non-preferred brand-name
|
In-network
40% ($400 max)5,6
|
Prescription benefit2,4
90-day mail service generic
|
In-network
$25
|
Prescription benefit2,4
90-day mail service preferred brand-name
|
In-network
25% ($500 max)6
|
Prescription benefit2,4
90-day mail service non-preferred brand-name
|
In-network
40% ($800 max)6
|
Prescription benefit2,4
30-day specialty CVS exclusive generic
|
In-network
25% ($350 max)
|
Prescription benefit2,4
30-day specialty CVS exclusive preferred brand-name
|
In-network
25% ($350 max)6
|
Prescription benefit2,4
30-day specialty CVS exclusive non-preferred brand-name
|
In-network
40% ($400 max)6
|
Deductible and out-of-pocket maximum
|
Network benefits2
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Yearly deductible (in-network)
|
$500
|
$1,000
|
$1,000
|
|
Out-of-pocket maximum3 (in-network)
|
$7,500
|
$15,000
|
$15,000
|
|
Network benefits2
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Network benefits2
Yearly deductible (in-network)
|
Self Only
$500
|
Self Plus One
$1,000
|
Self and Family
$1,000
|
Network benefits2
Out-of-pocket maximum3 (in-network)
|
Self Only
$7,500
|
Self Plus One
$15,000
|
Self and Family
$15,000
|
High benefits that go beyond
Hearing aid support
Vision discount7
Medicare + G.E.H.A
Ready to enroll?
Get help from a federal benefits expert.
Talk with a FedViser to help you choose the plan that works for you.
Click to view our extended Open Season and holiday hours to help you compare options and answer questions
Monday–Friday
By phone: Available 8 a.m.–8 p.m. Eastern time
Live chat: Available 8 a.m.–7 p.m. Eastern time
More ways to connect
More ways to connect
1 Calendar year deductible applies.
2 In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or percentage of the provider's negotiated amount.
3 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before G.E.H.A begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.
4 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.
5 Costs for initial prescription and first fill. You pay 50% for third and additional fills at retail for 30-day supply. For maintenance prescriptions, use mail order or your local retail CVS Pharmacy store (90-day supply) for greater cost savings.
6 If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
7 These benefits are neither offered nor guaranteed under contract with the FEHB Program but are made available to all Enrollees who become members of a G.E.H.A health plan and their eligible family members.
This is a brief description of the features of the G.E.H.A High health plan. Before making a final decision, please read the Plan's Federal brochure RI 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
Monday–Friday
By phone: Available 8 a.m.–8 p.m. ET
Live chat: Available 8 a.m.–7 p.m. ET
More ways to contact us
More ways to contact us
Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336

