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FEHB High 2027

The dependable plan for people who want peace of mind with maximum coverage

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2027 FEHB High rates
Pay frequency	Self Only \| CODE 311	Self Plus One \| CODE 313	Self and Family \| CODE 312
Biweekly — employed	$168.01	$376.59	$459.39
Monthly — retired	$364.03	$815.95	$995.34

2027 FEHB High rates
Pay frequency	Self Only \| CODE 311	Self Plus One \| CODE 313	Self and Family \| CODE 312
	Pay frequency Biweekly — employed	Self Only \| CODE 311 $168.01	Self Plus One \| CODE 313 $376.59	Self and Family \| CODE 312 $459.39	Pay frequency Monthly — retired	Self Only \| CODE 311 $364.03	Self Plus One \| CODE 313 $815.95	Self and Family \| CODE 312 $995.34

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)

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 G.E.H.A Plan Brochure.

Costs (what you pay in-network)
Network benefits²	You pay
Yearly deductible (in-network)	$500 for Self Only $1,000 for Self Plus One or Self and Family
Out‑of‑pocket maximum³ (in-network)	$7,500 for Self Only $15,000 for Self Plus One or Self and Family
Preventive care Annual physical exam, routine screenings, 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	$0
Emergency room visit	30%⁴
Hospital care; outpatient / inpatient	20%⁴ / $200 per day (up to 5 days) plus 20%
Lab services	$10
X-rays and other diagnostic services	20%⁴
Maternity inpatient	$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%⁴
Preventive dental care, twice yearly	Balance after G.E.H.A pays $22 per visit

Costs (what you pay in-network)
Network benefits²	You pay
	Network benefits² Yearly deductible (in-network)	You pay $500 for Self Only $1,000 for Self Plus One or Self and Family	Network benefits² Out‑of‑pocket maximum³ (in-network)	You pay $7,500 for Self Only $15,000 for Self Plus One or Self and Family	Network benefits² Preventive care Annual physical exam, routine screenings, immunizations and more	You pay $0	Network benefits² Primary care office visits	You pay $30	Network benefits² Mental health office visits	You pay $30	Network benefits² Specialist office visit	You pay $45	Network benefits² MinuteClinic^® / Urgent care facility visit	You pay $15 / $45	Network benefits² Unlimited telehealth visits, including mental health	You pay $0	Network benefits² Emergency room visit	You pay 30%⁴	Network benefits² Hospital care; outpatient / inpatient	You pay 20%⁴ / $200 per day (up to 5 days) plus 20%	Network benefits² Lab services	You pay $10	Network benefits² X-rays and other diagnostic services	You pay 20%⁴	Network benefits² Maternity inpatient	You pay $200 per day (up to 5 days) plus 20%	Network benefits² Maternity; childbirth delivery professional services	You pay $0	Network benefits² Chiropractic care (up to 20 visits per year)	You pay $30	Network benefits² Acupuncture (up to 20 visits per year)	You pay 20%⁴	Network benefits² Preventive dental care, twice yearly	You pay Balance after G.E.H.A pays $22 per visit

Prescription costs

(what you pay in-network)

Go to caremark.com to find a pharmacy near you or access drug costs, specialty drug lists and additional details about your prescriptions.

For out-of-network benefits and details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.

Prescription benefits
Prescription drug benefits^2,5	Retail (30-day)	Mail service (90-day)	Specialty CVS exclusive (30-day)
Generic	$10⁶	$25	25% ($350 max)
Preferred brand-name	25% ($250 max)^6,7	25% ($500 max)⁷	25% ($350 max)⁷
Non-preferred brand-name	40% ($400 max)^6,7	40% ($800 max)⁷	40% ($400 max)⁷

Prescription benefits
Prescription drug benefits^2,5	Retail (30-day)	Mail service (90-day)	Specialty CVS exclusive (30-day)
	Prescription drug benefits^2,5 Generic	Retail (30-day) $10⁶	Mail service (90-day) $25	Specialty CVS exclusive (30-day) 25% ($350 max)	Prescription drug benefits^2,5 Preferred brand-name	Retail (30-day) 25% ($250 max)^6,7	Mail service (90-day) 25% ($500 max)⁷	Specialty CVS exclusive (30-day) 25% ($350 max)⁷	Prescription drug benefits^2,5 Non-preferred brand-name	Retail (30-day) 40% ($400 max)^6,7	Mail service (90-day) 40% ($800 max)⁷	Specialty CVS exclusive (30-day) 40% ($400 max)⁷

High benefits that go beyond

Enhanced member discounts¹

Access member discounts on travel, fitness, personal care, groceries, childcare and more

Member discount program

Hearing aid support

Save with High’s $2,500 hearing aid benefit

Hearing aid benefit

Medicare and G.E.H.A

For annuitants, pairs well with Medicare, to give you more coverage for less

Medicare

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Whether it’s High or another G.E.H.A plan you’re considering, we can help.

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Current G.E.H.A member needing help?

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1 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.

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 Calendar year deductible applies.

5 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.

6 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.

7 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.

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.

We reinvest our dollars to ensure our plans and member experience are second to none.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We're the benefits provider of choice for 2+ million federal employees, retirees and their families.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We offer two comprehensive dental plans with the right coverage for every stage of life.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Both G.E.H.A dental plans include no in-network deductibles with over 450,000 provider locations nationwide.

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FEHB High 2027