FEHB Standard 2027
The family-friendly plan for those who want strong coverage and affordable copays
Enroll nowPlan highlights
- Low deductible and predictable copays for the services families use most
- 100% maternity physician coverage for your growing family, including doula services, preconception program and maternal mental health visits with an in-network provider
- For retirees, the plan that pairs with Medicare to give you more, with waived coinsurance and copays, excluding prescription benefits
- Get access to the new G.E.H.A member discount program with discounts on travel, fitness, personal care, groceries, electronics, childcare, senior care and more1
Shopping for 2026? View the 2026 FEHB Standard page
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2027 FEHB Standard rates
|
Pay frequency
|
Self Only | CODE 314
|
Self Plus One | CODE 316
|
Self and Family | CODE 315
|
|---|---|---|---|
|
Biweekly — employed
|
$86.75
|
$186.51
|
$231.45
|
|
Monthly — retired
|
$187.95
|
$404.11
|
$501.47
|
|
Pay frequency
|
Self Only | CODE 314
|
Self Plus One | CODE 316
|
Self and Family | CODE 315
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only | CODE 314
$86.75
|
Self Plus One | CODE 316
$186.51
|
Self and Family | CODE 315
$231.45
|
Pay frequency
Monthly — retired
|
Self Only | CODE 314
$187.95
|
Self Plus One | CODE 316
$404.11
|
Self and Family | CODE 315
$501.47
|
- 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)
|
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)
|
$8,000 for Self Only
$16,000 for Self Plus One or Self and Family |
|
Preventive care
Annual physical exam, routine screenings, immunizations and more |
$0
|
|
Primary care office visits
|
$35
|
|
Mental health office visits
|
$35
|
|
Specialist office visit
|
$50
|
|
MinuteClinic® / Urgent care facility visit
|
$15 / $50
|
|
Unlimited telehealth visits, including mental health
|
$0
|
|
Emergency room visit
|
35%4
|
|
Hospital care; outpatient / inpatient
|
25% 4 / 25%4
|
|
Lab services (QuestSelect benefit)
|
$0
|
|
Lab services (other than QuestSelect)
|
25%4
|
|
X-rays and other diagnostic services
|
25%4,5
|
|
Maternity inpatient
|
25%4
|
|
Maternity; childbirth delivery professional services
|
$0
|
|
Chiropractic care (up to 20 visits per year)
|
$35
|
|
Acupuncture (up to 20 visits per year)
|
25%4
|
|
Preventive dental care, twice yearly
|
50%
|
|
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
$8,000 for Self Only
$16,000 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
$35
|
Network benefits2
Mental health office visits
|
You pay
$35
|
Network benefits2
Specialist office visit
|
You pay
$50
|
Network benefits2
MinuteClinic® / Urgent care facility visit
|
You pay
$15 / $50
|
Network benefits2
Unlimited telehealth visits, including mental health
|
You pay
$0
|
Network benefits2
Emergency room visit
|
You pay
35%4
|
Network benefits2
Hospital care; outpatient / inpatient
|
You pay
25% 4 / 25%4
|
Network benefits2
Lab services (QuestSelect benefit)
|
You pay
$0
|
Network benefits2
Lab services (other than QuestSelect)
|
You pay
25%4
|
Network benefits2
X-rays and other diagnostic services
|
You pay
25%4,5
|
Network benefits2
Maternity inpatient
|
You pay
25%4
|
Network benefits2
Maternity; childbirth delivery professional services
|
You pay
$0
|
Network benefits2
Chiropractic care (up to 20 visits per year)
|
You pay
$35
|
Network benefits2
Acupuncture (up to 20 visits per year)
|
You pay
25%4
|
Network benefits2
Preventive dental care, twice yearly
|
You pay
50%
|
Prescription costs
(what you pay in-network)
For out-of-network benefits and details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.
|
Prescription drug benefits2,6
|
Retail (30-day)
|
Mail service (90-day)
|
Specialty CVS exclusive (30-day)
|
|---|---|---|---|
|
Generic
|
$10
|
$25
|
50% ($450 max)
|
|
Preferred brand-name
|
40% ($350 max)7
|
40% ($700 max)7
|
50% ($450 max)7
|
|
Non-preferred brand-name
|
60% ($550 max)7
|
60% ($1,100 max)7
|
50% ($600 max)7
|
|
Prescription drug benefits2,6
|
Retail (30-day)
|
Mail service (90-day)
|
Specialty CVS exclusive (30-day)
|
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Prescription drug benefits2,6
Generic
|
Retail (30-day)
$10
|
Mail service (90-day)
$25
|
Specialty CVS exclusive (30-day)
50% ($450 max)
|
Prescription drug benefits2,6
Preferred brand-name
|
Retail (30-day)
40% ($350 max)7
|
Mail service (90-day)
40% ($700 max)7
|
Specialty CVS exclusive (30-day)
50% ($450 max)7
|
Prescription drug benefits2,6
Non-preferred brand-name
|
Retail (30-day)
60% ($550 max)7
|
Mail service (90-day)
60% ($1,100 max)7
|
Specialty CVS exclusive (30-day)
50% ($600 max)7
|
Standard benefits that go beyond
Enhanced member discounts1
Health Rewards
Vision discount1
Ready to enroll?
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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 Standard, you pay a $250 copay for advanced outpatient high tech imaging such as MRI, CT, PET, etc.
6 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.
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 Standard 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

