Medicare + GEHA

Combine Medicare coverage and GEHA coverage for even better protection.

If you are age 65 or older, or otherwise entitled to Medicare, GEHA can offer additional protection. A sudden hospital stay, a prolonged illness or a major surgical procedure can overwhelm even a carefully balanced budget. GEHA can help pay for many expenses not covered by Medicare.

When you have GEHA and Medicare, most of your claims can be filed electronically by GEHA Express. For information on electronic claims filing, call GEHA Express at 800.282.4342.

We can help pay for many of the health care expenses not covered by Medicare, such as deductibles and coinsurance, extended hospital stays, fees that exceed Medicare-approved amounts and health care administered outside the United States.

How it works: Inpatient hospital benefits

We waive the deductible and coinsurance if you’re enrolled in Part A.

How it works: Medical and surgery benefits and mental health/substance abuse care

We waive the deductible and coinsurance if you’re enrolled in Medicare part B.

How it works: Office visits with in-network providers

We waive your copay for in-network office visits if you are enrolled in Medicare Part B.

How it works: Prescription drugs

For covered prescriptions at participating retail pharmacies or through the CVS Caremark Mail Service Pharmacy, you’ll have a reduced copay and coinsurance if you’re enrolled in GEHA’s High Option plan.

2019 monthly 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 Only monthly	Self Plus One monthly	Self and Family monthly
High Deductible Health Plan (HDHP)	$127.19	$273.46	$315.62
Standard Option	$127.36	$273.83	$320.91
High Option	$229.61	$535.73	$678.06

What you can expect to pay for services in 2019

When you enroll in GEHA’s High Option or Standard Option plan, GEHA will waive or reduce some out-of-pocket costs if Medicare Parts A & B is your primary payer.

Download pdf

For complete information, refer to GEHA’s plan brochures (RI 71-006 for High and Standard Options, RI 71-014 for High Deductible Health Plan).