Authorizations/Precertifications for FEHB and PSHB Elevate and Elevate Plus health members

Important note: The authorization information on this page is for G.E.H.A's FEHB/PSHB Elevate and Elevate Plus health plan members. For other health plans, visit Authorizations/Precertifications for HDHP, Standard and High health members.

For Providers – To submit an authorization or for more information and help with authorizations, please access the Provider portal

For Members – For more information and help with authorizations, please access the MyGEHA member portal

General information

• Authorization requirement: G.E.H.A, like other federal health plans, requires providers to obtain authorization before some services and procedures are performed.
• Reference: More information can be found in the G.E.H.A plan brochure. For quick reference, see the G.E.H.A member's ID card.
• Clinical guidelines: The sources of our clinical guidelines can be found on our Utilization Management Criteria (PDF).
• Primary payer: If Medicare or another group health insurance policy is the primary payer for these services, you do not need to obtain authorization.

Emergency admissions
If you have an emergency admission due to a condition that you reasonably believe puts your life in danger or could cause serious damage to bodily function:

• Action required: You, your representative, the doctor or the hospital must call G.E.H.A within two business days following the day of the emergency admission, even if you have been discharged from the hospital.
• Responsibility: Although your physician or hospital will precertify your stay, it is your responsibility to ensure that precertification is complete.
• Failure to precertify: Failure to precertify inpatient stays could result in a benefits reduction.
• International admissions: It is not necessary to precertify hospital admissions outside the United States. For more details on your G.E.H.A coverage when traveling, click Outside the United States.

Contact information

• Benefits and eligibility: Call GEHA's Customer Care department at 1-877-460-7673.
• Prior authorization: Refer to the back of the patient's ID card for the appropriate contact information and submission.