Geha Copay

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Choose from five unique medical plans for 2021.

Standard Option Page 8

geha.com/Standard

GEHA offers you five unique medical plans that empower you to achieve the health you need to live the life you want.

Whether you’re focused on wellness, saving for future health care needs or needing a lot of (or a little) health care, GEHA has an option that is right for you. All GEHA plans offer worldwide coverage and a mix of benefits. Choose possible.

X $15 copay for in-network primary care visits, $30 copay for in-network specialist visits. X Pay $0 for routine, in-network maternity care. X Pay $0 for unlimited telehealth visits, including pediatricians, licensed behavioral health therapists and dermatologists, through MDLIVE.

Elevate Plus Page 10

When you have Medicare A and B, some plans will waive the copay. Copayment Waived: Copayment Waived: 5%: 25% + Member Cost with Medicare A & B Primary - Specialty Office Visit. GEHA Benefit Plan (Standard) GEHA Benefit Plan (HDHP) Quality - Controlling High Blood Pressure (2020) The measures below show how well a plan provides. Let us help you choose a GEHA plan that can work for you. Book appointment Newly hired or have a Qualifying Life Event? Book a virtual benefits consultation. Call us Monday - Friday 7 a.m. CT 800.262.4342. Watch a webinar Learn about finding a plan right for you.

Elevate Page 4

Geha Office Visit Copay

geha.com/ElevatePlus

Geha Copay

geha.com/Elevate

X GEHA’s lowest premium plan. X Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards. X Low $10 copays for unlimited primary care visits and $25 copays for unlimited specialist visits.

X Fixed costs, no in-network deductible, copays for common medical expenses and out-of-network medical coverage. X Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards. X $0 out-of-pocket costs for common surgeries through BridgeHealth.

DentalGeha Copay

High Option Page 12

HDHP Page 6

geha.com/High

geha.com/HDHP

Geha Hdhp Copay

X An HSA-compatible plan with a low premium. X GEHA contributes $900 (Self Only) or $1,800 (Self Plus One or Self and Family) to your HSA, which can reduce the yearly net deductible¹ to $600 or $1,200 , respectively. X You pay only 5% of medical services after your low deductible is met. X Includes a complete vision benefit along with $0 in-network preventive dental benefits, all with no deductible.

X Comprehensive brand-name and specialty prescription coverage. X Low copays for doctor visits ( $20 primary and specialist). X $600 Medicare Part B premium reimbursement. X $2,500 hearing aid benefit. X Low cost-share for a variety of inpatient and outpatient services ( 10% coinsurance).

Geha United Healthcare Ppo

geha.com | 800.262.4342

Geha united healthcare ppo

1 Net deductible is the remaining amount after you subtract the annual GEHA contribution from the annual deductible. This is your out-of-pocket cost before plan benefits begin.

Geha Prescription Copay

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Geha Chiropractic Coverage 2020

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