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Contraceptive coverage

Contraceptive coverage is available at no cost to GEHA members. The contraceptive benefit includes at least one option in all methods of contraception (as well as the screening, education, counseling and follow-up care).

Pharmacy contraceptive exception process

If your physician believes a non-formulary contraceptive is medically necessary for you, an exception review can be initiated by your physician. Providers can contact CVS Caremark Prior Authorization Department to obtain the appropriate exception form, or you may download the Preventive Services Contraceptive Zero Copay Exceptions Form and provide to your provider for completion and submission to CVS Caremark.

Exception requests for contraceptive coverage will be processed within 24 hours of receiving complete information.

Reimbursement process

Reimbursement for over-the-counter contraceptives (prescription required) can be submitted by sending in your original prescription receipt with the prescription number included, obtained from your pharmacy to:

CVS Caremark
P.O. Box 52136
Phoenix, AZ 85072-2136

Members planning on submitting receipts for reimbursement are encouraged to not use their HSA, health FSA or HRA (including any related debit cards) to purchase the contraceptives.

Additional information

Contraception coverage (OPM) — For questions about contraceptive services or difficulty accessing contraception coverage or other reproductive health care, contact OPM at contraception@opm.gov.
Consumer Protections
ReproductiveRights.gov — Know Your Rights: Reproductive Health Care
For additional questions, please call CVS Caremark at 844.4.GEHARX or 844.443.4279; visit CVS Caremark's website; or review Section 5(f) of your FEHB Plan Brochure.

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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.

Founded by Postal workers 87 years ago to protect the health and well-being of federal employees.

Our Customer Care team can be reached Monday through Friday from 7 a.m.–7 p.m. Central time.

Agency benefits professionals, this is your one-stop shop for Open Season support.

Or, choose from popular search topics

Contraceptive coverage

Pharmacy contraceptive exception process

Reimbursement process

Additional information

We reinvest every dollar 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.

Founded by Postal workers 87 years ago to protect the health and well-being of federal employees.

Our Customer Care team can be reached Monday through Friday from 7 a.m.–7 p.m. Central time.

Agency benefits professionals, this is your one-stop shop for Open Season support.

Or, choose from popular search topics

Contraceptive coverage

Pharmacy contraceptive exception process

Reimbursement process

Additional information

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