2019 High Deductible Health Plan (HDHP)


This high deductible health plan (HDHP) pairs lower premiums with a health savings account (HSA) or a health reimbursement arrangement (HRA). GEHA's HDHP is a good way to get low-cost medical coverage combined with funds you can use to pay for future medical expenses.

Personalize your rates

The pricing information displayed below is based on your home location of
in
as a
who needs coverage for

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.

The table below summarizes your in-network cost for medical benefits with GEHA's High-Deductible Health Plan (HDHP). For complete information refer to the GEHA Plan Brochure.

  • Non-Postal biweekly
  • Postal biweekly – Category 1
  • Postal biweekly – Category 2
  • Monthly (retirees)
  • Non-Postal biweekly
  • Postal biweekly – Category 1
  • Postal biweekly – Category 2
  • Monthly (retirees)
  • Non-Postal biweekly
  • Postal biweekly – Category 1
  • Postal biweekly – Category 2
  • Monthly (retirees)
  • Non-Postal biweekly
  • Postal biweekly – Category 1
  • Postal biweekly – Category 2
  • Monthly (retirees)

Category 1: Postal Category 1 rates apply to career bargaining unit employees who are represented by the following agreements: APWU, IT/AS, NALC, NPMHU, and NRLCA.

Category 2: Postal Category 2 rates apply to career bargaining unit employees who are represented by the following agreement: PPOA.

What you can expect to pay for services in 2019

The information below is for Self Only, Self Plus One, and Self and Family coverage. For complete information, refer to the GEHA Plan Brochure.

Enrolled in Medicare? Visit Medicare + GEHA to see how GEHA works with Medicare.

In-Network
Copays
Primary physician$0 for preventive care. Other types of care are 5% of plan allowance*
Specialist, Hospital, MinuteClinic and Urgent Care copays5% of plan allowance*
Annual eye exam$5 through EyeMed
Dental diagnostic/preventive$0, 100% plan allowance, 2 times year
Other services
Covered lab services$0, 100% coverage*
Well child visits; up to age 22$0, 100% coverage*
Routine adult screenings$0, 100% coverage*
Maternity care
From a physician$0, 100% coverage*
At a hospital5% of plan allowance*

Out-of-pocket maximums and yearly deductibles

  • Out-of-pocket-maximum
  • Calendar-year deductible
  • GEHA’s HSA/HRA premium pass-through contribution
  • Net deductible after pass-through
  • Out-of-pocket maximum
  • Calendar-year deductible
  • GEHA’s HSA/HRA premium pass-through contribution
  • Net deductible after pass-through
  • Out-of-pocket maximum
  • Calendar-year deductible
  • GEHA’s HSA/HRA premium pass-through contribution
  • Net deductible after pass-through
  • Out-of-pocket maximum
  • Calendar-year deductible
  • GEHA’s HSA/HRA premium pass-through contribution
  • Net deductible after pass-through

Prescription benefits

The table below summarizes your cost for prescription drugs with GEHA’s HDHP. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.

To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.

Enrolled in Medicare? Visit Medicare + GEHA to see how GEHA works with Medicare.

In-NetworkOut-of-Network
Retail pharmacy — 30-day supply
Generic or brand-name medication25% of plan allowance, after deductible*25% of plan allowance, after plan deductible,* plus difference between GEHA allowance and the cost of the drug
Mail-order pharmacy — 90-day supply
Generic or brand-name medication25% of plan allowance, after deductible*n/a

Savings^

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Vision Coverage

Get $5 annual eye exams and discounts on eyewear.
assistive-listening-systems
hearing-aid discounts

Save 30% to 60% off the average retail price of hearing aids.
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teeth whitening

Save 20% as you whiten your teeth from the comfort of home.
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health rewards

Up to $250 in incentives for members who complete simple and convenient health screenings.
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gym discounts

Access over 9,000 fitness centers nationwide for $25 a month (plus a $25 enrollment fee and taxes).
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medical alert system

Get discounted emergency response services from Life Alert.