With affordable premiums and low copays, GEHA’s Standard Option medical plan is our best value for people who have predictable out-of-pocket expenses.
One of the lowest premiums in the FEHB program.
A 30-day supply of generic medication costs just $10.
You can visit your primary care doctor for only a $15 copay each visit.
This plan covers 100% of preventive care costs when you see an in-network provider.
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 Standard Option. For complete information, refer to the GEHA Plan Brochure.
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.
|Cost of Services In-Network|
|MinuteClinic (where available)||$10|
|Annual eye exam||$5 through EyeMed|
|Covered lab services||$0, through Lab Card|
|Well child visits; up to age 22||$0|
|Routine adult screenings||$0, 100% coverage|
|Dental diagnostic/preventive||50% of allowance, 2 times/year|
|From a physician or when you go to the hospital||$0, 100% coverage|
|Inpatient, outpatient, emergency room and other charges||15% of allowance (calendar-year deductible applies)|
The table below summarizes your cost for prescription drugs with GEHA Standard Option. 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 Drug Costs.
Enrolled in Medicare? Visit Medicare + GEHA to see how GEHA works with Medicare.
|Retail pharmacy — 30-day supply|
|Generic||$10 copay||$10, plus difference between plan allowance and cost of drug|
|Preferred brand-name medication||50%, up to $200 max¤||50%, up to $200 max, plus difference between plan allowance and cost of drug**¤|
|Non-preferred brand-name medication||50%, up to $300 max¤||50%, up to $300 max, plus difference between plan allowance and cost of drug**¤|
|Mail-order pharmacy — 90-day supply|
|Preferred brand-name medication||50%, up to $500 max¤||n/a|
|Non-preferred brand-name medication||50%, up to $600 max¤||n/a|
¤If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
**Retail fills eligible for a greater than a 30-day supply will be subject to the 50% coinsurance up to the maximum of $500 for preferred or $600 for non-preferred.
^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB, but are made available to all enrollees and family members who become members of a GEHA medical plan. For information on year-round savings for GEHA dental members, visit Savings for GEHA dental members.
This is a brief description of the features of the GEHA Standard Option medical plan. Before making a final decision, please read the Plan’s Federal brochure 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure.