2019 Standard Option


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.

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 Standard Option. 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.

Cost of Services In-Network
Copays
Primary physician$15
Specialist$30
MinuteClinic (where available)$10
Urgent Care$35
Annual eye exam$5 through EyeMed
Other services
Covered lab services$0, through Lab Card
Well child visits; up to age 22$0
Routine adult screenings$0, 100% coverage
Dental diagnostic/preventive50% of allowance, 2 times/year
Maternity care
From a physician or when you go to the hospital$0, 100% coverage
Hospital/facility care
Inpatient, outpatient, emergency room and other charges15% of allowance (calendar-year deductible applies)

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 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.

In-NetworkOut-of-Network
Retail pharmacy — 30-day supply
Generic$10 copay$10, plus difference between plan allowance and cost of drug
Preferred brand-name medication50%, up to $200 max¤50%, up to $200 max, plus difference between plan allowance and cost of drug**¤
Non-preferred brand-name medication50%, up to $300 max¤50%, up to $300 max, plus difference between plan allowance and cost of drug**¤
Mail-order pharmacy — 90-day supply
Generic$20n/a
Preferred brand-name medication50%, up to $500 max¤n/a
Non-preferred brand-name medication50%, up to $600 max¤n/a

Savings^

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Vision Coverage

Get $5 annual eye exams and discounts on eyewear.
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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.