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New for 2025: G.E.H.A Prescription Drug Plan

A Medicare PDP / EGWP that provides even greater prescription benefits.

a pharmacist smiles as he give a customer her prescription

G.E.H.A is excited to announce a new G.E.H.A Prescription Drug Plan/EGWP, a Medicare PDP/EGWP that provides even greater prescription benefits.

This additional coverage means that you will receive even greater savings on your prescriptions at no additional cost. Your ability to get the prescriptions that you need is important to your health.

G.E.H.A members don't have to do anything to enroll in the G.E.H.A Prescription Drug Plan/EGWP. You will be auto enrolled if you are an annuitant in G.E.H.A's PSHB plans or G.E.H.A's FEHB Standard or High plan — and you have Medicare Parts A and/or B. The G.E.H.A Prescription Drug Plan/EGWP is offered by SilverScript® Insurance Company, which is affiliated with CVS Caremark®, G.E.H.A's current pharmacy benefit manager.

Key benefits:

  • Save on the amount you pay for Part D medications annually with a $2,000 out-of-pocket max
  • Benefit from even more prescription drug coverage compared to your original coverage
    • $35 monthly cap on insulin
    • $0 copay for vaccinations and Affordable Care Act (ACA) preventive medications
  • Access to more than 63,000 pharmacies nationwide and mail-order prescriptions
  • Enjoy the same G.E.H.A health plan benefits — this is an additional savings opportunity for you

G.E.H.A Standard + EGWP Prescription Drug Plan benefits
Retail 30-day supply
Mail order 90-day supply
Tier 1 – Generic
$9
$20
Tier 2 – Preferred brand
25% ($200 max)
25% ($500 max)
Tier 3 – Non-preferred brand
50% ($300 max)
50% ($600 max)
Tier 4 – Specialty
33% ($250 max)
N/A
Retail 30-day supply
Mail order 90-day supply
Tier 1 – Generic
Retail 30-day supply
$9
Mail order 90-day supply
$20
Tier 2 – Preferred brand
Retail 30-day supply
25% ($200 max)
Mail order 90-day supply
25% ($500 max)
Tier 3 – Non-preferred brand
Retail 30-day supply
50% ($300 max)
Mail order 90-day supply
50% ($600 max)

G.E.H.A High + EGWP Prescription Drug Plan benefits
Retail 30-day supply
Mail order 90-day supply
Tier 1 – Generic
$9
$15
Tier 2 – Preferred brand
20% ($150 max)
15% ($350 max)
Tier 3 – Non-preferred brand
35% ($200 max)
30% ($500 max)
Tier 4 – Specialty
15% ($150 max)
N/A
Retail 30-day supply
Mail order 90-day supply
Tier 1 – Generic
Retail 30-day supply
$9
Mail order 90-day supply
$15
Tier 2 – Preferred brand
Retail 30-day supply
20% ($150 max)
Mail order 90-day supply
15% ($350 max)
Tier 3 – Non-preferred brand
Retail 30-day supply
35% ($200 max)
Mail order 90-day supply
30% ($500 max)

Who qualifies for G.E.H.A Prescription Drug Plan/EGWP?

  • All G.E.H.A PSHB retirees with Medicare Parts A and/or B
  • All G.E.H.A. FEHB retirees with Standard or High with Medicare Parts A and/or B

Questions about Medicare Part D or any documents you receive from G.E.H.A and SilverScript?

Call the G.E.H.A and SilverScript Customer Care Line, 24 hours a day, 7 days a week.

Call 1-833-250-3241

Questions about your G.E.H.A benefits?

If you have any questions regarding your G.E.H.A Medicare plan benefits, please call G.E.H.A Customer Care.

Call 1-800-821-6136
  1. This is a brief description of the features of Government Employees Health Association, Inc.'s medical plans. Before making a final decision, please read the GEHA Federal brochures. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.