GEHA can help pay for many of your health care expenses that are not covered by Medicare
. Medicare is a health insurance program provided by the federal government. If you are age 65 or older and entitled to monthly Social Security benefits, you may be eligible for Medicare.
Is GEHA and United Healthcare the same?
GEHA members with the Aetna Signature Administrators will have access to UnitedHealthcare Behavioral Health network and mental health, behavioral health, and substance use disorders UM services
. These members will continue to use Aetna Signature Administrators for their medical provider network.
Does GEHA offer long term care?
Yes. See www.geha.com or call 1-800-296-0776 for a list of network providers. This plan uses a provider network.
You will pay less if you use a provider in the plan's network
.
Does GEHA cover CT scans?
Imaging (CT/PET scans, MRIs)
15% coinsurance after deductible
35% coinsurance after deductible Must be pre-authorized. If not, payment reduced by $100; or care may not be covered. More information about prescription drug coverage is available at https://info.caremark.com/ geha.
Is GEHA only for federal employees?
GEHA exclusively serves federal employees
, federal retirees, military retirees and their families. That means our health plans are specially designed for you.
Is GEHA a Medicare plan?
GEHA works with Medicare A & B
With a GEHA medical plan to supplement your Medicare coverage, a sudden hospital stay, a prolonged illness or a major surgical procedure won't overwhelm your budget. GEHA offers five unique medical plan options, each with comprehensive coverage that coordinates with Medicare.
Does GEHA cover Medicare Part B deductible?
When you are enrolled in GEHA's High Option, Standard Option or Elevate Plus plan,
GEHA will waive or reduce some out-of-pocket costs if Medicare is your primary payer for Part A, Part B or both
. Inpatient hospital benefits – We waive the deductible, coinsurance and copays if you are enrolled in Medicare Part A.
Can I keep FEHB with Medicare?
FEHB premiums are not reduced if you enroll in Medicare
, but having Medicare Part A and B can allow you to switch to a less expensive version of your current FEHB plan, because some FEHB insurers waive cost-sharing (like deductibles, co-pays and coinsurance) when you have Medicare Parts A and B.
Is GEHA and Aetna the same?
Important note:
GEHA contracts with three networks nationwide: Aetna Signature Administrators, UnitedHealthcare Options PPO and UnitedHealthcare Choice Plus
. If you call your provider to confirm that he or she is in the GEHA network, please have your GEHA ID card handy.
Who is eligible for GEHA?
You must be, or must become a member of Government Employees Health Association, Inc.
To become a member: You join simply by signing a completed Standard Form 2809, Health Benefits Registration Form, evidencing your enrollment in the Plan. OPM has determined that the Government Employees Health Association, Inc.
Is GEHA a PPO or HMO?
GEHA's network of providers is one of the largest in the nation and includes more than 2.7 million in-network provider locations and over 9,300 hospitals. Our fee-for-service plan offers services through
a PPO
.
Is Fltcip a good deal?
Federal LTC (FLTCIP)
Because the FLTCIP has one pricing schedule based solely on age,
it presents a very good value to most women
, who tend to have higher LTC costs and therefore typically face higher premiums offered by independent insurance carriers.
Do federal employees get long-term disability?
Although there are long-term disability options for federal employees who become permanently disabled,
federal employees do not qualify for such benefits until they have worked for the federal government for at least 18 months
.
Does GEHA require a referral?
GEHA, like other federal medical plans,
requires providers to obtain authorization before some services and procedures are performed
. You'll find more information on authorizations in the GEHA plan brochure.
Does GEHA cover colonoscopy?
As a GEHA medical plan member,
you are covered 100% for these routine adult screenings
. Yet, some common misconceptions about mammograms, colonoscopies and Pap smears persist. Myth No.
Does GEHA cover blood tests?
QuestSelect covers most outpatient lab work included in your GEHA medical plan
, including: Blood testing, such as cholesterol testing. Urinalysis. Pap smears.
Does GEHA cover the shingles vaccine?
For members ages 60 and older, the shingles vaccination is covered under GEHA's preventive care benefit
. GEHA will pay 100% of the plan allowance when the vaccination is received at an in-network physician's office or in-network pharmacy.
Should I keep FEHB when I retire?
As a rule, at retirement
you may keep your Federal Employees Health Benefits program coverage if you are currently enrolled and have been enrolled in the FEHB for at least five years or from your earliest opportunity to enroll
. It makes no difference if you've bounced around from plan to plan.
Does GEHA cover you overseas?
If you live outside the United States, your GEHA coverage travels with you
. For your convenience, providers outside the United States are paid at the GEHA preferred provider rate for medically necessary covered services.
Is GEHA nationwide?
Nationwide coverage
One of the largest provider networks available to federal employees.
How do I file a claim with GEHA?
Federal regulations require that a claim submitted by a provider must be filed on a CMS-1500 form. If you need to submit a medical claim yourself and you have an itemized bill, please
attach and mail to PO Box 21542, Eagan, MN 55121
. If you need assistance with completing this form, please contact GEHA at 800.821.
How do I call Medicare?
1-800-MEDICARE (1-800-633-4227)
