Medicare + GEHAManage your health care dollars and protect yourself from unexpected expenses

Get connected to the lifestyle you want If you are age 65 or older, or otherwise entitled to Medicare, GEHA can offer additional protection. A sudden hospital stay, a prolonged illness or a major surgical procedure can overwhelm even a carefully balanced budget. However, GEHA can help pay for many expenses not covered by Medicare. All GEHA members receive year-round benefits that will keep you and your family smiling – and seeing, hearing and feeling secure – with discounts offered only to our members, including:

Connection Hearing powered by TruHearingGEHA members get exclusive access to low prices on TruHearing hearing aids through our Connection Hearing program. Most members see savings of 30 to 60 percent off their hearing devices, an average of more than $1,960 per pair. Best of all, this benefit can be shared with extended family members. Learn more at geha.com/hearing. In addition to the low prices available through Connection Hearing, Standard Option members receive $2,000 toward the purchase of a set of hearing aids. High Option members receive a $2,500 hearing aid benefit.

Life Alert Emergency ResponseYou can’t put a price on round-the-clock peace of mind, but all GEHA members and their extended family (including adult children, parents and grandparents) can receive discounted emergency response services from Life Alert, a leader in responsive emergency care. Learn more at geha.com/lifealert.

Connection Vision powered by EyeMedAs a GEHA member, your vision coverage is included for no extra premium. You and covered family members can get annual eye exams for only a $5 copay when you visit an EyeMed provider. For eye exams at out-of-network providers, EyeMed will reimburse you up to $45 per covered member. Learn more at geha.com/vision.

GEHA Health Rewards program GEHA health plan members have the opportunity to earn a total of $250 for participation in activities that promote healthy behaviors. This money can be used for health-related items at the online FSA store, or for qualified out-of-pocket medical expenses. Learn more at geha.com/rewards.

Enrollment Type Standard Option High Option

Self Only (monthly) $116.70 $219.83

Self Plus One (monthly) $250.90 $509.36

Self and Family (monthly) $275.98 $568.91

2017 GEHA Health Plan Benefits

Medical Benefits Medicare A & B with StandardWHAT YOU PAY

Medicare A & B with HighWHAT YOU PAY

MinuteClinic (where available)Primary care physician

SpecialistSurgical care

$0, 100% coverage$0, 100% coverage$0, 100% coverage$0, 100% coverage

$0, 100% coverage$0, 100% coverage$0, 100% coverage$0, 100% coverage

Covered lab servicesAdult routine screenings

Vision – annual eye examDental – diagnostic/preventive

$0, 100% coverage$0, 100% coverage$5 copay through EyeMed50% of allowance, 2 times/year

$0, 100% coverage$0, 100% coverage$5 copay through EyeMedBalance, after GEHA pays $22 per visit, 2 times/year

Accidental injury/Outpatient careAmbulance, physician, emergency room $0, 100% coverage $0, 100% coverage

Inpatient (you must precertify)Outpatient

Emergency roomOther charges

$0, 100% coverage$0, 100% coverage$0, 100% coverage $0, 100% coverage

$0, 100% coverage$0, 100% coverage$0, 100% coverage $0, 100% coverage

Generic Preferred brand-name medication

Non-preferred brand-name medication

$10 copay50%, up to $200 maxº 50%, up to $300 maxº

$10 copay‡

20%, up to $150 max‡º 35%, up to $200 max‡º

Generic Preferred brand-name medication

Non-preferred brand-name medication

$2050%, up to $500 maxº 50%, up to $600 maxº

$1515%, up to $350 maxº 30%, up to $500 maxº

^ Refer to geha.com/presscriptions for formulary and specialty coverage, for specific medications. ‡ Costs for initial prescription and first refill. You pay 50% for additional refills at retail. For long-term prescriptions, use mail order or your local retail CVS/pharmacy store (90-day supply) for greater cost savings.

º 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.

2017 GEHA Health Plan Rates

Physician care

Preventive care

Hospital/Facility care

This is a brief description of the features of Government Employees Health Association, Inc. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure. For complete information, see GEHA Plan Brochures RI 71-006, RI 71-014 or got to geha.com. GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB programs, but are made available to all enrollees and family members who become members of GEHA.

Retail Pharmacy^^– 30-day supply

Mail Service Pharmacy^^– 90-day supply

Combine your coverage for even better protectionMedicare limits your coverage for:

Deductibles and coinsurance

Extended hospital stays

Fees higher than the Medicare-approved amount

Routine dental work Health care administered outside the United States

With GEHA as your secondary insurance, you can be assured that your plan is complete.

More Information GEHA health insuranceCall GEHA Customer Service at 800.821.6136, or visit geha.com.

Medicare benefitsContact your local Social Security office or the Social Security Administration at 800.772.1213, or visit ssa.gov or medicare.gov.

Medicare under the Railroad Retirement SystemCall 877.772.5772 for your nearest Railroad Retirement Board district office or visit rrb.gov.

Other group plan coverageConsult the plan sponsor.

Retirement and FEHB, the video seriesThese videos explain how the FEHB program works in retirement. They explore the Medicare program, the enrollment process, and how Medicare coordinates with FEHB. Visit geha.com/videos.

Your GEHA coverage travels with you outside the U.S.

/gehahealth

How GEHA works with Medicare A&BWhen you’re enrolled in GEHA’s High Option or Standard option plan, GEHA will help with some out-of-pocket costs if Medicare Part A or Part B is your primary insurer, such as:

Inpatient hospital benefits We waive the deductible and coinsurance if you’re enrolled in Part A.

Medical and surgery benefits and mental health/substance abuse care We waive the deductible and coinsurance if you’re enrolled in Medicare part B.

Office visits with in-network providers We waive your copay for in-network office visits if you are enrolled in Medicare Part B.

Prescription drugs For covered prescriptions at participating retail pharmacies or through the CVS Caremark Mail Service Pharmacy, you’ll have a reduced copay and coinsurance if you’re enrolled in GEHA’s High Option plan.

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