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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > FFS Plan Profile: GEHA Benefit Plan-High

General Information
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Plan Name: GEHA Benefit Plan-High
Service Area: Nationwide
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: n/a
JCAHO Accreditation: n/a
URAC Accreditation: n/a
Plan Type: FFS
Enrollment Code-Self: 311
Enrollment Code-Self & Family: 312
Link to Plan Home Page: http://www.geha.com
Telephone: 800/821-6136
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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PPO
Non PPO
Deductible Per Person Calendar Year $300 $300
Deductible Per Person-Prescription Drug None None
Deductible Per Hospital Stay-Inpatient None None
Copay Coinsurance Doctors & Outpatient Tests 10% 25%
Copay Coinsurance Hospital Inpatient R & B Nothing Nothing
Copay Coinsurance Hospital Inpatient Other 10% 25%
Copay Coinsurance Hospital Outpatient 10% 25%
Copay Coinsurance Prescription Drugs Home Delivery Generic $10 $10
Copay Coinsurance Prescription Drugs Home Delivery Brand Name $35/$50 $35/$50
Copay Coinsurance Prescription Drugs Generic $5/50% $5 or 50%
Copay Coinsurance Prescription Drugs Brand Name $15/$30/50% $15/$30/50%
Copay Coinsurance Prescription Drugs Nonformulary $15/$30/50% $15/$30/50%
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Rates
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Non-Postal
Biweekly Self: $59.70 Self: & Family: $119.50
Monthly Self: $129.35 Self: & Family: $258.91
Twice Biweekly Self: $119.40 Self: & Family: $239.00
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Annuitants
Monthly Self: $129.35 Self: & Family: $258.91
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U.S. Postal Service Employees (Type A)
Biweekly Self: $42.04 Self: & Family: $79.16
Monthly Self: $91.09 Self: & Family: $171.51
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U.S. Postal Service Employees (Type B)
Monthly Self: $104.71 Self: & Family: $233.50
Biweekly Self: $48.33 Self: & Family: $107.77
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Worker's Compensation Recipients
Twice Biweekly Self: $119.40 Self: & Family: $239.00
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Certain Temporary Employees
Monthly Self: $341.38 Self: & Family: $742.97
Biweekly Self: $157.56 Self: & Family: $342.91
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Former Spouse Enrollees
Biweekly Self: $157.56 Self: & Family: $342.91
Monthly Self: $341.38 Self: & Family: $742.97
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Temporary Continuation of Coverage
Biweekly Self: $160.71 Self: & Family: $349.77
Monthly Self: $348.21 Self: & Family: $757.83
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FDIC
Biweekly Self: $42.04 Self: & Family: $79.16
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Department of Defense Demo Project
Monthly Self: $129.35 Self: & Family: $258.91
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $348.21 Self: & Family: $757.83
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