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Plan Profile

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

General Information
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Plan Name: GEHA Benefit Plan-Std
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: 314
Enrollment Code-Self & Family: 315
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 $450 $450
Deductible Per Person-Prescription Drug None None
Deductible Per Hospital Stay-Inpatient None None
Copay Coinsurance Doctors & Outpatient Tests 15% 35%
Copay Coinsurance Hospital Inpatient R & B 15% 35%
Copay Coinsurance Hospital Inpatient Other 15% 35%
Copay Coinsurance Hospital Outpatient 15% 35%
Copay Coinsurance Prescription Drugs Home Delivery Generic $15 $15
Copay Coinsurance Prescription Drugs Home Delivery Brand Name 50% 50%
Copay Coinsurance Prescription Drugs Generic $5 $5 +
Copay Coinsurance Prescription Drugs Brand Name 50% 50% +
Copay Coinsurance Prescription Drugs Nonformulary 50% 50% +
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Rates
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Non-Postal
Twice Biweekly Self: $55.00 Self: & Family: $125.00
Biweekly Self: $27.50 Self: & Family: $62.50
Monthly Self: $59.58 Self: & Family: $135.42
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Annuitants
Monthly Self: $59.58 Self: & Family: $135.42
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U.S. Postal Service Employees (Type A)
Monthly Self: $26.81 Self: & Family: $60.94
Biweekly Self: $12.37 Self: & Family: $28.12
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U.S. Postal Service Employees (Type B)
Monthly Self: $26.81 Self: & Family: $60.94
Biweekly Self: $12.37 Self: & Family: $28.12
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Worker's Compensation Recipients
Twice Biweekly Self: $55.00 Self: & Family: $125.00
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Certain Temporary Employees
Biweekly Self: $110.00 Self: & Family: $250.00
Monthly Self: $238.33 Self: & Family: $541.67
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Former Spouse Enrollees
Monthly Self: $238.33 Self: & Family: $541.67
Biweekly Self: $110.00 Self: & Family: $250.00
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Temporary Continuation of Coverage
Monthly Self: $243.10 Self: & Family: $552.50
Biweekly Self: $112.20 Self: & Family: $255.00
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FDIC
Biweekly Self: $12.37 Self: & Family: $28.12
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Department of Defense Demo Project
Monthly Self: $59.58 Self: & Family: $135.42
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $243.10 Self: & Family: $552.50
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