The November 14, 2017, chat with GEHA President Julie Browne has concluded. The transcript is available below and will remain online for several weeks.
We do have supplemental vision and dental insurance available.
The Federal Employees Dental and Vision Insurance Program (FEDVIP) is separate and different from the FEHB Program. This Program provides comprehensive dental and vision insurance at competitive group rates with no pre-existing condition limitations for enrollment.
FEDVIP is available to eligible Federal and Postal Service employees, retirees, and their eligible family members on an enrollee-pay-all basis. Employee premiums are withheld from salary on a pre-tax basis.
For Dental Insurance: All dental plans provide a comprehensive range of services, including:
• Class A (Basic) services, which include oral examinations, prophylaxis, diagnostic evaluations, sealants and x-rays.
• Class B (Intermediate) services, which include restorative procedures such as fillings, prefabricated stainless steel crowns, periodontal scaling, tooth extractions, and denture adjustments.
• Class C (Major) services, which include endodontic services such as root canals, periodontal services such as gingivectomy, major restorative services such as crowns, oral surgery, bridges and prosthodontic services such as complete dentures.
• Class D (Orthodontic) services with up to a 12-month waiting period. Most FEDVIP dental plans cover adult orthodontia, but it may be limited. Review your FEDVIP dental plan’s brochure for information on this benefit. For Vision Insurance: All vision plans provide comprehensive eye examinations and coverage for lenses, frames and contact lenses. Other benefits such as discounts on LASIK surgery may also be available.
You can find a comparison of the plans available and their premiums on the OPM websites at opm.gov/dental and opm.gov/vision. These sites also provide links to each plan’s website, where you can view detailed information about benefits and preferred providers. You enroll on the Internet at BENEFEDS.com.
Yes liver transplants are a covered benefit at GEHA. Prior to the transplant we do require prior authorization. We have a designated team to review and approve all transplants. We will cover donor screening test and donor search expenses for up to four potential donors. We will also provide up to $10,000 travel benefit per covered transplant. Our In-network facilities we call Select facilities, please contact Customer service to see if facility/provider is In-Network for transplants.
The process for preauthorizing organ transplant is more extensive than the normal precertification process. Before your initial evaluation as a potential candidate for a transplant procedure, you or your doctor must contact GEHA's Care Management Department 800-821-6136
I am retiring the end of the month and would like to know if GEHA pays any portion of the Part B Medicare premium or discounts its FEHB premium due to Part B becoming primary and GEHA secondary? My wife is only 64 and in good health. Our premium is Self plus One.View Answer
Yes, our dental plans includes vision for no extra premium.
Learn more at gehadental.com/vision
The best dental plan would depend on your needs. If you have many dental needs, then GEHA's FEDVIP High Option plan might be your best pick. If you have moderate dental issues that need to be addressed immediatley, then the GEHA FEDVIP Standard Plan would be the best option.
Finally, if you have moderate dental issues that are not immediate, then you might want to consider Connection Dental Plus, GEHA's supplemental dental plan (which is not a FEDVIP plan).
Yes, routine mammograms are covered at 100%, no deductible will apply at in-network providers for both our Standard Option and High Option plans. The U.S. Preventive Services Task Force recommends that women ages 50 to 74 should get a mammogram every two years.
Note: 3D mammograms are not considered routine preventive care screening tests.
You can sign up for health insurance by itself. Your medical benefit has basic dental coverage and vision for no additional charge. This will include 2 dental cleaning per year; however this is not a comprehensive coverage.
Vision is provided through EyeMed (geha.com/vision). The vision plan provides comprehensive eye exams ($5 copay at in-network providers) and discounts for lenses, frames and contacts.
If I am already enrolled in the health plan from 2017 do I need to re-enroll for 2018? Or will my coverage continue with the new benefits for 2018? Thx in advance.View Answer
If you do not want to make any changes to your current plan, you do not need to do anything. Your coverage will remain the same for 2018.
My spouse is currently pregnant. What benefits does GEHA offer during pregnancy?View Answer
Congratulations! GEHA's Standard Option and High Option health plans cover routine maternity care at 100%.
GEHA also has a Maternity Program that offers a maternity resource packet to our expectant mothers. This packet includes information on pregnancy and prenatal care as well as information about your maternity benefits. To order your packet, click Maternity Resource Packet order form.
Our Maternity Resources webpage also offers details on how to order a breast pump that is covered by your GEHA health plan.
You can earn Health Rewards points for visiting your physician within the first trimester of your pregnancy. A first-trimester doctor visit is the foundation for effective prenatal care and can help ensure mother and baby's good health in the important early stages of pregnancy. After you have scheduled your appointment, follow these simple instructions to earn 100 Health Rewards points: Download the Maternity Health Rewards form, print it, and take it to your first-trimester doctor appointment. Ask your doctor to complete, sign and date the form.
Baby-Friendly USA Inc. is the accrediting body for the Baby-Friendly Hospital Initiative in the United States. They are hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding.
Your Health Rewards prepaid MasterCard can be used for qualified out-of-pocket medical expenses and health-related items at the FSA online store.
The card cannot be used at any retailers such as CVS, Target or Wal-Mart.
It can be used at free-standing vision centers such as Discover Vision Centers or LensCrafters.
Your prepaid MasterCard can be used to purchase mail-order medications with CVS.
Changes made during Open Season will go into effect January 1 for retirees/annuitants. For active employees, it goes into effect the first day of the first full pay period of 2018.
GEHA does not have a pre-existing condition clause. We will not refuse to cover the treatment of a condition you had before you enrolled in this plan, solely because you had the condition before you enrolled.
For 2018, our High Option health plan will see a 2.1% increase for Self Only, a 2.6% increase for Self Plus One, and a 2.5% increase for Self and Family. All of our Standard Option health plans and our High-Deductible Health Plan (HDHP) options will see a 2% increase. You can find our 2018 health plan premiums here.
Here are a few of our health plan benefit changes for 2018:
Yes. If you are a GEHA dental plan member (or a GEHA health plan member), you get vision coverage for no additional premium. Through Connection Vision® powered by EyeMed, you and your covered family members each pay a $5 copay for an annual eye exam when you use a qualified EyeMed participating provider.
Connection Vision also offers you savings on lenses, frames, and specialty items such as tints, scratch coating, polycarbonate lenses and surgical procedures (including LASIK) at participating EyeMed locations. To learn more, visit gehadental.com/vision.
All GEHA dental and health plans include vision coverage. Through Connection Vision® powered by EyeMed, you and your covered family members each pay a $5 copay for an annual eye exam when you use a qualified EyeMed participating provider. Or, if you use a provider that does not participate, EyeMed will reimburse you up to $45 for an annual routine eye exam.
Learn more at gehadental.com/vision.