GEHA
GEHA Benefit Plan — HDHP
FEHB Offered in 2027|GEHA|HDHP|PPO
Also listed as: GEHA; GEHA HDHP; GEHA High Deductible Health Plan
Premium
biweekly · employee paysSelf Only
$81.62biweekly · employee pays
vs 2026+$0.00 0.0%
Lowest$48.44 (2013)
Highest$81.62 (2026)
Since 2013+68.5%
Self Plus One
$175.47biweekly · employee pays
vs 2026+$0.00 0.0%
Lowest$116.10 (2016)
Highest$175.47 (2026)
Since 2016+51.1%
Self & Family
$215.63biweekly · employee pays
vs 2026+$0.00 0.0%
Lowest$110.65 (2013)
Highest$215.63 (2026)
Since 2013+94.9%
Premium history
SharePeriodRate type
Year by year
follows the chart's share, period and rate-type selection| Year | Self Only | Δ | Self Plus One | Δ | Self & Family | Δ | Listed as |
|---|
Changelog
- 2012Tracked since 2012Earliest plan year in the data set.
- 2016Self Plus One enrollment addedOPM introduced the Self Plus One enrollment type government-wide in 2016.
- 2018Renamed“GEHA High Deductible Health Plan” → “GEHA”
- 2020Renamed“GEHA” → “GEHA HDHP”
- 2023Largest increase: +9.7%Self Only employee share went from $63.21 to $69.37.
- 2026Renamed“GEHA HDHP” → “GEHA Benefit Plan”
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $1,800 | $3,600 | $3,600 |
| Medical account contribution | $1,300 | $2,600 | $2,600 |
| Net deductible | $500 | $1,000 | $1,000 |
| Annual out-of-pocket maximum | $6,000 | $12,000 | $12,000 |
| Prescription out-of-pocket maximum | $6,000 | $12,000 | $12,000 |
- Type of accountHealth Savings Account
- Tier 0$0 Copayment
- Tier 125% Coinsurance
- Tier 225% Coinsurance
- Tier 340% Coinsurance
- Tier 425% Coinsurance
- Tier 540% Coinsurance
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)No
- Deductible waiver (with Medicare Part B as Primary)No
- Deductible Waiver with Parts A & BNo
- Out-of-Pocket Maximum with Parts A & B$6,000
- Primary Care Physician Office Visit with Medicare A & B PrimaryNot applicable
- Specialty Physician Office Visit with Parts A & BNot applicable
- Inpatient Hospital Services with Parts A & BNot applicable
- Outpatient Hospital Services with Part ANot applicable
- Outpatient physician services (with Medicare Part B as Primary)Not applicable
- Part B Premium Reimbursement with Parts A & BNot applicable
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
- Specialty Physician Office Visit with Part CNot applicable
- Inpatient Hospital Services with Part CNot applicable
- Outpatient Hospital Services with Part CNot applicable
- Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
- Part B Premium Reimbursement with Part CNot applicable
- Preventive CareMember Pays Nothing
- Primary Care Office Visit5% Coinsurance
- Specialist Office Visit5% Coinsurance
- Emergency Care5% Coinsurance
- Urgent Care5% Coinsurance
- Doctor Costs for Inpatient Surgery5% Coinsurance
- Hospital Inpatient Cost Per Admission5% Coinsurance
- Hospital Room Costs5% Coinsurance
- Other Inpatient Hospital Costs5% Coinsurance
- Doctor Costs for Outpatient Surgery5% Coinsurance
- Other Outpatient Surgery Costs5% Coinsurance
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)5% Coinsurance
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)5% Coinsurance
- Enhanced Lab NetworkNot applicable
- Applied Behavioral Analysis (ABA)5% Coinsurance
- Chiropractic5% Coinsurance
- Occupational Therapy5% Coinsurance
- Physical Therapy5% Coinsurance
- Speech Therapy5% Coinsurance
- Professional Services (Mental Health and Substance Use Disorder)5% Coinsurance
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)5% Coinsurance
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)5% Coinsurance
- Diagnosis and Treatment (Infertility Services)5% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)5% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)5% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical Procedures5% Coinsurance
- Reconstructive Surgery5% Coinsurance
- Hearing Services5% Coinsurance
- Hearing Aids (external)Not Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays Nothing
- Hospice Care5% Coinsurance
- Home Health Services (Skilled Nursing Care)5% Coinsurance
- Durable Medical Equipment5% Coinsurance
- Outpatient Rehabilitation (Skilled Nursing Care Facility)5% Coinsurance
- Diabetes EducationMember Pays Nothing
- Nutritional CounselingMember Pays Nothing
- Routine Dental Exams and Cleaning for AdultsCovered
- Routine Dental Exams and Cleaning for ChildrenCovered
- Routine Eye ExamsCovered
- Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
- EyeglassesCovered
- Contact LensesCovered
- Acupuncture5% Coinsurance
- Chronic Disease Management: Heart DiseaseCovered
- Chronic Disease Management: ObesityCovered
- Chronic Disease Management: HypertensionCovered
- Chronic Disease Management: AsthmaCovered
Out-of-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $4,500 | $9,000 | $9,000 |
| Medical account contribution | $1,300 | $2,600 | $2,600 |
| Net deductible | $3,200 | $6,400 | $6,400 |
| Annual out-of-pocket maximum | $8,500 | $17,000 | $17,000 |
- Type of accountHealth Savings Account
- Tier 0$0 Copayment
- Tier 125% Coinsurance
- Tier 225% Coinsurance
- Tier 340% Coinsurance
- Tier 4100% Coinsurance
- Tier 5100% Coinsurance
- Mail Order PharmacyNo
- Deductible waiver (with Medicare Part A as Primary)No
- Deductible waiver (with Medicare Part B as Primary)No
- Deductible Waiver with Parts A & BNo
- Out-of-Pocket Maximum with Parts A & B$8,500
- Primary Care Physician Office Visit with Medicare A & B PrimaryNot applicable
- Specialty Physician Office Visit with Parts A & BNot applicable
- Inpatient Hospital Services with Parts A & BNot applicable
- Outpatient Hospital Services with Part ANot applicable
- Outpatient physician services (with Medicare Part B as Primary)Not applicable
- Part B Premium Reimbursement with Parts A & BNot applicable
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
- Specialty Physician Office Visit with Part CNot applicable
- Inpatient Hospital Services with Part CNot applicable
- Outpatient Hospital Services with Part CNot applicable
- Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
- Part B Premium Reimbursement with Part CNot applicable
- Preventive Care35% Coinsurance
- Primary Care Office Visit35% Coinsurance
- Specialist Office Visit35% Coinsurance
- Emergency Care5% Coinsurance
- Urgent Care35% Coinsurance
- Doctor Costs for Inpatient Surgery35% Coinsurance
- Hospital Inpatient Cost Per Admission35% Coinsurance
- Hospital Room Costs35% Coinsurance
- Other Inpatient Hospital Costs35% Coinsurance
- Doctor Costs for Outpatient Surgery35% Coinsurance
- Other Outpatient Surgery Costs35% Coinsurance
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)35% Coinsurance
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)35% Coinsurance
- Enhanced Lab NetworkNot applicable
- Applied Behavioral Analysis (ABA)35% Coinsurance
- Chiropractic35% Coinsurance
- Occupational Therapy35% Coinsurance
- Physical Therapy35% Coinsurance
- Speech Therapy35% Coinsurance
- Professional Services (Mental Health and Substance Use Disorder)35% Coinsurance
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)35% Coinsurance
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)35% Coinsurance
- Diagnosis and Treatment (Infertility Services)35% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)35% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)35% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical Procedures35% Coinsurance
- Reconstructive Surgery35% Coinsurance
- Hearing Services35% Coinsurance
- Hearing Aids (external)Not Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)35% Coinsurance
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)35% Coinsurance
- Hospice Care35% Coinsurance
- Home Health Services (Skilled Nursing Care)35% Coinsurance
- Durable Medical Equipment35% Coinsurance
- Outpatient Rehabilitation (Skilled Nursing Care Facility)35% Coinsurance
- Diabetes EducationMember Pays Nothing
- Nutritional Counseling35% Coinsurance
- Routine Dental Exams and Cleaning for AdultsCovered
- Routine Dental Exams and Cleaning for ChildrenCovered
- Routine Eye ExamsCovered
- Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
- EyeglassesCovered
- Contact LensesCovered
- Acupuncture35% Coinsurance
- Chronic Disease Management: Heart DiseaseNot Covered
- Chronic Disease Management: ObesityNot Covered
- Chronic Disease Management: HypertensionNot Covered
- Chronic Disease Management: AsthmaNot Covered
Offered nationwide.
Service area description
| State | Description |
|---|---|
| Nationwide | Nationwide |
Service area over time
| Year | States / areas listed |
|---|---|
| 2027 | Nationwide |
| 2026 | Nationwide |
| 2025 | Nationwide |
| 2024 | Nationwide |
| 2023 | Nationwide |
| 2022 | Nationwide |
| 2021 | Nationwide |
| 2020 | Nationwide |
| 2019 | Nationwide |
| 2018 | Nationwide |
| 2017 | Nationwide |
| 2016 | Nationwide |