GEHA Health Insurance Options Explained

Author

Reads 7.9K

A Health Insurance Spelled on Scrabble Blocks on Top of a Notebook Planner
Credit: pexels.com, A Health Insurance Spelled on Scrabble Blocks on Top of a Notebook Planner

GEHA offers a range of health insurance options to fit different needs and budgets. With multiple plans to choose from, you can select the one that suits you best.

GEHA's plans are designed to provide comprehensive coverage for individuals, families, and retirees. They also offer dental and vision plans for added protection.

GEHA's network includes over 700,000 healthcare providers, giving you access to quality care wherever you go. This makes it easy to find a doctor or specialist who fits your needs.

GEHA's plans also offer a range of discounts and incentives to help you save money on healthcare costs. These include discounts on prescriptions, medical devices, and other health-related expenses.

GEHA Overview

GEHA has a rich history dating back to 1937 when it was founded as the Railway Mail Hospital Association.

The company's name has undergone significant changes over the years, reflecting its growth and evolution. Here are the different names GEHA has had since its founding:

  • 1937: Railway Mail Hospital Association
  • 1950: Postal Transport Hospital Association
  • 1958: Federal Postal Hospital Association
  • 1964: Federal Employees Hospital Association
  • 1965: Government Employees Hospital Association
  • 2007: Government Employees Health Association

The company's name changes reflect its expansion and growth over the years, ultimately resulting in the name GEHA we know today.

Choose the Best Plan for You

Credit: youtube.com, Can I choose a GEHA dental plan and a medical plan from a different carrier?

GEHA offers five FEHB plans and five plans in the new Postal Service Health Benefits (PSHB) Program, including Medicare Advantage plans for federal and postal retirees.

You can choose from a variety of plans to fit your needs, such as G.E.H.A. Elevate, a high-deductible health plan (HDHP) that may be a strong choice for federal employees.

Members joining GEHA for the first time receive an additional $80 when they open a health savings account (HSA).

GEHA's benefits experts are available to help you choose a plan that works for you, whether you call them or use live chat.

You can reach GEHA's benefits experts by phone from 7 a.m. to 7 p.m. CT or through live chat from 7 a.m. to 6 p.m. CT.

For those with more significant health care needs, GEHA's standard and high plans offer more robust options.

GEHA is part of the Federal Employee Dental and Vision Insurance Program (FEDVIP), extending dental and vision insurance options to federal employees and retirees.

Coverage Details

Credit: youtube.com, Healthcare Coverage Strategy // GEHA

GEHA plans offer coverage for mental health services, including therapy sessions with a qualified therapist. GEHA has several plans to choose from, and the coverage for mental health services differs based on which plan you have.

You can check if your GEHA plan covers therapy by reading through your Summary of Benefits document. This document will show you how much you'll need to pay out-of-pocket per therapy session.

GEHA plans cover many mental health conditions, including anxiety, depression, addiction, postpartum depression, and alcohol or substance use.

To check your mental health benefits, you can book a consultation with a GEHA benefits coordinator or call the GEHA customer service number. They can help you understand your mental health benefits, including how much coverage you receive from your GEHA plan.

GEHA plans cover online therapy, and you'll pay the same amount per session whether you see your therapist online or in-person. Many GEHA plans also offer access to MDLive, an app that connects individuals with doctors in an online setting.

Worth a look: Tufts Health Plan

Credit: youtube.com, GEHA's Medical Benefits 2024

Here are some examples of mental health services that may be covered by GEHA:

  • Residential treatment
  • Partial hospitalization
  • Outpatient programs
  • Recovery coaching
  • Virtual outpatient programs

Keep in mind that coverage details and prerequisites can vary per your policy. Consult with GEHA directly to understand your policy's coverage. Pre-authorization may be necessary for certain services.

Therapy Options

GEHA offers various therapy options to suit your needs. You can choose from in-network or out-of-network providers, depending on your plan. Most GEHA plans have copays and coinsurances for in-network providers, with costs ranging from $20 to $30 per session.

Some common therapy approaches covered by GEHA include Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), and Dialectical Behavioral Therapy (DBT). These therapies have scientific evidence supporting their effectiveness for clients with specific diagnoses or situations.

GEHA plans cover many types of therapy, including most therapies with clinical rigor behind them. This means you can explore different approaches to find what works best for you.

Credit: youtube.com, 2020 Standard and High Option Medical Membership Video

Here are some specific therapy options covered by GEHA:

  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Biofeedback
  • Exposure and Response Prevention Therapy

Additionally, GEHA covers online therapy, which can be a convenient option for those who prefer to see their therapist remotely. The costs for online therapy are the same as in-person sessions.

Programs and Coverage

GEHA offers a wide range of mental health programs to support your recovery. You can access residential treatment, partial hospitalization, outpatient programs, recovery coaching, virtual outpatient programs, and more with your GEHA coverage.

To check if your GEHA plan covers therapy, locate and read through your Summary of Benefits document. This document will outline the coverage available for members of your plan, including in-network benefits and out-of-network benefits.

GEHA plans cover many mental health conditions, including anxiety, depression, addiction, and postpartum depression. You can also contact GEHA customer service to request information on your mental health benefits.

If you're struggling with a mental health condition, don't hesitate to reach out for help. GEHA's online mental health program, supported by GEHA mental health coverage, offers evidence-based therapies and customized treatment plans to support your recovery.

Recommended read: Tufts Health Plan Ppo

Credit: youtube.com, Learn about GEHA's Rewards Programs

Some common types of behavioral mental health programs covered by GEHA include residential treatment, outpatient services, intensive outpatient programs (IOP), partial hospitalization programs (PHP), group therapy, family therapy, and substance use disorder treatment. Be sure to consult with GEHA directly to understand your policy's coverage and any necessary pre-authorization.

Here are some of the specific behavioral mental health programs covered by GEHA:

  • Residential Treatment
  • Outpatient Services
  • Intensive Outpatient Programs (IOP)
  • Partial Hospitalization Programs (PHP)
  • Group Therapy
  • Family Therapy
  • Behavioral Therapies
  • Substance Use Disorder Treatment
  • Telehealth

Keep in mind that coverage details and prerequisites can vary per your policy, so it's essential to consult with GEHA directly to understand your coverage.

Coverage Limits

GEHA plans offer coverage for mental health services, including therapy sessions with a qualified therapist. You'll pay less if you work with a therapist in GEHA's provider network.

If you prefer online therapy, GEHA plans cover it, and you'll pay the same amount per session as in-person therapy. Many GEHA plans offer members access to MDLive, an app that connects individuals with doctors in an online setting.

Credit: youtube.com, GEHA's 2024 Dental Benefits: No waiting period for Medicare, seniors, families and individuals.

GEHA insurance typically covers residential mental health treatment, but coverage details and prerequisites can vary per policy. Consult with GEHA directly to understand your policy's coverage and any necessary pre-authorization.

Pre-authorization may be necessary for certain services, so it's essential to check with GEHA before seeking residential treatment. This will help you understand what's covered and what's not.

Frequently Asked Questions

What does GEHA stand for?

GEHA stands for Government Employees Health Association, Inc., a non-profit organization providing health insurance and benefits to federal employees and their families. Learn more about GEHA's history, mission, and services.

Carole Veum

Junior Writer

Carole Veum is a seasoned writer with a keen eye for detail and a passion for financial journalism. Her work has appeared in several notable publications, covering a range of topics including banking and mergers and acquisitions. Veum's articles on the Banks of Kenya provide a comprehensive understanding of the local financial landscape, while her pieces on 2013 Mergers and Acquisitions offer insightful analysis of significant corporate transactions.

Love What You Read? Stay Updated!

Join our community for insights, tips, and more.