Geha dental benefits federal

who are eligible to enroll in the Federal Employees Health Benefits Program may become members of GEHA. You must be, or must become a member of Government Employees Health Association, Inc. To become a member: You join simply by signing a completed Standard Form 2809, Health Benefits Registration Form, evidencing your enrollment in …

Geha dental benefits federal. GEHA welcomes federal employees and military retirees to take a look at GEHA's FEDVIP dental plans for 2024! Skip to main content. Medical: 800.821.6136; Dental: 877.434.2336; Chat with a FedViser; Schedule a Benefits Session; Help. Contact us FAQs Forms and documents How to enroll Benefits webinars. Sign in or Register.

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The address for our administrative office is: GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 (877) GEHA-DEN or (877) 434-2336 www.geha.com. This brochure is the official statement of benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Why you might like Standard: GEHA's lowest premium dental plan. Offers orthodontic coverage for both children and adults, with no waiting period. Two preventive cleanings per year. Includes a $2,500 annual maximum benefit per person when staying in-network. New in 2024: Nitrous oxide will now be covered for all ages for covered procedures, if ...In the eyes of the Internal Revenue Service, most inherited money isn't income. If your parents leave you, say, $50,000 and a Ferrari, you don't owe Uncle Sam a penny. Some types o...Standard Option: GEHA. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered healthcare services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.Please note that eligibility for the Federal Employees Dental and Vision Insurance Program (FEDVIP) is determined by BENEFEDS. If you wish to enroll but do not have online access, call toll-free 877.888.3337. For TTY, call 877.889.5680. Federal employees, annuitants and eligible TRICARE retirees can sign up for a GEHA FEDVIP dental plan through ...

It’s possible with a High Deductible Health Plan (HDHP) from GEHA. Join us as we break down the mysteries of an HDHP, its comprehensive medical coverage including added dental and vision benefits, and show how, when tied to a Health Savings Account (HSA), you can take greater control of your health care dollars. Watch now Download slides.Elevate and Elevate Plus members pay a $0 copay for annual eye exams at qualified EyeMed providers. Standard and High medical members and dental members pay a $5 copay at qualified EyeMed providers. If you are a GEHA HDHP member, click Vision Benefits for HDHP members for information on your vision benefits. GEHA’s Connection Vision offers ...Today we’re one of the largest medical and dental benefit providers in the country that exclusively serves Federal and Postal employees, annuitants, military retirees and their families. Community involvement. Quality & accreditation. GEHA offers medical and dental benefit plans to more than 2 million federal employees, retirees and their ...GEHA is the second-largest national health plan and the second-largest national dental plan serving federal employees, federal retirees, and their families.Jobs at GEHA; Benefits officers; Providers; ... For a more optimal geha.com experience, ... Jobs at GEHA; Connection Dental Federal;In the past few years, tooth-whitening has exploded as the physical upgrade of choice. Unlike nose jobs and chin tucks, just about anybody can afford to try this at home. Does it r...GEHA, a popular Federal Employees Health Benefit plan that covers some 2 million beneficiaries, has some of its services provided by Change Healthcare, the target …

Medical alert system 1. Medical alert system. 1 These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all Enrollees who become members of a GEHA medical plan and their eligible family members. For information on year-round savings for GEHA dental members, visit Savings for GEHA dental ...Dear Lifehacker,I know I'm supposed to go to the doctor once a year and the dentist twice, but do I really need to? Whenever I get a physical I feel fine and there's really anythi...New for 2024: GEHA contributes $1,000 (Self Only) or $2,000 (Self Plus One or Self and Family) to your HSA. Pay no taxes on the money you put in your HSA to lower your yearly taxable income. Choose to invest your HSA savings and watch it grow as your money carries over year-to-year1.Dental plans designed for federal employees. Like you. With two flexible plans, and no in-network deductibles, ever — it's no wonder GEHA is the dental carrier of choice among federal employees. This year, choose a plan focused on you with one of the largest dental provider networks for federal employees, military retirees and their families.For information on year-round savings for GEHA dental members, ... Before making a final decision, please read the Plan's Federal brochure RI 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure. 2024 Medical Benefits Guide. Review this guide with all our plans, including rates, costs ...

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Why you might like Standard: GEHA's lowest premium dental plan. Offers orthodontic coverage for both children and adults, with no waiting period. Two preventive cleanings per year. Includes a $2,500 annual maximum benefit per person when staying in-network. New in 2024: Nitrous oxide will now be covered for all ages for covered procedures, if ...federal employees, federal annuitants, retired military and their families through the Federal Employee Dental and Vision Insurance Program (FEDVIP) and Connection Dental Plus. This Plan Manual is designed as a reference guide for the dental plans we offer. GEHA offers two FEDVIP Plans, GEHA Connection Dental FederalYou cannot enroll or continue FEDVIP enrollment after you leave Federal Service (not retiring). There is no 31 day temporary extension of coverage or opportunity to convert to private coverage. Your coverage ends on the last day of the pay period during which you separate. You are entitled to a free 31 day extension of coverage and conversion ...GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 (877) GEHA-DEN or (877) 434-2336 www.gehadental.com This brochure is the official statement of benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. It is your responsibility to be informed about your benefits.Reasons to Smile: GEHA Dental Benefit Plans. Learn more about our two comprehensive FEDVIP dental plans, and why GEHA is the dental benefits provider of choice among federal employees. Watch now Download slides. High Deductible Health Plan (HDHP) 101.GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 (877) GEHA-DEN or (877) 434-2336 www.gehadental.com This brochure is the official statement of benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. It is your responsibility to be informed about your benefits.

In the eyes of the Internal Revenue Service, most inherited money isn't income. If your parents leave you, say, $50,000 and a Ferrari, you don't owe Uncle Sam a penny. Some types o...Saber-tooth cats are perhaps the most well-known extinct felines. Learn about saber-tooth cats and the behavior patterns of saber-tooth cats. Advertisement It's easy to imagine tha...Why you might like Standard: GEHA's lowest premium dental plan. Offers orthodontic coverage for both children and adults, with no waiting period. Two preventive cleanings per year. Includes a $2,500 annual maximum benefit per person when staying in-network. New in 2024: Nitrous oxide will now be covered for all ages for covered procedures, if ...©2019 American Dental Association J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) Dental Claim Form To reorder call 800.947.4746 or go online at ADAcatalog.org fold fold fold fold GEHA Connection Dental Federal GEHA Connection Dental Plus P.O. Box 21542 Eagan, MN 55121 FD-FRM-0619-001As a GEHA dental plan member, you receive access to Connection Hearing ®, a hearing-aid discount program through TruHearing. Hearing aids can be expensive, but TruHearing saves GEHA members 30% to 60% off hearing aids. That's an average savings of more than $2,600 per pair. You can experience the latest advances in hearing technology …GEHA members. • Federal Employee Health Benefits program (FEHB Medical plans) utilizes the GEHA Connection Dental Network. • GEHA Dental plans utilize four networks: GEHA Connection Dental Network, CIGNA Network, Careington Network and DentaMax Network. • GEHA Connection Dental Contact Number: 800.505.8880 • Fax: 816.257.4439The federal Railroad Retirement Board oversees railroad disability and retirement annuities for railroad industry employees. Although railroad employees do not receive Social Secur...If you have claims for GEHA FEHB members and Medicare is the primary plan, GEHA participates in CMS’ Coordination of Benefits Agreement (COBA) Program and will receive claims and the Medicare primary benefit information electronically from the Coordination of Benefits Contractor (COBC). ... GEHA Connection Dental Federal (FEDVIP) P.O. Box ...GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than 2 million federal employees and retirees, military retirees and their families. Offering one of the largest medical and dental benefit provider networks available to …Some forms and documents can also be delivered to you by U.S. mail if you call GEHA Customer Care at 800.821.6136. If you are an Agency Benefits Officer, please contact the GEHA Account Manager in your state to submit a mail-order request. For information on our FEDVIP (Federal Employees Dental and Vision Insurance Program) plan, click ...View what's new for GEHA's 2024 dental plans. This is a brief description of the features of Government Employees Health Association, Inc.'s medical plans. Before making a final decision, please read the GEHA Federal brochures. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure.Changes for 2024. Summary of Benefits. A National Dental PPO Plan. Who may enroll in this Plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the …

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This is a brief description of the features of the GEHA Standard Option medical plan. Before making a final decision, please read the Plan's Federal brochure RI 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure. Why you might like Standard: GEHA's lowest premium dental plan. Offers orthodontic coverage for both children and adults, with no waiting period. Two preventive cleanings per year. Includes a $2,500 annual maximum benefit per person when staying in-network. New in 2024: Nitrous oxide will now be covered for all ages for covered procedures, if ... Calendar year maximum. Class A, B and C services only. Unlimited per person. $2,500 per person. $2,000 per person. Class B and C services out-of-network deductible is $0 for High, $25 Standard Self Only, $50 Standard Self Plus One and $75 Standard Self and Family. 1 These benefits are neither offered nor guaranteed under contract with the ...Standard Option: GEHA. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered healthcare services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.GEHA HDHP, hands down. The premium is relatively cheap, and once you hit your deductible, non-pharmacy co-insurance is only 5 percent (pharmacy is 25 percent). BCBS Basic. The dental benefits for either option are trash, FYI. But if I had zero issues (which I don't) I'd probably do a HDHP.GEHA members. • Federal Employee Health Benefits program (FEHB Medical plans) utilizes the GEHA Connection Dental Network. • GEHA Dental plans utilize four networks: GEHA Connection Dental Network, CIGNA Network, Careington Network and DentaMax Network. • GEHA Connection Dental Contact Number: 800.505.8880 • Fax: 816.257.4439Dental benefits (100% of Plan allowance for diagnostic and preventive services twice per person per calendar year). ... -0939, 866-471-5964, www.hsabank.com), this is HDHP's fiduciary (an administrator, trustee or custodian as defined by Federal tax code and approved by IRS). GEHA is the HRA fiduciary for this Plan. (P.O. Box 21542, Eagan, MN ...GEHA Unveils Medical and Dental Plans Available to Federal Employees, Retired Military and Their Dependents in 2024 | Business Wire. A comprehensive portfolio of FEHBP and FEDVIP plans...

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View what's new for GEHA's 2024 dental plans. This is a brief description of the features of Government Employees Health Association, Inc.'s medical plans. Before making a final decision, please read the GEHA Federal brochures. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure.Getting food stuck in your teeth is embarrassing, even more so when no one tells you about it. Learn how to tell someone they have something in their teeth. Advertisement You're me...Dear Lifehacker,I know I'm supposed to go to the doctor once a year and the dentist twice, but do I really need to? Whenever I get a physical I feel fine and there's really anythi...Reasons to Smile: GEHA Dental Benefit Plans. Learn more about our two comprehensive FEDVIP dental plans, and why GEHA is the dental benefits provider of choice among federal employees. Watch now Download slides. High Deductible Health Plan (HDHP) 101.1 These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all Enrollees who become members of a GEHA medical plan and their eligible family members. 2 You pay $175 ($100 professional fee, $75 facility fee) for advanced outpatient High Tech Imaging such as MRI, CT, PET, etc. Refer to …You cannot enroll or continue FEDVIP enrollment after you leave Federal Service (not retiring). There is no 31 day temporary extension of coverage or opportunity to convert to private coverage. Your coverage ends on the last day of the pay period during which you separate. You are entitled to a free 31 day extension of coverage and conversion ...Agency Benefits Officers. GEHA's Account Management Department works closely with federal Agency Benefits Officers year-round, helping any way we can to make your job easier. Here you will find an overview of the resources and services GEHA makes available for you and your agency.Improve your health by kick-starting your workout routine with GEHA's Connection Fitness ® powered by the Active&Fit Direct ™ program. All GEHA medical plan members have access to more than 12,200 nationwide participating fitness centers for $28 a month (plus applicable taxes; the enrollment fee is waived through June 30, 2024, with code … This brochure describes the Connection Dental Plus Plan (“Connection Dental Plus”) benefits that are part of the Government Employees Health Association, Inc. Voluntary Welfare Benefit Plan (“Plan”). The Plan is intended to comply with and be governed by the Employee Retirement Income Security Act of 1974 (ERISA). This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM02-FEDVIP-02AP-08 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 (877) GEHA-DEN or (877 ... ….

For information on year-round savings for GEHA dental members, ... Before making a final decision, please read the Plan's Federal brochure RI 71-006. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure. 2024 Medical Benefits Guide. Review this guide with all our plans, including rates, costs ... The address for our administrative office is: GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 (877) GEHA-DEN or (877) 434-2336 www.geha.com. This brochure is the official statement of benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. What's new for 2024 in GEHA dental plans. Nitrous oxide will now be covered for all ages for all procedures, if medically necessary. Prefabricated porcelain/ceramic crowns on primary teeth will now be covered, limited to one per patient, per tooth, per lifetime for children under 15 years of age. This is a brief description of services covered ...You cannot enroll or continue FEDVIP enrollment after you leave Federal Service (not retiring). There is no 31 day temporary extension of coverage or opportunity to convert to private coverage. Your coverage ends on the last day of the pay period during which you separate. You are entitled to a free 31 day extension of coverage and conversion ...who are eligible to enroll in the Federal Employees Health Benefits Program may become members of GEHA. You must be, or must become a member of Government Employees Health Association, Inc. To become a member: You join simply by signing a completed Standard Form 2809, Health Benefits Registration Form, evidencing your enrollment in the Plan.Improve your health by kick-starting your workout routine with GEHA's Connection Fitness ® powered by the Active&Fit Direct ™ program. All GEHA medical plan members have access to more than 12,200 nationwide participating fitness centers for $28 a month (plus applicable taxes; the enrollment fee is waived through June 30, 2024, with code …Dental questions: 877.434.2336 ^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEDVIP program, but are made available to all enrollees and family members who become members of a GEHA dental plan.Our Benefits Advisers are available to help new shoppers Mon. – Fri. from 7 a.m. – 7 p.m. Central time. Call now 833.973.GEHA; Live Chat ... Jobs at GEHA; Connection Dental Federal; Connection Dental Plus; Connection Dental Discount; LEGAL. Report fraud, waste or abuse; Transparency in coverage; This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM02-FEDVIP-02AP-08 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal. 310 NE Mulberry St. Lee's Summit, MO 64086 (877) GEHA-DEN or (877 ... File claims or predetermination of benefits to: GEHA C onnection Dental Plus . Attn: Claims Department . PO Box 21542 . Eagan, MN 55121 -9930 . Information available from the GEHA website, ... Federal Employees Dental and Vision Insurance Program. Covered Person : A Covered Person means a Member or Eligible Dependent Geha dental benefits federal, The GEHA dental plan (also known as the GEHA connection Dental Federal SM Dental Plan) has a few special features that other dental insurance companies just don’t have. GEHA offers “High Option” and “Standard Option” plans that are now better than they ever were before…and that’s really saying something! GEHA is actually part of …, GEHA Connection Dental Federal P.O. Box 21542 Eagan, MN 55121-9930 . Fax: 816.257.3302 . Other Coverage Information Form . If you or any other family member have other coverage that pays for your dental expenses in addition to GEHA, please return this completed form to GEHA Connection Dental Federal by mail or fax to the …, No waiting period. $3,500 lifetime maximum. 70%. 12-month waiting period $2,500 lifetime maximum. Calendar year maximum. for Class A, B and C services. Unlimited per person. $2,500 per person. This is a brief description of services covered under the GEHA Connection Dental Federal plan., Simple extractions, the plan pays $21 per tooth. Benefits are limited to (per person, per calendar year) 2 exams. 2 prophylaxis (cleanings) 2 fluoride (no age limit) (Exams, prophylaxis and fluoride) are paid at 100% of GEHA's allowable amount. X-ray charges (no frequency/any type of X-ray) are paid at 100%, for a maximum of $150 paid per ..., Brushing your teeth only takes a couple minutes, and so does increasing your happiness. Here’s a super easy way to train yourself to look on the bright side. Brushing your teeth on..., Today we’re one of the largest medical and dental benefit providers in the country that exclusively serves Federal and Postal employees, annuitants, military retirees and their families. Community involvement. Quality & accreditation. GEHA offers medical and dental benefit plans to more than 2 million federal employees, retirees and their ... , This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM02-FEDVIP-02AP-08 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 , The plan perk benefits are neither offered nor guaranteed under contract with the FEHB Program, and are being made available by GEHA. ABOUT GEHA. GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.), founded in 1937, is a non-profit member association and the largest dental and second largest medical …, This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM01-FEDVIP-01AP-8 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal P. O. Box 2336 Independence, MO 64051-2336, New for 2024: GEHA contributes $1,000 (Self Only) or $2,000 (Self Plus One or Self and Family) to your HSA. Pay no taxes on the money you put in your HSA to lower your yearly taxable income. Choose to invest your HSA savings and watch it grow as your money carries over year-to-year1., Simple extractions, the plan pays $21 per tooth. Benefits are limited to (per person, per calendar year) 2 exams. 2 prophylaxis (cleanings) 2 fluoride (no age limit) (Exams, prophylaxis and fluoride) are paid at 100% of GEHA's allowable amount. X-ray charges (no frequency/any type of X-ray) are paid at 100%, for a maximum of $150 paid per ... , As a GEHA dental plan member, you receive access to Connection Hearing ®, a hearing-aid discount program through TruHearing. Hearing aids can be expensive, but TruHearing saves GEHA members 30% to 60% off hearing aids. That's an average savings of more than $2,600 per pair. You can experience the latest advances in hearing technology …, GEHA Appeals Department . P.O. Box 21542 • Eagan, MN 55121-9930 Fax 816.257.3268 • Email [email protected] . DAF0817. Dental Appeal Form . If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision., GEHA, a popular Federal Employees Health Benefit plan that covers some 2 million beneficiaries, has some of its services provided by Change Healthcare, the target of the attack by a ransomware ..., Dentist Last Name. Office Name. Specialty (Select all that apply) Dental Anesthesia. Endodontics. General Dentistry. Oral & Maxillofacial Surgery. Oral Pathology. Orthodontics., This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM02-FEDVIP-02AP-08 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal 310 NE Mulberry St Lee's Summit, MO 64086 , GEHA was created for federal employees like you. ... Learn more about medical and dental plans with GEHA. Medical plans. ... Get immediate answers about GEHA health plans. Our benefits experts are online and ready to assist you Monday–Friday, 7 a.m. to 7 p.m. Central time., This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM01-FEDVIP-01AP-8 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal P. O. Box 21542 Eagan, MN 55121-9930 (877) GEHA-DEN or (877) 434-2336, Gain access to more than 57 million covered lives through national directories that includes GEHA’s FEDVIP members, other insurance companies, plan administrators and self-funded groups. Boost your business with new patients and referrals from the Network. Build your patient base for the long-term with a network that is growing right ..., Jobs at GEHA; Benefits officers; Providers; ... For a more optimal geha.com experience, ... Jobs at GEHA; Connection Dental Federal;, Dental Coordination of Benefits. If you or any other family member has other coverage that pays for your dental expenses in addition to GEHA, please complete the information below and select Submit to send this secure form electronically to GEHA. All fields are required unless noted as (optional), Dental and vision benefits first became available only to eligible Federal and Postal employees, retirees, and their eligible family members on an enrollee-pay-all basis t hrough the program called the Federal Employees Dental and Vision Insurance Program (FEDVIP). Section 715 of the National Defense Authorization Act for Fiscal Year 2017 (FY ..., Dental questions: 877.434.2336 ^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEDVIP program, but are made available to all enrollees and family members who become members of a GEHA dental plan., Call 800.262.4342. Already a GEHA member? Enroll in a GEHA Medicare Advantage Plan. Once you are enrolled in a GEHA Standard or High medical plan with Medicare Parts A & B, you qualify for the GEHA Medicare Advantage Plans. Call 1.844.491.9898., GEHA, In the eyes of the Internal Revenue Service, most inherited money isn't income. If your parents leave you, say, $50,000 and a Ferrari, you don't owe Uncle Sam a penny. Some types o..., Coverage for major dental needs You pay $0 deductible in-network. No waiting periods. GEHA's plans let you start treatments right away, even when your needs ..., In the eyes of the Internal Revenue Service, most inherited money isn't income. If your parents leave you, say, $50,000 and a Ferrari, you don't owe Uncle Sam a penny. Some types o..., It’s possible with a High Deductible Health Plan (HDHP) from GEHA. Join us as we break down the mysteries of an HDHP, its comprehensive medical coverage including added dental and vision benefits, and show how, when tied to a Health Savings Account (HSA), you can take greater control of your health care dollars. Watch now Download slides., This brochure describes the Connection Dental Plus Plan (“Connection Dental Plus”) benefits that are part of the Government Employees Health Association, Inc. Voluntary Welfare Benefit Plan (“Plan”). The Plan is intended to comply with and be governed by the Employee Retirement Income Security Act of 1974 (ERISA)., Dental benefits (100% of Plan allowance for diagnostic and preventive services twice per person per calendar year). ... -0939, 866-471-5964, www.hsabank.com), this is HDHP's fiduciary (an administrator, trustee or custodian as defined by Federal tax code and approved by IRS). GEHA is the HRA fiduciary for this Plan. (P.O. Box 21542, Eagan, MN ..., Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2024 – 12/31/2024 High Option: GEHA Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.,