$150 copay/visit, deductible doesn't apply 50% coinsurance. In-network & 90% coinsurance out-of-network for non-emergency use. Emergency medical transportation 20% coinsurance. 20% coinsurance 20% coinsurance in-network & 90% coinsurance out-of-network for non-emergency transport. $40 copay/visit, deductible doesn't apply $40 copay. Administered by Aetna International. No charge $30 copay 20% after deductible. And at age 50+ 1 colonoscopy every 10 years.
suggested for you
View the 2021 Standard Option planTraditional coverage. Affordable premiums.
With comprehensive care, this medical plan is the one you know and trust, with familiar benefits and coverageWhen you enroll in GEHA's Standard Option, you:
- Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through MDLIVE.
- Pay nothing for routine, in-network maternity care.
- Get a complete range of prescription services.
More Standard Option highlights:
- A 30-day supply of generic medication costs just $10.
- You can visit your primary care doctor for only a $15 copay each visit.
- This plan covers 100% of preventive care costs when you see an in-network provider.
2020 Rates
Google chrome old version windows. These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains your health benefits enrollment.
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Non-Postal biweekly | $60.54 | $130.18 | $155.52 |
| Postal biweekly – Category 1 | $58.12 | $124.97 | $149.30 |
| Postal biweekly – Category 2 | $50.25 | $108.05 | $129.08 |
| Monthly (retirees) | $131.18 | $282.05 | $336.96 |
Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through MDLIVE.
A 30-day supply of generic medication costs just $10.
You can visit your primary care doctor for only a $15 copay each visit.
Covered benefits for routine in-network maternity care and hospital stays.
PreviousNextCosts for services in 2020
The table below summarizes your in-network cost for medical benefits with GEHA Standard Option. For complete information, refer to the GEHA Plan Brochure.Copays
| Copay | What you pay in-network |
|---|---|
| Primary physician office visit | $15 |
| Specialist | $30 |
| MinuteClinic (where available) | $10 |
| Urgent care | $35 |
| Annual eye exam | $5 through EyeMed |
Other services
| Service | What you pay in-network |
|---|---|
| Preventive lab services | Nothing with Lab Card |
| Well-child visit; up to age 22 | Nothing |
| Adult routine screening | Nothing |
| Preventive dental care | 50% of allowance, twice yearly |
Maternity care
Does Aetna Cover A Colonoscopy
| Service | What you pay in-network |
|---|---|
| Routine provider care | Nothing |
| Inpatient care | Nothing |
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Calendar-year deductible (in-network) | $350 | $700 | $700 |
| Out-of-pocket-maximum (in-network) | $6,500 | $13,000 | $13,000 |
Prescriptions
The table below summarizes your cost for prescription drugs with GEHA's Standard Option. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.
To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.
Retail pharmacy – 30-day supply
| In-Network | Out of Network | |
|---|---|---|
| Generic | $10 | $10, plus difference between plan allowance and cost of drug |
| Preferred brand-name | 50%, up to $200 max¤ | 50%, up to $200 max, plus difference between plan allowance and cost of drug**¤ |
| Non-preferred brand-name | 50%, up to $300 max¤ | 50%, up to $300 max, plus difference between plan allowance and cost of drug**¤ |
Mail service pharmacy – 90-day supply
| In-Network | Out of Network | |
|---|---|---|
| Generic | $20 | n/a |
| Preferred brand-name | 50%, up to $500 max¤ | n/a |
| Non-preferred brand-name | 50%, up to $600 max¤ | n/a |
¤If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
**Retail fills eligible for a greater than a 30-day supply will be subject to the 50% coinsurance up to the maximum of $500 for preferred or $600 for non-preferred.
HEALTH REWARDS
Up to $250 in incentives for Standard Option members who complete simple and convenient health screenings.
VISION COVERAGE
Get in-network routine eye exams for $5 and discounts on eyewear.
GYM DISCOUNTS
Access over 10,000 fitness centers nationwide for $25 a month (plus a $25 enrollment fee and taxes).
^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB, but are made available to all enrollees and family members who become members of a GEHA medical plan. For information on year-round savings for GEHAdental members, visit Savings for GEHA dental members.
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.
Remember, the and plans have been suggested for you.
View ResultsCiti Benefits Handbook Teladoc — Doctors on Demand
Teladoc provides access to a national network of U.S. board-certified doctors, pediatricians, psychologists or therapists who are available on-demand 24 hours a day, 7 days a week, 365 days a year to diagnose, treat and prescribe medication (when necessary) for many medical issues via phone or online video consultations. Teladoc does not replace the existing primary care physician, psychologist or therapist relationship, but enhances it as a convenient, affordable alternative for medical care.
Generally, you pay a $40 copay subject to the deductible per Teladoc phone or video consultation with a physician, psychologist or therapist. After the deductible has been met, you will pay 20% of the consult, or $8, per consult. Charges for phone or video consultations with a physician, psychologist or therapist and/or other provider who is not contracted with Aetna's Teladoc service are excluded.
Note that due to COVID-19, Teladoc visits with in-network providers are covered at 100% with no copay, and are not subject to the deductible until June 30 2021.
Personal Health Record
Employees and covered family members enrolled in a medical program with Aetna have access to a Personal Health Record, which scans your information and compares it with the latest medical guidelines to identify potential problems and send you alerts.
When you visit the doctor, have a test or fill a prescription, the claims information gets populated automatically into your Personal Health Record. You can add important information yourself too, such as:
- Immunizations;
- Allergies;
- Blood pressure, weight, blood sugar and cholesterol numbers; and
There are several ways the tool can help you:
Aetna Colonoscopy Coverage
- Share it with your doctor. The 'home page' of your Personal Health Record is the Health Summary. It's your health information at a glance. You can decide what to share with your doctor. You can print out your Health Summary, take it with you to your doctor, or share it securely online before your visit.
- Keep track of when you are due for important checkups. It can help remind you when to get preventive screenings, like a mammogram or colonoscopy.
- Track important health numbers. See how your blood pressure, blood sugar, weight and other health markers change over time in clear, easy-to-understand graphs and charts.
- Manage your family's health information. The Personal Health Record is available to employees who enroll in an Aetna health benefits or health insurance plan. Covered family members have their own Personal Health Records. As the plan subscriber, you can access and add information to their Personal Health Records — as long as they are under age 18. You can give your covered spouse this access, too.
To get started, visit www.aetna.com and create a username and password on the secure member website. Then go to the Health Records tab and click on 'Personal Health Record.'
Aetna's maternity management program is available to Aetna members and can be used throughout your pregnancy and after your baby is born. You'll get information on:
- Preterm labor symptoms;
- Newborn care and more.
Aetna Copay Plans
All program materials are in English and Spanish. Translation services are also available in over 170 languages.
If you have health conditions or risk factors that could impact your pregnancy, you can work with a nurse case manager to help lower those risks. If eligible, you also get:
- A screening for depression; and
The Aetna Maternity Program also offers a Smoke-Free Moms-to-Be® program, where you'll get one-on-one nurse support to help you quit smoking for good.
To access the program, call 1 (800) CRADLE-1 (1 (800) 272-3531), weekdays from 8 a.m. to 7 p.m., ET, or log in to the secure member website at www.aetna.com and look under 'Health Programs.'
Aetna's In Touch Care program gives you direct phone access to a registered nurse. Through this program, one nurse is assigned to you and any family members. This care is also available online. To register, visit www.aetna.com.
Aetna Colonoscopy Cost
Employees and their dependents have access to a designated Autism Advocate who is specifically trained in Autism Spectrum Disorder (ASD). The Autism Advocate is a dedicated single point of contact to help families affected by an autism diagnosis by:
- Finding providers;
- Overseeing Utilization Management (authorization) for applied behavior analysis (ABA);
- Assuring that treatment is effective;
- Connecting parents to all available resources; and
- Coordinating with integrated autism care providers and supports.
Aetna Colonoscopy Copay Assistance
When you enroll in GEHA's Standard Option, you:
- Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through MDLIVE.
- Pay nothing for routine, in-network maternity care.
- Get a complete range of prescription services.
More Standard Option highlights:
- A 30-day supply of generic medication costs just $10.
- You can visit your primary care doctor for only a $15 copay each visit.
- This plan covers 100% of preventive care costs when you see an in-network provider.
2020 Rates
Google chrome old version windows. These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains your health benefits enrollment.
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Non-Postal biweekly | $60.54 | $130.18 | $155.52 |
| Postal biweekly – Category 1 | $58.12 | $124.97 | $149.30 |
| Postal biweekly – Category 2 | $50.25 | $108.05 | $129.08 |
| Monthly (retirees) | $131.18 | $282.05 | $336.96 |
Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through MDLIVE.
A 30-day supply of generic medication costs just $10.
You can visit your primary care doctor for only a $15 copay each visit.
Covered benefits for routine in-network maternity care and hospital stays.
PreviousNextCosts for services in 2020
The table below summarizes your in-network cost for medical benefits with GEHA Standard Option. For complete information, refer to the GEHA Plan Brochure.Copays
| Copay | What you pay in-network |
|---|---|
| Primary physician office visit | $15 |
| Specialist | $30 |
| MinuteClinic (where available) | $10 |
| Urgent care | $35 |
| Annual eye exam | $5 through EyeMed |
Other services
| Service | What you pay in-network |
|---|---|
| Preventive lab services | Nothing with Lab Card |
| Well-child visit; up to age 22 | Nothing |
| Adult routine screening | Nothing |
| Preventive dental care | 50% of allowance, twice yearly |
Maternity care
Does Aetna Cover A Colonoscopy
| Service | What you pay in-network |
|---|---|
| Routine provider care | Nothing |
| Inpatient care | Nothing |
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Calendar-year deductible (in-network) | $350 | $700 | $700 |
| Out-of-pocket-maximum (in-network) | $6,500 | $13,000 | $13,000 |
Prescriptions
The table below summarizes your cost for prescription drugs with GEHA's Standard Option. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.
To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.
Retail pharmacy – 30-day supply
| In-Network | Out of Network | |
|---|---|---|
| Generic | $10 | $10, plus difference between plan allowance and cost of drug |
| Preferred brand-name | 50%, up to $200 max¤ | 50%, up to $200 max, plus difference between plan allowance and cost of drug**¤ |
| Non-preferred brand-name | 50%, up to $300 max¤ | 50%, up to $300 max, plus difference between plan allowance and cost of drug**¤ |
Mail service pharmacy – 90-day supply
| In-Network | Out of Network | |
|---|---|---|
| Generic | $20 | n/a |
| Preferred brand-name | 50%, up to $500 max¤ | n/a |
| Non-preferred brand-name | 50%, up to $600 max¤ | n/a |
¤If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
**Retail fills eligible for a greater than a 30-day supply will be subject to the 50% coinsurance up to the maximum of $500 for preferred or $600 for non-preferred.
HEALTH REWARDS
Up to $250 in incentives for Standard Option members who complete simple and convenient health screenings.
VISION COVERAGE
Get in-network routine eye exams for $5 and discounts on eyewear.
GYM DISCOUNTS
Access over 10,000 fitness centers nationwide for $25 a month (plus a $25 enrollment fee and taxes).
^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB, but are made available to all enrollees and family members who become members of a GEHA medical plan. For information on year-round savings for GEHAdental members, visit Savings for GEHA dental members.
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.
Remember, the and plans have been suggested for you.
View ResultsCiti Benefits Handbook Teladoc — Doctors on Demand
Teladoc provides access to a national network of U.S. board-certified doctors, pediatricians, psychologists or therapists who are available on-demand 24 hours a day, 7 days a week, 365 days a year to diagnose, treat and prescribe medication (when necessary) for many medical issues via phone or online video consultations. Teladoc does not replace the existing primary care physician, psychologist or therapist relationship, but enhances it as a convenient, affordable alternative for medical care.
Generally, you pay a $40 copay subject to the deductible per Teladoc phone or video consultation with a physician, psychologist or therapist. After the deductible has been met, you will pay 20% of the consult, or $8, per consult. Charges for phone or video consultations with a physician, psychologist or therapist and/or other provider who is not contracted with Aetna's Teladoc service are excluded.
Note that due to COVID-19, Teladoc visits with in-network providers are covered at 100% with no copay, and are not subject to the deductible until June 30 2021.
Personal Health Record
Employees and covered family members enrolled in a medical program with Aetna have access to a Personal Health Record, which scans your information and compares it with the latest medical guidelines to identify potential problems and send you alerts.
When you visit the doctor, have a test or fill a prescription, the claims information gets populated automatically into your Personal Health Record. You can add important information yourself too, such as:
- Immunizations;
- Allergies;
- Blood pressure, weight, blood sugar and cholesterol numbers; and
There are several ways the tool can help you:
Aetna Colonoscopy Coverage
- Share it with your doctor. The 'home page' of your Personal Health Record is the Health Summary. It's your health information at a glance. You can decide what to share with your doctor. You can print out your Health Summary, take it with you to your doctor, or share it securely online before your visit.
- Keep track of when you are due for important checkups. It can help remind you when to get preventive screenings, like a mammogram or colonoscopy.
- Track important health numbers. See how your blood pressure, blood sugar, weight and other health markers change over time in clear, easy-to-understand graphs and charts.
- Manage your family's health information. The Personal Health Record is available to employees who enroll in an Aetna health benefits or health insurance plan. Covered family members have their own Personal Health Records. As the plan subscriber, you can access and add information to their Personal Health Records — as long as they are under age 18. You can give your covered spouse this access, too.
To get started, visit www.aetna.com and create a username and password on the secure member website. Then go to the Health Records tab and click on 'Personal Health Record.'
Aetna's maternity management program is available to Aetna members and can be used throughout your pregnancy and after your baby is born. You'll get information on:
- Preterm labor symptoms;
- Newborn care and more.
Aetna Copay Plans
All program materials are in English and Spanish. Translation services are also available in over 170 languages.
If you have health conditions or risk factors that could impact your pregnancy, you can work with a nurse case manager to help lower those risks. If eligible, you also get:
- A screening for depression; and
The Aetna Maternity Program also offers a Smoke-Free Moms-to-Be® program, where you'll get one-on-one nurse support to help you quit smoking for good.
To access the program, call 1 (800) CRADLE-1 (1 (800) 272-3531), weekdays from 8 a.m. to 7 p.m., ET, or log in to the secure member website at www.aetna.com and look under 'Health Programs.'
Aetna's In Touch Care program gives you direct phone access to a registered nurse. Through this program, one nurse is assigned to you and any family members. This care is also available online. To register, visit www.aetna.com.
Aetna Colonoscopy Cost
Employees and their dependents have access to a designated Autism Advocate who is specifically trained in Autism Spectrum Disorder (ASD). The Autism Advocate is a dedicated single point of contact to help families affected by an autism diagnosis by:
- Finding providers;
- Overseeing Utilization Management (authorization) for applied behavior analysis (ABA);
- Assuring that treatment is effective;
- Connecting parents to all available resources; and
- Coordinating with integrated autism care providers and supports.
Aetna Colonoscopy Copay Assistance
Aetna Colonoscopy Policy
- There must be a diagnosis of Autism Spectrum Disorder;
- The maladaptive target behavior must be severe (risk to personal safety, or the safety of others in the child's environment, or very significantly/completely interferes with ability to function);
- Parent/caregiver(s) must be involved in training of behavioral techniques;
- There is a time-limited, individualized treatment plan with objective measures that describes behavioral interventions;
- There is involvement of community resources (such as the school district); and
- Services must be provided by individuals licensed by the state or certified by the Behavior Analyst Certifying Board.
