GEHAReviews of geha.com

I’ll be switching at open season. I had a baby last year and they didn’t pay a claim for baby from the day he was born! He was healthy, the hospital was in network, I called months ago and was told they made a mistake and were reprocessing the claim but, nothing has happened. I just got a collection bill in the mail. I feel like I never know the cost on my end before I go to a doctor anymore. I went to an in network dentist and they were never able to get ahold of GEHA for coverage so, I had to pay for my annual exam out of pocket. Haven’t been able to use MDLive after the ID number switch either. It’s supposed to be free for members. I’ve had GEHA for 9 years and have never had these issues. I’m tired of getting surprise big bills, I’m ready to switch,

I have been with GEHA 20 years and using the High Deductible plan. At 65 I was switched to an HRA instead of a HSA. It worked for many years. This year it is has been impossible to get reimbursements for my out of pocket costs. I have numerous phone calls and using their new chat system and the representatives are clueless. I have been apologized to numerous times and told my issue has been escalated, but three months later still no payments are made. They are turning into the worst option for health insurance and I cannot wait for open season.

Have had GEHA for 8 years and have loved the service, had multiple children and they covered a ton for us. We didn’t have a single negative experience. Until they started going downhill with their merger with United it seems. According to the GEHA reps we have spoken to concerning the insane bills we have had to pay lately: They changed their policies…AFTER OPEN ENROLLMENT…as of 2025. We have had multiple sick kids and our bills keep coming back with GEHA covering a $1.18! $1.18! We have ALWAYS had money in our HSA until this year when GEHA nearly doubled our out of pocket. All of a sudden the 3k in our HSA was drained for needing to put tubes in our kids ears. We asked multiple doctors if we could pay cash, out of pocket for a lower rate, but they said they legally have to send it to insurance since we have it. So our last two exams for our boys came back with an insurance adjustment of $1.18. What’s the point?! We will sadly be changing providers next open enrollment.

I have tried to resolve a claim involving an in network provider for the last 6 months. GEHA says I owe $204.57 because it was billed out of network by mistake. I should owe $3. GEHA acknowledges the error but has no idea how to fix it. I have been on the phone for over 2 hours with an "advocate", mostly on hold. I was promised but no callback.

My Jardiance went from $75 to $400. I am sure the rest of my drugs will do the same. They no longer include the Dentist I have been with for over 20 as a preferred provider. Trying to use the computer system and Caremark Prescription is a frustrating. I have been with GEHA for 30 excellent years and now they have went horrible. I will change at first chance.

I have close to 20 claims that I have had to resubmit because the EOB shows a check was written, but I never received it. When I used the "chat" function, the rep told me to resubmit all 20 claims because the checks either were never mailed, got lost, etc. I think it was simple fraud. For 30+ years, I had no trouble receiving checks from GEHA. My husband and I thought GEHA was great. Then UHC took over. Now I think they are part of a mafia scheme. They take the insurance payment from me and stiff me on the claims. Clearly, I am not the only person who is going through this. I wonder if the RICO statute would apply if a class action suit were filed. GEHA's obvious exposure could be a boon for an aggressive attorney looking for a "hot" class action suit. I guess there's always a silver lining to a problem.

Cannot wait to switch during open season..THE WORST WEBSITE AND CUSTOMER SERVICE EVER

I used GEHA since 1988. For several decades they were an effective company. Then they were bought out a few years ago. Quality and service plummeted, and they began the delay, deny, defend game. My wife had outpatient surgery at the biggest hospital in our state. I confirmed that they were in network both with the GEHA website and with the hospital and was assured that they were. When GEHA finally issued an EOB, they claimed that the hospital was out of network on the day of surgery, despite being in network before and after that date. CSR told me I could not rely on any information on their website. Conveniently for them, all of their records were off-line due to data breaches, and they refused to discuss or correct their mistakes. I dropped them at open season, just in time to avoid the forced conversion to SilverScript. I'll never use GEHA again. Stay away from this new bunch pretending to be the former reliable GEHA.