GEHAReviews of geha.com

GEHA is not processing claims. I have three submissions for my claims (twice through the App and once online), three different confirmation numbers, but none of them have been processed two months later. GEHA should be banned from doing business with the government or any other agency.

I have had GEHA Dental Overseas for over 20 years. Since they made the switch in their processing of claims, my claims have not been processed in a timely. I had 2 claims for services in late 2024 and submitted my clams in early 2025, after receiving the bills. The claims ended up being loaded in their system twice, approx. a month apart. After monitoring the claim status online I started making chat inquires and was told by a representative that it takes up to 75 business days to process a claim. Even caught them laying about when the claims initially arrived, they were using the 2 time they were loaded, not the first time as date of arrival, but I had evidence to the contrary and proved it to them. After about 5 different chats, they finely processed the claims 101 business after they were initially received by GEHA Dental. I have another claim pending right now and it already at 60 business days since it arrived and is still pending. I have a FEHB plan for overseas care that pays my health clams in less than 30 calendar days and they are far more complex that the dental claims. Will switch plans during OPM's next open season.

Total Failure o every level. Customer service is HORRIBLE, THEY CANT & WONT FIX WHATS BROKEN. THEY REFUSE TO GIVE EARNED BENEFITS!!

Recently inquired that the hospital in my city is no longer covered by United Health Care. a contract was not signed by either party. Now in order to be a 4patient in a local hospital, I have to drive about 45 minutes to Chattanooga, Tenn. No provision was made. I was toldGEHA that they cannot force them to sign a contract. But what about patients????

I've had GEHA health insurance for almost 40 YEARS so I know what I'm talking about when I say they have become totally incompetent at EVERYTHING! They also contract with CVS, another company that sucks, to manage prescriptions. My oncologist prescribed some pain meds for me and CVS overruled my doctor and wanted me to pay FULL price. I refused and ended up in the ER. So these dumb@$$es were on the hook for an ER visit because they refused to fill a $10 prescription! You think I won't be doing this more often?! 😂

Is zero a possible score? No one knows what they are talking about. Get a different answer when you call or when you use CHAT online. Horrible horrible horrible since January 1, 2025!! What happened?? Cannot wait to dump them. Choose ANY other insurance company. Our claims are not even complicated and still it's an nightmare. You have to double check ALL claims and follow up. They will kick back most of them. Hoping you won't appeal. Only choose them if you like running in cirlces and want to be on the phone for 1 - 2 hours to be given misinformation and the run around.

When GEHA changed contractors for 2025, the entire system became terrible. 1. It took about five months for the new contractor to catch up on claims processing. 2. FEDVIP dental, the premier dental coverage, pays pennies on the dollar. It's about the same as standard, yet you pay more for the coverage. 3. Contacting them is laughable. If you phone outside of business hours--which they don't define--you go through the motions of entering your ID and birthdate, and then you are told they are closed. The new contractor never thought of saying they are closed right at first. Trying to message them: I live in Australia. I must select the Australian flag to enter my phone number, but guess what, it asks for a 10-digit number BUT ONLY ALLOWS NINE! Thus, I cannot message them, because this field is mandatory! I don't know why they ditched the previous contractor, but it was immeasurably better than this incompetent crew.

Horrible insurance company! I called TWICE before scheduling a "missed miscarriage" procedure to make sure it was covered. When I called in tears, to double check, I was told it was by both reps, anything maternity related, 100% coverage, well turns out it wasn't! I received a bill in the mail less than a month after my miscarriage for $8000!! The DNC procedure was the safest and fastest, as the baby needed to be removed as soon as possible for my own safety. While I am grieving and trying to heal from this traumatic event, I continue to receive invoices over the last year. It is beyond triggering. Thus, I called countless times, spoke with management, sent emails, and filed two levels of appeals. GEHA even made an oversight with filing, and I had to start over. I ended up having to send over 100 pages certified to OPM, including my entire medical record and chart notes from the procedure for review. After a year of battling, I received a one page generic letter from OPM, stating that its my responsibility to know the details of my plan; what is covered or not, and being verbally told something doesn't matter. Thus, the bill is valid and I am responsible for the amount. Its not like I can take back the procedure I had so I don't have the bill. I was misinformed TWICE, and I paid a lot of money monthly to be told the correct information. I gave my hard earned money to this company for accurate information not to be lied too and billed later. I trusted this company. There is no accountability on their end. A lost child for $8000, its beyond stressful and heartbreaking. GEHA is not longer my insurance company and never will be.