GEHAReviews of geha.com

I went on o a GEHA approved lab for covered standard lab tests 02/22/24. GEHA processes the claim with $0 to the provider, saying services were not covered (They are!). On 07/02/22 I had an emergency room claim that by contract should have been covered. GEHA put that claim in an “In Process” status and NEVER PAID! I was stuck with a $15,000 bill from the hospital. GEHA must be sued and not allowed to do business for breach of contract

I have been unable to get a dental claim processed for over 100 days. It’s ridiculous. There is no access to EOB’s. Do not use this company for dental. They used to process claims, but not anymore. It’s horrible.

For almost two months now, GEHA has not been able to provide EOBs. They keep showing this error on their website: "GEHA members may be unable to access certain self-service documents, including EOBs, due to an ongoing service outage at one of our vendors. GEHA Customer Care team members are also unable to view EOBs at this time. We are monitoring the situation with our vendor, and we appreciate your patience. We will update this message as more information becomes available." What a joke.

A significantly reduced and new staff lacks appropriate knowledge and training before being placed on customer service calls to its members. Then comes the lack of access to records. It's been over 90 days, and they still haven't fixed the issue of where you can access all your claims. GEHA used to be good, but leadership decisions have degraded this once-fine company. Even their website is stripped of what it once was. Disappointed member of 19 years - moving to another provider this coming open season.

With the recent open season, I moved from Aetna Dental to GEHA Dental, as I wanted to try something different. My main objection with Aetna was they still used the antiquated payment method of paper checks vs electronic payment. This I found odd, as the Aetna medical (processed claims for FSBP) did do electronic payments. Unlike GEHA, Aetna at least processed claims and offered customer service. GEHA has had a message on its website for over a month that states "GEHA members may be unable to access certain self-service documents, including EOBs, due to an ongoing service outage at one of our vendors. GEHA Customer Care team members are also unable to view EOBs at this time. We are monitoring the situation with our vendor, and we appreciate your patience. We will update this message as more information becomes available." I have had a dental claim that has not be processed for over a month. I have written to GEHA three times (2x via the web form, 1x via email address) and still no response after over 2 weeks from my initial contact. I would give GEHA zero stars, if it were an option, and I am so thankful I did not also switch my medical plan to GEHA.

Go elsewhere next open season! Very expensive mistake. If I could get out of this mess, I would. 4 premium payments and no service of any kind. You stuck for a year. Good luck with an appeal which they have a form. Sad part is they take your premiums and have no obligations to actually provide paid service. They have 3 venders who are sub-contractors that actually pay your dental charges. So, you are just getting another layer of management to complicate the whole process. Go direct for your insurance and most dentists have their own. I always wondered why my dentist was slow to show GEHA payments all these years. Now I know.

Very dissatisfied. I enrolled in the Federal High Dental knowing my kid would eventually need braces. When I eventually put in my claim for $4,926.87 they cover a mere $1306 and when I asked how in the world they came to that number they sent me this from deep in the fine print: On the initial claims processing, we processed the total billed charges as 3,950 Great Britian Pound (GBP) with a conversion band date of May 18, 2023. Charges were based on the total case fee of $4,926.87 U.S. dollars with a maximum allowed amount of $273.71 divided by nine months of treatment. We paid 70% of the Connection Dental negotiated amount, $163.33 monthly and applied 30% of the contracted fee schedule towards your monthly coinsurance amount of $ 70.00. The monthly disallow amount of $40.38 is the difference between the billed charges and the Plan allowance and is applied towards the patient liability since in-network providers do not extend outside of the United States. Your total patient liability amount includes a coinsurance amount of $630.00 plus the disallow amount of $363.42, which equals to $993.42.

I cannot express my massive hatred towards GEHA. When I contacted GEHA about my claim that was sent out SIX WEEKS AGO, they stated "we do not see anything about your claim". Actual BS. My orthodontist gave us proof they sent out the claim. Why should I wait any longer for a simple response? Why can't anyone here do their job properly? On your website, it states "give us 30 business days to respond to your claim". LIES. ALL LIES. IT HAS BEEN WAY OVER 30 DAYS!!!!! I can NOT wait another minute. Every time I check the mail, having some faith GEHA will pull through, nothing. This insurance disappoints me. They do not deserve any of their customers. Honestly, I do not understand why they have customers in the first place. I do not understand why it takes so long to give a simple response. This company is worth $1.9 BILLION dollars. They earn so much money, yet gives bad customer service. Yes, I understand they have many claims they need to solve, but why should it take so long? I can do a better job than some of these employees. Furthermore, it's baffling that a company worth $1.9 billion can't manage to provide customer service. With such immense financial resources, one would expect GEHA to invest in efficient claim processing and responsive customer support. Instead, they seem to leave their customers hanging for weeks on end, with no regard for the inconvenience and stress caused by their incompetence. They billion dollar companies only care about themselves, especially the higher-ups. Moreover, the lack of transparency is alarming. How can they claim to have not received a pre-authorization that my orthodontist has proof of sending? It's either a blatant lie or an indication of their disorganization. Either way, it's completely unacceptable. I might just need to escalate the issue to the higher-ups at GEHA or seek legal experts, because I believe this is not right. It's unfortunate it has come to this, but I need to make sure my rights are respected and that someone is held responsible for what's happening. I truly despise GEHA. They deserve absolutely nothing. Insurance is supposed to provide peace of mind, but with GEHA, it's nothing but a source of frustration and anger. The whole system feels like a scam – paying extreme premiums each month for coverage that may never come through when needed. Just thinking about this awful insurance company makes me upset. Only if I could give them a negative star review, I would. GEHA needs to step up and take responsibility for their failures. They owe their customers better service and accountability. Until then, my disdain for this company will only continue to grow.