GEHAReviews of geha.com

GEHA has a new way to delay and not pay on claims. They now refer you to ClearHealth at 888-550-8910 for processing out of network pharmacy claims. I contacted ClearHealth, who informed me they cannot help with this claim.

GEHA does not process legitimate claims, nothing but excuses with this company. I just switched to BCBS for my dental. I urge the federal government to drop GEHA as a provider as the do not actually provide anything. They are tenacious at denying legitimate claims though.

I give them a 0 review. Awful! They dont know what a routine wellness is for an adult, they keep raising our out of pocket.

I recently attempted two appeals after being denied for a service connected to my VA disability. I offered to provide VA documentation. I followed appeal steps as specified the GEHA call center and sent my appeals to the published email address & received confirmation emails. After nearly seven months and many requests for status by both phone and email, I have yet to hear anything back whatsoever. GEHA holds use beneficiaries to their timelines, yet feels no compunction to abide by the timelines required by the DHA. GEHA is also required to have a Grievance procedure, yet none seems to exist. They can ignore their members with impunity.

GEHA refused payment of a ROUTINE Claim with my HUMANA Medcare USAA Dental Advantage plan. My insurance and Dentist has not changed in 3 years!! I spent 2 hours with a GEHIA Rep who took all my information and said they had not been paid. I called my Dentist and they (as always) billed HUMANA and sent claim to GEHA, who LOST intentionally did or didnot pay?? MY GUESS is that GEHIA may not be in business long. They are incompetent. Anther hour on the phone again today. They do not care. BENEFIDS must investigate and DROP.

I switched to GEHA's high deductible plan last year. They initially processed some claims, but since May have stopped entirely. They won't deny them - they just refuse to process them at all, despite acknowledging that they have received them. At this point, they haven't processed almost $10,000 in claims, including for the birth of our child. I've called and used the chat to try to get them to act for months with no result. I'm going to have to hire a lawyer to see if I can get a judgement forcing them to simply process my claims. It is crazy - it isn't even that they are denying valid claims (they also do that) - they just won't act on them at all. I'm switching back to my old provider this open season. Avoid GEHA at all costs.

They have taken over four months to process a dental claim (overseas). They do not have an overseas department you can talk to. I have requested a supervisor call back several times and none have ever called me back. There is never one available when I call in. I will be switching during Open Season. This company is very unprofessional

I have had GEHA insurance for almost 25 years and have only recently retired with a major health problem. Claims for my wife and I date back to December of 2024. Each time we call customer service, they apologize for the errors and promise to resubmit but say it will take 60 days to reprocess. We wait two months and the cycle repeats. Meanwhile, we dig money out of our Social Security check to avoid collect agencies (on top of the expensive premiums). The claims are covered under the policy, but GEHA says they are waiting for Medicare to pay since we are over 65. Medicare is not a requirement for the plan and we do not have Medicare. Horrible experience with this company