GEHAReviews of geha.com

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.

I had an Ortho pre-approved service completed back in September 2024. I've been calling on this bill since April 2025. As I write this, I'm on hold while someone is escalating my claim up for the 5th time. I want to speak to someone on the Ortho side. I will be cancelling my policy and going with someone else during open season. This is beyond ridiculous. I am going to file a Congressional and file a complaint with the Better Business Bureau next.

I started suffering blinding headaches last weekend. Three Board Certified Doctors (internist, ophthalmologist, ENT surgeon) all recommended and ordered an immediate CT scan of my sinuses and head. GEHA has refused to act on the CT orders. This has left me taking double doses of Torodol, and 10-12 ibuprofen per day, to manage the pain. GEHA will not explain any of their failures to act on this. They did say a nurse (likely an LPN) would try to look at the CT orders.

If you had a zero that’s what I’d give GEHA. I have experienced a 8 month delay in processing my claim. During that times they have claimed to have lost it twice(despite fact I have signed receipts that they received it) claimed that because they changed PO Box in same small tow three weeks AFTER I mailed it and still do not have an accurate claim being processed. Unfortunately Trump fired all the inspector generals who normally would be protecting us from this fraud. I am contacting a lawyer. I see by the reviews there should be interest in a class action suit.

I have 3 claims that I have been trying to get paid since January, this year. I call customer service I get the same answer its in processing. Then they process it out of network, so I call again an she says I will send it back because its defiantly in network. After another week I call still in processing. Every time its sent back they say it takes 30-90 day to reprocess.