GEHAReviews of geha.com

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.

GEHA is by far the worst Dental coverage any Fed employee or retired could possibly purchase. The customer service people lie every chance they get confirm claims that are incorrect. They are running a Ponzi scheme and Arthur Nizzar is just like Bernie Madoff. The really sad part is OPM is OK with Gov employees getting screwed Dennis Hodges is #1 attached to GEHA. GEHA and BENEFEDS need to be investigated for corruption and should save the taxpayers more money. GEHA employees should all be fired immediately. Every claim this year resulted in them not reviewing my claim from overseas however there automated reply stated they had received them. The past has resulted in 90-95% or claims being resubmitted 2-3 times I now have to send all claims to a certain individual named Heather to get them processed which is UNSAT. There in no part of GEHA Dental that is any good save your money take the organization down they are affiliated with United Healthcare which is under investigation

I know it's stereotypical to say "I'd give 0 stars if I could," but genuinely, if I could take stars away from them for the headaches and mental breaks they have given me, I would. Working with them has been an absolute nightmare. I had coverage under my mother, and when I turned 26, I had thirty days as a grace period. I needed an appointment during that grace period for some health issues and making sure those were resolved, so I went, assuming I would be covered for the appointment and bloodwork I needed for my health issue. I find out by policy, I have to submit a claim. No problem. I do so. It gets rejected because my coverage ended. I reach out to them, informing them of the grace period. They resubmit the claim. Denied again. I find out the bloodwork was the claim they were referring to and not the appointment. I submit a claim for the appointment. I call many times to ensure both are in the system and am told yes. However, I just found out the claim I submitted myself for the appointment was lost (despite asking about it less than a month ago and being told it was found and filed), and the lab was rejected AGAIN. These bills total to $1,000. I don't have this kind of money lying around. The policy I was on SAYS I would be covered. Their claims team even TOLD ME upon review of my policy. I have been fighting this crap for half a year about. The incompetency is astounding. I don't know how any organization can be so cruel in how stupid they are. I have been having breakdowns, calling my doctor humiliated over being unable to get this claim processed, calling on a near weekly basis babysitting this garbage, being told they are doing everything they can. Are you really? And if you truly are, do you not feel even a bit of shame if this is your best? Stay away from GEHA. They truly highlight how corrupt and garbage our healthcare system really is in this country, and for anyone on it, I am so very sorry that this is what they offer government employees. You deserve better.

I am writing to formally express my frustration regarding the excessive delays in the processing of my claim, which was submitted seven months ago and has yet to be reviewed or resolved. Despite multiple follow-ups and assurances that my paperwork was received and in good order, I continue to face unnecessary obstacles and delays. Initially, I was informed that system updates caused a three-month delay. Following that, an additional month passed before my claim was assigned to a reviewer, only for it to be mistakenly canceled due to an error on your end. I have since attempted to escalate the issue multiple times, receiving conflicting information from different representatives regarding the status of my claim. I was also promised a supervisor call within 48 to 72 hours, which never occurred. As of today, I have been advised that my claim will take another 30 to 45 days for processing, pushing it into its eighth month of delay. This level of inefficiency is unacceptable, and I am now formally requesting immediate action to rectify the situation. I ask that my claim be expedited for review and processing without further delay. Additionally, I would like a direct point of contact who can provide accurate updates and ensure that my case is handled promptly. If this issue is not resolved, I will be forced to escalate further, including filing a formal complaint with regulatory authorities and sharing my experience with consumer advocacy groups. Please someone from GEHA provide an update on the immediate steps being taken to resolve my claim. I expect a response no later than 6/11/2025. Thank you for your attention to this matter. I look forward to your prompt response.

I'm a retired GOV employee with 30 years experience and GEHA is by far the WORST insurance company. AVOID it all costs. Months to process claims, 0 communication, denials. They sent me a check on a claim that never got for 3K. I found out after I filed a complaint to OPM. 2 months later and they still haven't re-issued my check, saying it takes 30 business days!!! STAY AWAY!!! Can I give -0 stars?