GEHA Employee Organization, Standard Option: 2027 PSHB premiums and benefits
Federal Benefits Open Season for plan year 2027 runs November 9 to December 14, 2026.
* Three PSHB options end after 2026: GEHA High, MHBP Consumer, and UnitedHealthcare Postal East. If you are in one, choose a plan by December 14. See what ends| Enrollment | Employee, biweekly | Employee, monthly | Annuitant, monthly | Change in your share vs 2026 | Employee, per year (26 periods) |
|---|---|---|---|---|---|
| Self Only code 37D | $84.77 gov $254.31 | $183.67 | $183.67 | +$0.00 biweekly (+0.0%) | $2,204 |
| Self Plus One code 37F | $182.26 gov $546.79 | $394.90 | $394.90 | +$0.00 biweekly (+0.0%) | $4,739 |
| Self and Family code 37E | $225.18 gov $675.56 | $487.90 | $487.90 | +$0.00 biweekly (+0.0%) | $5,855 |
Traditional, PPO network. Offered nationwide. Open to everyone eligible for PSHB; GEHA membership comes with enrollment and there are no membership dues for 2027. Source. The government share is the lesser of 72% of the PSHB program-wide average premium or 75% of this plan's premium (OPM). Employee figures are OPM's rate for active postal employees; USPS non-career employees and some union contracts differ.
Educational information only; StandWatch is not acting for OPM or the Postal Service, and the brochure and the HR Shared Service Center are the final authority. Same code and assumptions as the comparison page: worst year is exact (premiums plus the in-network out-of-pocket maximum, minus an HSA deposit); the other three are estimates under stated usage profiles, each labeled copays only, has coinsurance, or not priced.
Deductibles and limits
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Deductible | $350 out of network $1,050 | $700 out of network $2,100 | $700 out of network $2,100 |
| Out-of-pocket maximum | $6,500 out of network $8,500 | $13,000 out of network $17,000 | $13,000 out of network $17,000 |
What you pay for care, in and out of network
| Service | In network | Out of network |
|---|---|---|
| VISITS | ||
| Preventive care | Member Pays Nothing | 40% Coinsurance (Children pay nothing) |
| Primary care visit | $20 Copayment (Plan provisions aplly, see brochure) | 40% Coinsurance |
| Specialist visit | $35 Copayment | 40% Coinsurance |
| Urgent care | $30 Copayment (Plan provisions apply, see brochure) | 40% Coinsurance |
| Emergency room | 30% Coinsurance | 30% Coinsurance |
| Labs and X-rays | 15% Coinsurance | 40% Coinsurance |
| CT, MRI, PET | $250 Copayment | 40% Coinsurance |
| Hospital stay, per admission | 15% Coinsurance | 40% Coinsurance |
| Hospital room | 15% Coinsurance | 40% Coinsurance |
| Surgeon, inpatient | 15% Coinsurance | 40% Coinsurance |
| Outpatient surgery | 15% Coinsurance | 40% Coinsurance |
| Mental health, office | $20 Copayment (Plan provisions apply, see brochure) | 40% Coinsurance |
| Mental health, inpatient | 15% Coinsurance | 40% Coinsurance |
| Physical therapy | 15% Coinsurance (Plan provisions apply, see brochure) | 40% Coinsurance (Plan provisions apply, see brochure) |
| Chiropractic | $35 Copayment (Plan provisions apply, see brochure) | 40% Coinsurance (Plan provisions apply, see brochure) |
| Acupuncture | 15% Coinsurance (Plan provisions apply, see brochure) | 40% Coinsurance (Plan provisions apply, see brochure) |
| Maternity care | Member Pays Nothing | 40% Coinsurance |
| Maternity hospital stay | Member Pays Nothing | 40% Coinsurance |
| Infertility diagnosis and treatment | 15% Coinsurance | 40% Coinsurance |
| IVF and assisted reproduction | 15% Coinsurance (Plan provisions apply, see brochure) | 40% Coinsurance (Plan provisions apply, see brochure) |
| Hearing aids | Covered (Plan provisions apply, see brochure) | Covered (Plan provisions apply, see brochure) |
| Durable medical equipment | 15% Coinsurance | 40% Coinsurance |
| Home health | 15% Coinsurance (Plan provisions apply, see brochure) | 40% Coinsurance (Plan provisions apply, see brochure) |
| Adult dental exams | Covered (Plan provisions apply, see brochure) | Covered (Plan provisions apply, see brochure) |
| Children's dental exams | Covered (Plan provisions apply, see brochure) | Covered (Plan provisions apply, see brochure) |
| Routine eye exam | Not Covered (Plan provisions apply, see brochure) | Not Covered (Plan provisions apply, see brochure) |
| Eyeglasses | Not Covered (Plan provisions apply, see brochure) | Not Covered (Plan provisions apply, see brochure) |
| PRESCRIPTIONS | ||
| Tier 1 (usually generic) | Generic - $10 Copayment | Generic - $10 Copayment |
| Tier 2 | Preferred Brand - 40% Coinsurance | Preferred Brand - 40% Coinsurance |
| Tier 3 | Non-Preferred Brand - 60% Coinsurance | Non-Preferred Brand - 60% Coinsurance |
| Tier 4 | Preferred Specialty Tier - 50% Coinsurance | Preferred Specialty Tier - 100% Coinsurance |
| Mail order | Yes | Yes |
| Prescription out-of-pocket maximum, Self | $6,500 | Not listed |
| Prescription out-of-pocket maximum, family | $13,000 | Not listed |
| WITH MEDICARE | ||
| Part B premium reimbursement (Medicare Advantage option) | $900 | Not listed |
| Part B premium reimbursement (prescription drug plan) | None | Not listed |
| Part D drug plan: most you pay in a year | $2,400 | Not listed |
| Deductible with Parts A and B | Deductible waived (For Medicare covered services) | Deductible waived (For Medicare covered services) |
| Out-of-pocket maximum with Parts A and B | $6,500 (For Medicare covered services) | $8,500 (For Medicare covered services) |
| Primary care with Parts A and B | Member Pays Nothing (For Medicare covered services) | Member Pays Nothing (For Medicare covered services) |
| Specialist with Parts A and B | Member Pays Nothing (For Medicare covered services) | Member Pays Nothing (For Medicare covered services) |
| Hospital stay with Parts A and B | Member Pays Nothing (For Medicare covered services) | Member Pays Nothing (For Medicare covered services) |
| Part B reimbursement with Parts A and B | Not applicable | Not applicable |
OPM's summary of the plan's cost sharing. The small print under a figure is OPM's own wording and usually carries the real terms: per-day charges, caps, and whether the deductible applies. The brochure is the official statement of benefits.
Official pages
GEHA Employee Organization plan site · Summary of Benefits and Coverage · Brochure RI 71-021 (the official statement of benefits) · Every PSHB brochure · OPM premiums · What this brochure says about GLP-1 drugs · (800) 821-6136
Before you enroll
Not the official statement of benefits. This plan's brochure is the only contractual statement of what it covers, excludes, and limits. Where this page and the brochure disagree, the brochure governs. Read it before you enroll.
Estimates, under published assumptions. Premiums, deductibles, and out-of-pocket maximums are OPM's figures. The year-cost figures are estimates under the usage profiles and assumed charges published on the comparison page, labeled exact, copays only, has coinsurance, or not priced. They are not predictions of what you will spend.
What the model leaves out. Out-of-network care and balance billing, whether your own doctors take this plan, whether your medications are on its formulary and at which tier, referral and prior-authorization rules, mail-order and specialty pharmacy pricing, FEDVIP dental and vision, and Medicare coordination at 65 beyond the rows shown. Postal Service employees and annuitants are in a separate program and are not covered.
No affiliation. StandWatch is not affiliated with, endorsed by, or acting for the U.S. Postal Service, the Office of Personnel Management, or any federal agency. The plan data is OPM's; the arrangement is ours. StandWatch is not a health plan, a broker, or an insurer, and nothing here is a recommendation to select, keep, or drop any plan, or medical, insurance, financial, tax, or legal advice. The full educational-purpose statement.
Source: OPM PSHB Public Use Files, plan year 2027 (rates, plan key, plan benefits, service area), and the OPM PSHB premium charts for the change from 2026.
