Effective Jan. 1, 2022, Government Employees Health Association (GEHA) members in the following states will now access the Choice Plus care provider network* if enrolled in the standard option, high option or high deductible health (HDHP) plans:
Additionally, effective Jan. 1, 2022, GEHA members in California will now access the Select Plus network of providers if enrolled in the Standard Option, High Option or High Deductible Health Plans (HDHPs).
What this means for you
Some of your patients may be GEHA members in 2022. You do not need to take any action during this transition.
GEHA members with the Choice Plus and Select Plus network will:
Have access to our national ancillary network of providers
Have clinical services
Have medical and mental health utilization management (UM) services, including notification, initial determination, inpatient care management)
GEHA members with the Options PPO network will continue to use Conifer Health Solutions for inpatient medical UM, including notification, initial determination and inpatient care management.
GEHA members with the Choice Plus, Select Plus and Options PPO network will have access to UnitedHealthcare Behavioral Health network and mental health, behavioral health, and substance use disorders UM services.
GEHA members with the Aetna Signature Administrators will have access to UnitedHealthcare Behavioral Health network and mental health, behavioral health, and substance use disorders UM services. These members will continue to use Aetna Signature Administrators for their medical provider network.
We provide access to our networks of providers in:
Check the member’s ID card for contact information. For eligibility, summary of benefits, precertification requirements and claim status, call Provider Services at 877-343-1887 or visit uhss.umr.com.
*This change does not impact GEHA members on UNET policy # 918695.