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What's new in 2023 for GEHA medical plans

Medical benefits designed for the unique needs of federal employees.


Changes to all five GEHA medical plans
  • Preventive colorectal cancer screening covered at age 45
  • Prediabetes screening covered at age 35
  • Diabetes education no longer limited to 10 hours per year
  • Wigs/cranial prostheses covered with a $350 allowance after a cancer diagnosis
Changes to Elevate
  • On Elevate, the out-of-pocket maximum in-network is now $8,500 for Self Only, and $17,000 for Self Plus One or Self and Family, per calendar year
  • The Elevate specialist visit copay is increasing from $25 to $30
Changes to HDHP
  • For HDHP out-of-network services, the deductible and out-of-pocket maximum will accumulate separately from in-network services. In-network costs will no longer apply to out-of-network amounts.
Changes to Standard
  • On Standard, there is an out-of-network deductible of $700 for Self Only and $1,400 for Self Plus One or Self and Family. The Standard in-network deductible remains the same, $350 for Self Only and $700 for Self Plus One or Self and Family.
  • The Standard primary care physician copay is increasing from $15 to $20
  • The Standard specialist visit copay is increasing from $30 to $35
  • On Standard, prescription copay maximums apply per each 30-day supply at retail locations. (Maximums no longer follow Mail Order amounts.)
Changes to Elevate Plus
  • Elevate Plus will have a $150 deductible for Self Only, and a $300 deductible for Self Plus One or Self and Family. Deductible will apply to certain inpatient and outpatient benefits with a 15% coinsurance.
  • Elevate Plus primary care provider copay is increasing from $25 to $30
  • Elevate Plus specialist visit copay is increasing from $40 to $45
  • There will be no plan perk offered to Elevate Plus subscribers
Changes to High
  • On High, QuestSelect (formerly Lab Card) is not required; you'll pay $0 at all in-network outpatient lab locations
  • High plan's Medicare Part B premium reimbursement increased from $800 to $1,000
For a complete list of plan changes on GEHA’s medical plans, see our three plan brochures: RI 71-006 (High and Standard Options), RI 71-014 (HDHP) and RI 71-018 (Elevate and Elevate Plus).

View what's new for GEHA's 2023 dental plans.

Our Benefits Advisers are available Mon. – Fri. from 7 a.m. – 7 p.m. Central time and are ready to answer your questions.
Are you a current GEHA member?
Medical questions: 800.821.6136
Dental questions: 877.434.2336