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Elevate Plus

Welcome to your medical plan page

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What’s new in 2022

  • Elevate Plus has no out-of-network medical coverage. You will be responsible for 100% of the cost for out-of-network services. However, emergency services will continue to be covered at in-network benefit levels regardless of whether you go to an in-network or out-of-network hospital.
  • GEHA’s unique position as a nonprofit member association allows us to offer a plan perk. We don’t have stockholders, which means our priority is putting money back into supporting our members’ health and wellness. Elevate Plus subscribers now have access to one annual plan perk as part of your GEHA membership.
For a complete list of plan changes, download the plan brochure.

New! Exclusive plan perk for Elevate Plus subscribers

Elevate plus plan subscribers are eligible annually to choose one plan perk from the following:

SilverSneakers logo 

Exclusively for Elevate Plus plan subscriber and spouse enrolled in Medicare Part A and/or B primary.

fitbit logo 

Fitbit tracker including a 12-month Fitbit Premium Membership.

DICK'S Sporting Goods logo     REI logo 

$125 gift card for DICK’S Sporting Goods or REI.

DailyBurn logo 

12-month Daily Burn virtual fitness subscription.

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Elevate Plus coverage


Yearly deductible in-network1

Plan type What you pay
Self Only $0
Self Plus One $0
Self and Family $0

Out-of-pocket max in-network1,2

Plan type What you pay
Self Only $6,000
Self Plus One $12,000
Self and Family $12,000

Medical benefits in-network1

Benefit What you pay
$0
$10
  • Primary physician office visit
  • Chiropractic care (manipulative therapy), including X-rays; up to 12 visits per year
  • Acupuncture; up to 20 treatments per year
$25
  • Specialist care; office visit
$40
$50
  • Other diagnostic services
$503
  • In-office professional surgical services
$75
  • Emergency care
$200
  • Outpatient and inpatient professional surgical services
$200
  • Hospital care; inpatient including maternity
$250 per day up to $1,000 per admission
  • Hospital care; outpatient
$250 per day per facility

Your prescription benefits

In-network benefits1,2, no out-of-network coverage. Visit geha.com/Prescriptions to learn more.3

30-day retail prescription What you pay
Generic
Preferred brand-name
Non-preferred brand-name
$10
$80
4
50%4
90-day mail service prescription What you pay
Generic
Preferred brand-name
Non-preferred brand-name
$20
$200
4
50%4
30-day specialty CVS exclusive What you pay
Generic
Preferred brand-name
Non-preferred brand-name
40% ($500 max)
40% ($500 max)4
50%4

Medicare + Elevate Plus coverage


Yearly deductible with Medicare A & B primary 

Plan type What you pay
Self Only $0
Self Plus One $0
Self and Family $0

Out-of-pocket max in-network1

Plan type What you pay
Self Only $6,000
Self Plus One $12,000
Self and Family $12,000

Medical benefits in-network1

Benefit What you pay
$0

Your prescription benefits

In-network benefits1,2, no out-of-network coverage. Visit geha.com/Prescriptions to learn more.3

30-day retail prescription What you pay
Generic
Preferred brand-name
Non-preferred brand-name
$10
$80
4
50%4
90-day mail service prescription What you pay
Generic
Preferred brand-name
Non-preferred brand-name
$20
$200
4
50%4
30-day specialty CVS exclusive What you pay
Generic
Preferred brand-name
Non-preferred brand-name
40% ($500 max)
40% ($500 max)4
50%4

Included benefits & savings



Pharmacy benefits

Retail pharmacy

Fill your prescriptions at more than 20,000 in-network pharmacies nationwide including CVS, Walmart, Sam’s Club, Cardinal Health affiliated and more.
LOCATE YOUR PHARMACY

Mail service pharmacy

Have medications delivered to your door with CVS Caremark Mail Service Pharmacy. Many non-specialty drugs qualify for 90-day refills.
LEARN MORE

Estimate medication costs

Visit our check drug costs tool, hosted by CVS Caremark, to evaluate your medication costs.
ESTIMATE YOUR COSTS

CVS ExtraCare Health Benefit

Receive a 20% discount on eligible CVS Health Brand health-related items by using the ExtraCare Health Benefit at CVS pharmacy.
VISIT CVS.COM

Your exclusive discounts

glasses icon 

Vision discount1,2

With all GEHA medical plans, you get low copays on eye exams and discounts on frames and lenses through EyeMed.™ The EyeMed network includes LensCrafters, Target Optical, independent eye doctors and top optical retailers.
LEARN MORE
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Medical alert discount1

Get free activation, plus a 10% monthly discount, for responsive emergency help.
LEARN MORE
Hearing aid icon 

Hearing aid discount1

Receive TruHearing discounted pricing on hearing aids and save 30% to 60%, averaging more than $2,500 per pair. Elevate Plus members also receive a $1,500 hearing aid benefit.3
LEARN MORE
electric toothbrush icon 

Electric toothbrush discount1,4

Save more than 70% off a premium electric toothbrush by cariPRO.™
LEARN MORE
tooth whitening icon 

Teeth whitening discount1

Receive a 20% discount off the lowest published price on all Smile Brilliant home teeth whitening products. Includes custom-fitted trays, whitening gel and desensitizing gel.
LEARN MORE

Find care




Choose the right care

Free Health Advice Line
Talk to a nurse 24/7/365.
MinuteClinic©
Local care for minor issues.
Telehealth
Unlimited $0 visits with MDLIVE.
Urgent care
Convenient local care option.
Primary and specialty care
Non-emergency doctor care.
Emergency room
Life threatening issues.
Call 9-1-1

Other care resources

maternity resources icon 

Maternity resources

Count on GEHA’s maternity program for answers to your questions about pregnancy, prenatal care and your GEHA benefits.
LEARN MORE
BridgeHealth icon 

BridgeHealth

Access $0 out-of-pocket surgery costs and concierge care coordinator through BridgeHealth.1
LEARN MORE
rally health icon 

Rally Health portal

Get personalized recommendations that fit your healthy lifestyle with web and mobile-enabled wellness resources.
REGISTER NOW

Wellness Pays rewards



This program gives two adult members per household (age 18+) the opportunity to earn dollars on a Wellness Pays prepaid card as rewardable activities are completed. Earn up to $500 each (maximum $1,000 per household) per year.

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How it works

Once you’ve signed up, start earning rewards by completing activities on Rally, our digital wellness platform. You can also earn rewards automatically for healthy behaviors, such as your annual physical.
EARN YOUR REWARDS
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Your Wellness Pays Rewards card

Your Wellness Pays rewards account is powered by HealthEquity. Once you have completed your first rewardable activity, you’ll receive an envelope in the mail containing your reloadable card and activation instructions.
ACTIVATE YOUR ACCOUNT
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Redeeming your rewards

You can use your Wellness Pays prepaid debit card during checkout for qualified medical expenses like copays, medical, dental and vision expenses at many major retailers.
USE YOUR REWARDS

Our Benefits Advisers are available Mon. – Fri. from 7 a.m. – 7 p.m. Central time and are ready to answer your questions.
If you’re a current GEHA member and need help, call 800.821.6136 (medical) or 877.434.2336 (dental).

Resources


Plan documents

Topic
Resource
2022 Elevate Plus Plan Brochure Download (PDF)
2022 Elevate Plus Member Guide Browse the e-book
2022 Medical Benefits Guide Browse the e-book
2022 Summary of Benefits Coverage Download (PDF)

Helpful resources

Topic
Resource
Create your GEHA web account geha.com/Register
Complete your Enrollment Questionnaire geha.com/EQ
Talk with GEHA Customer Care geha.com/Contact
Use the Find Care Tool geha.com/Find-Care
View the frequently asked questions geha.com/FAQs
Access the GEHA App Visit the App Store or Google Play