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Low premiums and digital wellness tools at your fingertips

Elevate

Get rewarded for healthy living

This new plan is designed to be easy and affordable. Elevate offers innovative ways for you to live healthier. You also have peace-of-mind knowing you’re covered if the unexpected does happen.

When you enroll in GEHA’s Elevate option, you get:

  • Rewards for your healthy behavior. Up to $500 annually (or a maximum of $1,000 annually for two family members).
  • Access to a digital platform hosted by Rally Health with tools and incentives that make it easier to live healthier.
  • FREE 24/7 online doctor visits. Seeing an MDLIVE doctor, therapist or dermatologist is simple, fast and uncomplicated.

Other Elevate highlights include:

  • A $10 copay for in-network acupuncture and chiropractic treatments.
  • A $10 copay for MinuteClinic® retail clinic visits.
  • A $4 copay for 30-day supply of generic drugs at an in-network retail pharmacy.
  • GEHA's lowest premium plan.

Costs for services in 2020

The table below summarizes your in-network cost for medical benefits with GEHA's Elevate plan. For complete information, refer to the GEHA Plan Brochure.

Copays

CopayWhat you pay in-network
Primary physician office visit$10
Specialist$25
MinuteClinic (where available)$10
Urgent care$50
Routine eye exam$0 through EyeMed

Other services

ServiceWhat you pay in-network
Preventive lab servicesNothing
Well-child visit; up to age 22Nothing
Adult routine screeningsNothing

Maternity care

ServiceWhat you pay in-network
Maternity; routine preventive careNothing

2020 Rates

These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains your health benefits enrollment.

Self OnlySelf Plus OneSelf and Family
Non-Postal biweekly$47.32$108.84$132.51
Postal biweekly – Category 1 $45.43$104.49$127.21
Postal biweekly – Category 2 $39.28$90.34$109.98
Monthly (retirees)$102.53$235.83$287.10

Out-of-pocket maximums and yearly deductibles

Self OnlySelf Plus OneSelf and Family
Calendar-year deductible (in-network)$500$1,000$1,000
Out-of-pocket-maximum (in-network)$7,000$14,000$14,000

Prescriptions

The table below summarizes your cost for prescription drugs with GEHA’s Elevate plan. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.

To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.

You should know ... this plan is designed to lower premiums by focusing on generic drugs over specialty and brand-name prescriptions. Prescriptions can only be picked up at an in-network pharmacy, and mail order is not available. If these are priorities to you, please consider Elevate Plus. You can evaluate the pharmacy drug list and use the pharmacy locator at info.caremark.com/GEHA.

Retail pharmacy – 30-day supply

In-NetworkOut of Network
Generic$4 copayYou pay 100% of all charges
Preferred brand-name50% of allowance up to $500 maxYou pay 100% of all charges
Non-preferred brand-nameYou pay 100% of all chargesYou pay 100% of all charges

Mail service pharmacy – 90-day supply

The mail service pharmacy is not available for the Elevate plan.

Key plan features

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DIGITAL HEALTH CARE

GEHA’s digital platform provides a fun way to stay motivated to maintain your healthy lifestyle.
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ONLINE DOCTOR VISITS

Seeing an online doctor, therapist or dermatologist is simple and fast. No cost to you.
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SURGICAL CONCIERGE

$0 surgery. Your dedicated Care Coordinator will help you every step of the way.

Is the Elevate plan right for you?

Find out