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a new plan for those who expect the unexpected

Elevate Plus

No deductible when you use in-network providers. Copays for most common medical expenses.

Elevate Plus offers a balance of predictable costs for in-network services, along with personalized concierge support to help you get the most value out of your plan.

When you enroll in Elevate Plus option, you get:

  • Fixed costs. No in-network deductible. Know what you’re paying upfront for many common services. Simple and straightforward, so you can focus on care.
  • Out-of-network coverage.
  • Digital tools to navigate your health care experience. Our personalized programs help you get the most out of your plan.
  • Free 24/7 online doctor visits. Health care on your terms. Get online access to doctors, including dermatologists and licensed therapists through MDLIVE.
  • Your bridge to better health. Get the highest quality of care for the widest range of surgical services, all at no additional cost.

    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$72.67$170.27$180.23
    Postal biweekly – Category 1 $69.77$163.27$173.02
    Postal biweekly – Category 2 $60.32$142.26$149.59
    Monthly (retirees)$157.46$368.92$390.49

    Costs for services in 2020

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

    Copays

    CopayWhat you pay in-network
    Primary physician office visit$20
    Specialist$35
    MinuteClinic (where available)$10
    Urgent care$50
    Annual eye exam$0 through EyeMed

    Other services

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

    Maternity care

    ServiceWhat you pay in-network
    Maternity; routine preventive careNothing

    Out-of-pocket maximums and yearly deductibles

    Self OnlySelf Plus OneSelf and Family
    Calendar-year deductible (in-network)$0$0$0
    Out-of-pocket-maximum (in-network)$6,000$12,000$12,000

    Prescriptions

    The table below summarizes your cost for prescription drugs with GEHA’s Elevate Plus 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 includes a comprehensive drug list and mail order service. Retail prescriptions can only be picked up at an in-network pharmacy location. If your pharmacy location is a priority, you can evaluate available pharmacy locations and your prescription costs at info.caremark.com/GEHA.

    Retail pharmacy – 30-day supply

    What you pay in-networkWhat you pay out-of-network
    Generic$5You pay 100% of all charges
    Preferred brand-name$80 copay¤You pay 100% of all charges
    Non-preferred brand-name40% of allowance¤You pay 100% of all charges

    Mail service pharmacy – 90-day supply

    What you pay in-networkWhat you pay out-of-network
    Generic$12n/a
    Preferred brand-name$200 or the cost of the drug, whichever is less¤n/a
    Non-preferred brand-name40% of allowance¤n/a

    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 Plus plan right for you?

    Find out