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OUR LOWEST PREMIUM PLAN. Get rewarded for healthy living.

Elevate 2021

Get rewarded for healthy living and enjoy GEHA's lowest premium plan.

Elevate empowers members who want an alternative to traditional, one-size-fits-all plans by offering the most affordable coverage that’s there when you need it and rewarding you for your healthy lifestyle.

Why you might like Elevate:

  • Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards for healthy activities. (GEHA members have been rewarded more than $1 million over the last six months through Wellness Pays.)
  • Low $10 copays for unlimited primary care visits and $25 copays for unlimited specialist visits.
  • Low $10 copays for chiropractic and acupuncture visits.
  • Digital tools to help you navigate your health care experience.

Costs for services in 2021

See High Option benefits with Medicare A & B

The table below summarizes your in-network cost for medical benefits with GEHA's Elevate plan. In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or a percentage of the provider’s negotiated amount. For out-of-network benefits, refer to the GEHA Plan Brochure.


What you pay in-network
Unlimited telehealth visits with MDLIVE $0
Preventive care; adult routine screenings $0
Well-child visit; up to age 22 $0
Maternity; routine preventive care $0
MinuteClinic (where available) $10
Primary physician office visit $10
Specialist care; office visit $25
Urgent care $50
Emergency care 25%1
Hospital care; inpatient including maternity 25%1
Hospital care; outpatient 25%1
Inpatient professional surgical services $250
Outpatient professional surgical services 25%1
Lab services 25%1
Other diagnostic services 25%1
Chiropractic care; up to 12 visits per year (spinal manipulation therapy) $10
Chiropractic X-rays $0
Acupuncture; up to 20 treatments per year $10




2021 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 Only Self Plus One Self 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
Retirees monthly $102.53 $235.83 $287.10

Yearly deductible & out-of-pocket max

Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $500 $1,000 $1,000
Out-of-pocket max (what you pay 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.

For added convenience and management of medications, your GEHA prescription benefits include access to presorted multi-dose packets. Presorted packets can be delivered to your home or, if available, picked up at a retail location.

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

Retail pharmacy – 30-day supply


What you pay in-network What you pay out-of-network
Generic $4 copay You pay 100% of all charges
Preferred brand-name 50% of allowance up to $500 max You pay 100% of all charges
Non-preferred brand-name You pay 100% of all charges You 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

Geha Rally Grey
DIGITAL HEALTH CARE

GEHA's digital platform provides a fun way to stay motivated and earn up to $500 per person.
Geha Mdlive Grey
$0 TELEHEALTH VISITS

Access certified doctors, including pediatricians, licensed behavioral health therapists and dermatologists.
Geha Bridgehealth Grey
SURGICAL CONCIERGE

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