suggested for you

Predictable costs and no in-network deductible.

Elevate Plus 2021

Predictable costs and no in-network deductible.

Copays for common medical expenses and includes out-of-network medical coverage.

Why you might like Elevate Plus:

  • 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. (Collectively, GEHA members have already earned more than $1 million over the last six months through Wellness Pays.)
  • $0 out-of-pocket costs for common surgeries and concierge care coordinator through BridgeHealth.
  • $20 copays for chiropractic and acupuncture visits.
  • Digital tools to help you navigate your health care experience.

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 $75.36 $175.81 $186.89
Postal biweekly – Category 1 $72.35 $168.62 $179.42
Postal biweekly – Category 2 $62.55 $147.06 $155.12
Retirees monthly $163.28 $380.93 $404.93


Costs for services in 2021

The table below summarizes your in-network cost for medical benefits with GEHA's Elevate Plus 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 $20
Specialist care; office visit $35
Urgent care $50
Emergency care $150
Hospital care; inpatient including maternity $200 per day up to $1,000 per admission
Hospital care; outpatient $200 per day per facility
Inpatient professional surgical services $200
Outpatient professional surgical services $150
Lab services $0
Other diagnostic services $501
Chiropractic care (spinal manipulation therapy) $20 per visit, up to 15 visits per year
Chiropractic X-rays $0
Acupuncture; up to 20 treatments per year $20

Yearly deductible & out-of-pocket max


Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $0 $0 $0
Out-of-pocket-max (what you pay 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.

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 $5 You pay 100% of all charges
Preferred brand-name $80 copay¤ You pay 100% of all charges
Non-preferred brand-name 40% of allowance¤ You pay 100% of all charges

Mail service pharmacy – 90-day supply


What you pay in-network What you pay out-of-network
Generic $12 n/a
Preferred brand-name $200 or the cost of the drug, whichever is less¤ n/a
Non-preferred brand-name 40% of allowance¤ n/a


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.