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Elevate 2022

Highlights:

  • Our lowest premium plan
  • Low copays for doctor visits, and chiropractic and acupuncture visits
  • Engaging digital wellness portal powered by Rally Health

How this plan pays you back:

  • NEW! Subscribers can select an annual plan perk. Options include a Fitbit wearable device including monthly Fitbit Premium Membership, a $125 gift card for DICK'S Sporting Goods or REI, or a Daily Burn virtual fitness subscription.
  • Earn up to $500 (maximum $1,000 per household) in Wellness Pays annually
View the 2021 Elevate Plan 


 

2022 Elevate rates*

Self Only Self Plus One Self and Family
Biweekly – employed $48.74 $112.11 $136.48
Monthly – retired $105.61 $242.90 $295.71

*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.

 

Costs (what you pay in-network)

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, check the GEHA Plan Brochure.

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

 

Deductible and out-of-pocket max (in-network)

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.

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.

Highlights that are special to Elevate

Geha Rally Grey
Digital Health Care
GEHA's digital platform provides a fun way to stay motivated and earn up to $500 per person.
$0 Telehealth Visits
Access certified doctors, including pediatricians, licensed behavioral health therapists and dermatologists.
Surgical Concierge
$0 out-of-pocket surgery costs. Your dedicated Care Coordinator will help you every step of the way.
2022 geha medical benefits guide cover image

2022 Medical Benefits Guide


Review this guide with all our plans, including rates, costs, extra services, and side-by-side comparisons

Download PDF

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