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Elevate 2023

One of the lowest national premiums

View the 2022 Elevate Plan

Highlights:

  • Some of the lowest doctor visit copays available
  • Low copays for chiropractic and acupuncture visits
  • Engaging digital wellness hub powered by Rally Health

How this plan pays you back:

  • Earn Wellness Pays rewards up to $500 (Self Only) or $1,000 (Self Plus One or Self and Family) annually. Rewards dollars can be used for qualified medical expenses such as copays, and medical, dental and vision expenses.
  • Subscribers can select an annual plan perk. Options include a Fitbit wearable device including 12-month Fitbit Premium Membership, a $125 gift card for DICK'S Sporting Goods or REI, or a 12-month Daily Burn virtual fitness subscription.
 


 

2023 Elevate rates

Self Only Self Plus One Self and Family
Biweekly — employed $50.69 $118.83 $144.67
Monthly — retired $109.83 $257.47 $313.46

 

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 mental health, with MDLIVE $0
Preventive care; adult routine screenings $0
Well-child visit; up to age 22 $0
Maternity; routine care $0
Vision coverage; eye exams1 $0
Primary physician office visit $10
Mental health 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 $30
Urgent care facility $50
ER visit 25%2
Maternity; inpatient care 25%2
Hospital care; inpatient and outpatient 25%2
Lab services 25%2
X-ray and other diagnostic services 25%2
Outpatient professional surgical services 25%2
Inpatient professional surgical services $250

Deductible and 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) $8,500 $17,000 $17,000

Prescription benefits

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.


What you pay in-network
30-day retail generic $4 copay
30-day retail preferred brand-name 50% of allowance up to $500 max
30-day retail non-preferred brand-name You pay 100% of all charges
30-day specialty CVS exclusive generic and preferred brand-name 50% of allowance up to $500 max
30-day specialty CVS exclusive non-preferred brand-name You pay 100% of all charges
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 mental health therapists and dermatologists.
Vision coverage

Get in-network routine eye exams for $0 and discounts on eyewear.
cover image for the 2023 geha medical benefits guide

2023 Medical Benefits Guide


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


Ready to enroll?

 
You've thought about it, and are ready to commit. What's next?
Let's explain the process.

How to enroll

Our Benefits Advisers are available Mon. – Fri. from 7 a.m. – 7 p.m. Central time and are ready to answer your questions.
Are you a current GEHA member?
Medical questions: 800.821.6136
Dental questions: 877.434.2336