Elevate 2024
The budget plan for people focused on basic coverage and the perks of wellness
Highlights:
- Lowest premium plan and low copays
- Choose one annual plan perk exclusive to support a healthy lifestyle. Choose from a Fitbit device including a 12-month Fitbit Premium Membership, a 12-month Daily Burn virtual fitness subscription or a $125 gift card for DICK'S Sporting Goods or REI.1
- Wellness Pays rewards and the Rally® digital health platform helps you stay engaged with your health goals — and earn rewards up to $500 a year per subscriber
- Access care when you need it with telehealth from MDLIVE
- Broad spectrum of mental health options, in addition to traditional medical plan coverage
- Coverage for non-traditional care like chiropractic and acupuncture
- Vision discounts and $0 annual eye exam included with EyeMed2
1 These products and services are neither offered nor guaranteed under contract with the FEHB Program but are made available to eligible Subscribers who become members of the GEHA Elevate medical plan. Only Subscribers in the 50 United States and the District of Columbia are eligible at this time.
2 These benefits are neither offered nor guaranteed under contract with the FEHB Program but are made available to all Enrollees who become members of the GEHA Elevate plan and their eligible family members.
2024 Elevate rates
| Pay frequency | Self Only | Self Plus One | Self and Family |
|---|---|---|---|
| Biweekly — employed | $52.21 | $125.97 | $153.35 |
| Monthly — retired | $113.13 | $272.93 | $332.26 |
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.| Medical benefit | 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; preventive prenatal and postnatal office visits | $0 |
| Maternity; childbirth/delivery professional services | $0 |
| Vision coverage; eye exams1 | $0 |
| Primary care physician office visit | $10 |
| Mental health office visit | $10 |
| MinuteClinic visit (where available) | $10 |
| Chiropractic care (manipulative therapy), including X-rays; up to 12 visits per year | $10 |
| Acupuncture; up to 20 visits per year | $10 |
| Specialist care office visit | $30 |
| Urgent care facility visit | $50 |
| ER visit | 25%2 |
| Maternity; childbirth/delivery facility services | 25%2 |
| Hospital care; inpatient and outpatient | 25%2 |
| Labs, X-rays and other diagnostic services | 25%2 |
| Outpatient professional surgical services | 25%2 |
| Inpatient professional surgical services | $250 |
2Calendar year deductible applies.
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.
| Prescription benefit | 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 |
| To provide a low premium, the Elevate plan does not include mail-order prescriptions or out-of-network pharmacy coverage, and it has a limited pharmacy network. Find a pharmacy | |
Highlights that are special to Elevate
Digital health care
$0 telehealth visits
1 These benefits are neither offered nor guaranteed under contract with the FEHB Program but are made available to all Enrollees who become members of the GEHA Elevate plan and their eligible family members. For information on year-round savings for GEHA dental members, visit Savings for GEHA dental members.
This is a brief description of the features of the Elevate medical plan. Before making a final decision, please read the Plan's Federal brochure RI 71-018. All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure.
2024 Medical Benefits Guide
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