You are using a browser we no longer support. Current functionality may be reduced and some features may not work properly. For a more optimal geha.com experience, please click here for a list of supported browsers.

Elevate Plus 2023

Low deductible and generous rewards

View the 2022 Elevate Plus Plan

Highlights:

  • $150 deductible for Self Only. $300 for Self Plus One and Self and Family. 15% coinsurance coinsurance for some services.
  • Low copays for non-traditional care, like chiropractic and acupuncture
  • 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.

2023 Elevate Plus rates


Self Only Self Plus One Self and Family
Biweekly — employed $85.77 $187.64 $209.83
Monthly — retired $185.84 $406.55 $454.64

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
Lab services $0
Maternity; routine care $0
Vision coverage; eye exams1 $0
MinuteClinic (where available) $10
Primary physician office visit $30
Mental health office visit $30
Chiropractic care (manipulative therapy), including X-rays; up to 15 visits per year $30
Acupuncture; up to 20 treatments per year $30
Specialist care office visit $45
Urgent care facility $50
X-rays and other diagnostic services $502
ER visit 15%3
Hospital care; inpatient including maternity 15%3
Hospital care; outpatient 15%3
Outpatient and inpatient professional surgical services 15%3

Deductible and out-of-pocket max


Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $150 $300 $300
Out-of-pocket-max (what you pay in-network) $6,000 $12,000 $12,000

Prescription benefits

The table below summarizes your cost for prescription drugs with the Elevate Plus plan. This plan has no out-of-network pharmacy coverage. For details on specialty drugs that are injected or infused, check the GEHA Plan Brochure.

For added convenience and management of medications, prescription benefits include access to presorted multi-dose packets. Packets can be delivered to your home or, if available, picked up at a retail location. To find drug costs with the Elevate Plus plan, use this handy check your drug costs tool.

In-network
30-day retail generic $10
30-day retail preferred brand-name $80 copay¤
30-day retail non-preferred brand-name 50% of allowance¤
90-day mail service generic $20
90-day mail service preferred brand-name $200¤
90-day mail service non-preferred brand-name 50% of allowance¤
30-day specialty CVS exclusive generic and preferred brand-name 40% of allowance ($500 max¤)
30-day specialty CVS exclusive non-preferred brand-name 50% of allowance¤

Highlights that are special to Elevate Plus

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


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

Ready to enroll?

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

How to enroll