FEHB Elevate 2025
The affordable plan for people focused on essential coverage and extra wellness rewards
 
                    FEHB Elevate plan highlights
- Our lowest premium plan to keep more dollars in your pocket each month
- Low copays on the services you use most — primary care and specialist visit and generic prescription drugs
- Earn up to $500 per year per subscriber and covered spouse (up to $1,000 total) by staying engaged in your health with Wellness Pays rewards
- $10 copays for in-office mental health visits
- Unlimited access to care when you need it with $0 copay telehealth from MDLIVE
- Low copays on chiropractic and acupuncture services
Shopping for a Postal plan? View the 2025 PSHB Elevate page
2025 FEHB rates
| 
                                Pay frequency
                         | 
                                Self Only
                         | 
                                Self Plus One
                         | 
                                Self and Family
                         | 
|---|---|---|---|
| Biweekly — employed | $57.83 | $139.51 | $169.84 | 
| Monthly — retired | $125.29 | $302.27 | $367.98 | 
| 
                                Pay frequency
                         | 
                                Self Only
                         | 
                                Self Plus One
                         | 
                                Self and Family
                         | |||||
|---|---|---|---|---|---|---|---|---|
| 
Pay frequency                                                                 
                                                                    Biweekly — employed
                                                                 | 
Self Only                                                                 
                                                                    $57.83
                                                                 | 
Self Plus One                                                                 
                                                                    $139.51
                                                                 | 
Self and Family                                                                 
                                                                    $169.84
                                                                 | 
Pay frequency                                                                 
                                                                    Monthly — retired
                                                                 | 
Self Only                                                                 
                                                                    $125.29
                                                                 | 
Self Plus One                                                                 
                                                                    $302.27
                                                                 | 
Self and Family                                                                 
                                                                    $367.98
                                                                 | 
- 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 which maintains your health benefits enrollment.
Costs (what you pay in-network)
| 
                                Medical benefit
                         | 
                                What you pay
                         | 
|---|---|
| Preventive care Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more | $0 | 
| Primary care office visits | $10 | 
| Mental health office visits | $10 | 
| Specialist office visit | $30 | 
| MinuteClinic / Urgent care facility visit | $10 / $50 | 
| Unlimited telehealth visits, including mental health, with MDLIVE | $0 | 
| Emergency room visit | 25%1 | 
| Hospital care; inpatient and outpatient (including maternity) | 25%1 / 25%1 | 
| Lab services | 25%1 | 
| X-rays and other diagnostic services | 25%1 | 
| Chiropractic care (up to 12 visits per year) | $10 | 
| Acupuncture (up to 20 visits per year) | $10 | 
| 
                                Medical benefit
                         | 
                                What you pay
                         | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 
Medical benefit                                                                 
                                                                    Preventive care Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more | 
What you pay                                                                 
                                                                    $0
                                                                 | 
Medical benefit                                                                 
                                                                    Primary care office visits
                                                                 | 
What you pay                                                                 
                                                                    $10
                                                                 | 
Medical benefit                                                                 
                                                                    Mental health office visits
                                                                 | 
What you pay                                                                 
                                                                    $10
                                                                 | 
Medical benefit                                                                 
                                                                    Specialist office visit
                                                                 | 
What you pay                                                                 
                                                                    $30
                                                                 | 
Medical benefit                                                                 
                                                                    MinuteClinic / Urgent care facility visit
                                                                 | 
What you pay                                                                 
                                                                    $10 / $50
                                                                 | 
Medical benefit                                                                 
                                                                    Unlimited telehealth visits, including mental health, with MDLIVE
                                                                 | 
What you pay                                                                 
                                                                    $0
                                                                 | 
Medical benefit                                                                 
                                                                    Emergency room visit
                                                                 | 
What you pay                                                                 
                                                                    25%1
                                                                 | 
Medical benefit                                                                 
                                                                    Hospital care; inpatient and outpatient (including maternity)
                                                                 | 
What you pay                                                                 
                                                                    25%1 / 25%1
                                                                 | 
Medical benefit                                                                 
                                                                    Lab services
                                                                 | 
What you pay                                                                 
                                                                    25%1
                                                                 | 
Medical benefit                                                                 
                                                                    X-rays and other diagnostic services
                                                                 | 
What you pay                                                                 
                                                                    25%1
                                                                 | 
Medical benefit                                                                 
                                                                    Chiropractic care (up to 12 visits per year)
                                                                 | 
What you pay                                                                 
                                                                    $10
                                                                 | 
Medical benefit                                                                 
                                                                    Acupuncture (up to 20 visits per year)
                                                                 | 
What you pay                                                                 
                                                                    $10
                                                                 | 
Prescription benefits
This plan has a limited pharmacy network with no out-of-network or mail service coverage. To find a pharmacy near you, go to caremark.com.
For details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.
| 
                                Prescription benefit2,3,4
                         | 
                                In-network
                         | 
|---|---|
| 30-day retail generic | $4 | 
| 30-day retail preferred brand-name | 50% ($500 max) | 
| 30-day retail non-preferred brand-name | 100% | 
| 30-day specialty CVS exclusive generic | 50% ($500 max) | 
| 30-day specialty CVS exclusive preferred brand-name | 50% ($500 max) | 
| 30-day specialty CVS exclusive non-preferred brand-name | 100% | 
| 
                                Prescription benefit2,3,4
                         | 
                                In-network
                         | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 
Prescription benefit2,3,4                                                                 
                                                                    30-day retail generic
                                                                 | 
In-network                                                                 
                                                                    $4
                                                                 | 
Prescription benefit2,3,4                                                                 
                                                                    30-day retail preferred brand-name
                                                                 | 
In-network                                                                 
                                                                    50% ($500 max)
                                                                 | 
Prescription benefit2,3,4                                                                 
                                                                    30-day retail non-preferred brand-name
                                                                 | 
In-network                                                                 
                                                                    100%
                                                                 | 
Prescription benefit2,3,4                                                                 
                                                                    30-day specialty CVS exclusive generic
                                                                 | 
In-network                                                                 
                                                                    50% ($500 max)
                                                                 | 
Prescription benefit2,3,4                                                                 
                                                                    30-day specialty CVS exclusive preferred brand-name
                                                                 | 
In-network                                                                 
                                                                    50% ($500 max)
                                                                 | 
Prescription benefit2,3,4                                                                 
                                                                    30-day specialty CVS exclusive non-preferred brand-name
                                                                 | 
In-network                                                                 
                                                                    100%
                                                                 | 
Deductible and out-of-pocket maximum
| 
                                Network benefits
                         | 
                                Self Only
                         | 
                                Self Plus One
                         | 
                                Self and Family
                         | 
|---|---|---|---|
| Yearly deductible  (what you pay in-network) | $500 | $1,000 | $1,000 | 
| Out-of-pocket maximum5  (what you pay in-network) | $8,500 | $17,000 | $17,000 | 
| 
                                Network benefits
                         | 
                                Self Only
                         | 
                                Self Plus One
                         | 
                                Self and Family
                         | |||||
|---|---|---|---|---|---|---|---|---|
| 
Network benefits                                                                 
                                                                    Yearly deductible  (what you pay in-network)
                                                                 | 
Self Only                                                                 
                                                                    $500
                                                                 | 
Self Plus One                                                                 
                                                                    $1,000
                                                                 | 
Self and Family                                                                 
                                                                    $1,000
                                                                 | 
Network benefits                                                                 
                                                                    Out-of-pocket maximum5  (what you pay in-network)
                                                                 | 
Self Only                                                                 
                                                                    $8,500
                                                                 | 
Self Plus One                                                                 
                                                                    $17,000
                                                                 | 
Self and Family                                                                 
                                                                    $17,000
                                                                 | 
Elevate benefits that go beyond
                        Vision benefit6
                    
                                    Unlimited $0 telehealth visits
                        Low or no copays
                    
                                    Ready to enroll?
 
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1 Calendar year deductible applies.
2 In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or percentage of the provider's negotiated amount.
3 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.
4 This plan does not include mail-order prescriptions or out-of-network pharmacy coverage, and it has a limited pharmacy network. Find a pharmacy at geha.com/Find-Care.
5 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before G.E.H.A begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.
6 These benefits are neither offered nor guaranteed under contract with the FEHB Program but are made available to all Enrollees who become members of a G.E.H.A health plan and their eligible family members.
This is a brief description of the features of the G.E.H.A Elevate health 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.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
By phone: Available 8 a.m.–8 p.m. ET
Live chat: Available 8 a.m.–7 p.m.  ET
                    
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Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336


 
                                                         
                                                         
                                                         
                                                         
                                                         
                                                         
                                                         
                                                         
                                                         
                                                        