FEHB Elevate Plus 2025
The conventional plan for proactive people who always stay in-network
FEHB Elevate Plus plan highlights
- Low deductible and predictable copays for primary care, specialists and other frequently used services
- 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
- Unlimited access to care when you need it with $0 copay telehealth (including mental health) from MDLIVE
- Comprehensive in-network access with over 1.7 million doctors
Shopping for a Postal plan? View the 2025 PSHB Elevate Plus page
Shopping for 2024? View the 2024 Elevate Plus plan
2025 FEHB rates
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Biweekly — employed
|
$143.49
|
$317.29
|
$347.56
|
|
Monthly — retired
|
$310.90
|
$687.47
|
$753.05
|
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only
$143.49
|
Self Plus One
$317.29
|
Self and Family
$347.56
|
Pay frequency
Monthly — retired
|
Self Only
$310.90
|
Self Plus One
$687.47
|
Self and Family
$753.05
|
- 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. Elevate Plus does not provide out-of-network benefits. For details, check the G.E.H.A Plan Brochure.
|
Medical benefit4
|
What you pay
|
|---|---|
|
Preventive care
Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more |
$0
|
|
Primary care office visits
|
$30
|
|
Mental health office visits
|
$30
|
|
Specialist office visit
|
$50
|
|
MinuteClinic / Urgent care facility visit
|
$10 / $50
|
|
Unlimited telehealth visits, including mental health, with MDLIVE
|
$0
|
|
Emergency room visit
|
15%1
|
|
Hospital care; outpatient and inpatient (including maternity)
|
15%1 / 15%1
|
|
Lab services
|
$0
|
|
X-Rays and other diagnostic services
|
$502
|
|
Maternity; childbirth and facility services /
Delivery professional services |
15%1 / $0
|
|
Chiropractic care (up to 15 visits per year)
|
$30
|
|
Acupuncture (up to 20 visits per year)
|
$30
|
|
Medical benefit4
|
What you pay
|
|||
|---|---|---|---|---|
|
Medical benefit4
Preventive care
Annual physical exam, routine screenings, well-child care, maternity care, immunizations and more |
What you pay
$0
|
Medical benefit4
Primary care office visits
|
What you pay
$30
|
Deductible and out-of-pocket maximum
|
Term
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Yearly deductible (what you pay in-network)
|
$200
|
$400
|
$400
|
|
Out-of-pocket maximum (what you pay in-network)3
|
$7,000
|
$14,000
|
$14,000
|
|
Term
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Term
Yearly deductible (what you pay in-network)
|
Self Only
$200
|
Self Plus One
$400
|
Self and Family
$400
|
Term
Out-of-pocket maximum (what you pay in-network)3
|
Self Only
$7,000
|
Self Plus One
$14,000
|
Self and Family
$14,000
|
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 G.E.H.A Plan Brochure.
To find drug costs with the Elevate Plus plan, use this handy check your drug costs tool.
|
Prescription benefit4,5,6
|
In-network
|
|---|---|
|
30-day retail generic
|
$10
|
|
30-day retail preferred brand-name
|
$807
|
|
30-day retail non-preferred brand-name
|
50%7
|
|
90-day mail service generic
|
$20
|
|
90-day mail service preferred brand-name
|
$2007
|
|
90-day mail service non-preferred brand-name
|
50%7
|
|
30-day specialty CVS exclusive generic
|
40% ($500 max)
|
|
30-day specialty CVS exclusive preferred brand-name
|
40% ($500 max7)
|
|
30-day specialty CVS exclusive non-preferred brand-name
|
50%7
|
|
Prescription benefit4,5,6
|
In-network
|
|||
|---|---|---|---|---|
|
Prescription benefit4,5,6
30-day retail generic
|
In-network
$10
|
Prescription benefit4,5,6
30-day retail preferred brand-name
|
In-network
$807
|
Benefits that go beyond
Vision benefits8
Eye exams, frames, lenses and more
Unlimited $0 telehealth visits
Including mental health with MDLIVE
Low copays
Including primary care, mental health visits and some alternative care
Ready to enroll?
Whether it’s Elevate Plus or another G.E.H.A plan you’re considering, we can help.
Get help from a federal benefits expert.
Talk with a FedViser to help you choose the plan that works for you.
Monday–Friday (7 a.m.–7 p.m. Central time)
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1 Calendar year deductible applies.
2 You pay $175 ($100 professional fee, $75 facility fee) for advanced outpatient high tech imaging such as MRI, CT, PET, etc. Refer to G.E.H.A’s 2025 plan brochure RI 71-018 (Elevate and Elevate Plus) at geha.com/PlanBrochure
3 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.
4 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. This plan has no out-of-network coverage.
5 This plan does not include out-of-network pharmacy coverage, it has a limited pharmacy network. Find a pharmacy at geha.com/Find-Care.
6 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.
7 If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.
8 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 medical plan and their eligible family members
This is a brief description of the features of the G.E.H.A Elevate Plus 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.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
7 a.m.–7 p.m. Central time
Monday–Friday
More ways to contact us
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Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336