FEHB Elevate Plus 2026
The conventional plan for proactive people who always stay in-network
FEHB Elevate Plus plan highlights
- 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
- Included vision discount at no additional cost8
Shopping for a Postal plan? View the 2026 PSHB overview page
Shopping for a 2025 plan? View the 2025 FEHB Elevate Plus page
2026 FEHB Elevate Plus rates
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Biweekly — employed
|
$205.13
|
$449.58
|
$496.12
|
|
Monthly — retired
|
$444.45
|
$974.09
|
$1,074.93
|
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only
$205.13
|
Self Plus One
$449.58
|
Self and Family
$496.12
|
Pay frequency
Monthly — retired
|
Self Only
$444.45
|
Self Plus One
$974.09
|
Self and Family
$1,074.93
|
- 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)
|
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
|
25%1
|
|
Hospital care; outpatient / inpatient (including maternity)
|
20%1 / 20%1
|
|
Lab services
|
$0
|
|
X-rays and other diagnostic services
|
$502
|
|
Maternity; childbirth / delivery professional services
|
$0
|
|
Maternity; delivery and inpatient services
|
20%1
|
|
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
|
Medical benefit4
Mental health office visits
|
What you pay
$30
|
Medical benefit4
Specialist office visit
|
What you pay
$50
|
Medical benefit4
MinuteClinic / Urgent care facility visit
|
What you pay
$10 / $50
|
Medical benefit4
Unlimited telehealth visits, including mental health, with MDLIVE
|
What you pay
$0
|
Medical benefit4
Emergency room visit
|
What you pay
25%1
|
Medical benefit4
Hospital care; outpatient / inpatient (including maternity)
|
What you pay
20%1 / 20%1
|
Medical benefit4
Lab services
|
What you pay
$0
|
Medical benefit4
X-rays and other diagnostic services
|
What you pay
$502
|
Medical benefit4
Maternity; childbirth / delivery professional services
|
What you pay
$0
|
Medical benefit4
Maternity; delivery and inpatient services
|
What you pay
20%1
|
Medical benefit4
Chiropractic care (up to 15 visits per year)
|
What you pay
$30
|
Medical benefit4
Acupuncture (up to 20 visits per year)
|
What you pay
$30
|
Deductible and out-of-pocket maximum
|
Term
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Yearly deductible (in-network)
|
$200
|
$400
|
$400
|
|
Out-of-pocket maximum (in-network)3
|
$7,000
|
$14,000
|
$14,000
|
|
Term
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Term
Yearly deductible (in-network)
|
Self Only
$200
|
Self Plus One
$400
|
Self and Family
$400
|
Term
Out-of-pocket maximum (in-network)3
|
Self Only
$7,000
|
Self Plus One
$14,000
|
Self and Family
$14,000
|
Prescription benefits
This plan has a limited pharmacy network with no out-of-network 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 benefit4,5,6
|
In-network
|
|---|---|
|
30-day retail generic
|
$15
|
|
30-day retail preferred brand-name
|
$1007
|
|
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% ($700 max)
|
|
30-day specialty CVS exclusive preferred brand-name
|
40% ($700 max)7
|
|
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
$15
|
Prescription benefit4,5,6
30-day retail preferred brand-name
|
In-network
$1007
|
Prescription benefit4,5,6
30-day retail non-preferred brand-name
|
In-network
50%7
|
Prescription benefit4,5,6
90-day mail service generic
|
In-network
$20
|
Prescription benefit4,5,6
90-day mail service preferred brand-name
|
In-network
$2007
|
Prescription benefit4,5,6
90-day mail service non-preferred brand-name
|
In-network
50%7
|
Prescription benefit4,5,6
30-day specialty CVS exclusive generic
|
In-network
40% ($700 max)
|
Prescription benefit4,5,6
30-day specialty CVS exclusive preferred brand-name
|
In-network
40% ($700 max)7
|
Prescription benefit4,5,6
30-day specialty CVS exclusive non-preferred brand-name
|
In-network
50%7
|
Elevate Plus benefits that go beyond
Vision discount8
Unlimited $0 telehealth visits
Low copays
Ready to enroll?
Get help from a federal benefits expert.
Talk with a FedViser to help you choose the plan that works for you.
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Live chat: Available 8 a.m.–7 p.m. ET
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1 Calendar year deductible applies.
2 You pay a $175 copay for advanced outpatient high tech imaging. Refer to G.E.H.A's 2026 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.
5 This plan does not include out-of-network pharmacy coverage, and it has a limited pharmacy network. Find a pharmacy at geha.com/FindCare.
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 health plan and their eligible family members.
This is a brief description of the features of the G.E.H.A Elevate Plus 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
More ways to contact us
More ways to contact us
Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336

