FEHB Elevate 2026
The affordable plan for people focused on essential coverage and extra wellness rewards
FEHB Elevate plan highlights
- Low copays on the services you use most — primary care and specialist visits, 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
- No copays for virtual mental health visits and $10 copays for in-office mental health visits
- Unlimited access to care when you need it with $0 copay telehealth from MDLIVE
- Included vision discount at no additional cost6
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2026 FEHB Elevate rates
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|---|---|---|---|
|
Biweekly — employed
|
$77.92
|
$187.99
|
$228.85
|
|
Monthly — retired
|
$168.83
|
$407.31
|
$495.85
|
|
Pay frequency
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Pay frequency
Biweekly — employed
|
Self Only
$77.92
|
Self Plus One
$187.99
|
Self and Family
$228.85
|
Pay frequency
Monthly — retired
|
Self Only
$168.83
|
Self Plus One
$407.31
|
Self and Family
$495.85
|
- 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
|
35%1
|
|
Hospital care; outpatient / inpatient (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
35%1
|
Medical benefit
Hospital care; outpatient / inpatient (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
|
$10
|
|
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
$10
|
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 (in-network)
|
$750
|
$1,500
|
$1,500
|
|
Out-of-pocket maximum5 (in-network)
|
$10,600
|
$21,200
|
$21,200
|
|
Network benefits
|
Self Only
|
Self Plus One
|
Self and Family
|
|||||
|---|---|---|---|---|---|---|---|---|
|
Network benefits
Yearly deductible (in-network)
|
Self Only
$750
|
Self Plus One
$1,500
|
Self and Family
$1,500
|
Network benefits
Out-of-pocket maximum5 (in-network)
|
Self Only
$10,600
|
Self Plus One
$21,200
|
Self and Family
$21,200
|
Elevate benefits that go beyond
Vision discount6
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/FindCare.
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.
Monday–Friday
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

