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Elevate Plus

Welcome to your medical plan page

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What’s new in 2023

  • Elevate Plus will have a $150 deductible for Self Only, and a $300 deductible for Self Plus One or Self and Family. Deductible will apply to certain inpatient and outpatient benefits with a 15% coinsurance.
  • Primary care provider copay is increasing from $25 to $30
  • Specialist visit copay is increasing from $40 to $45
  • Preventive colorectal cancer screening now covered at age 45 instead of 50
  • Prediabetes screening covered at age 35 instead of 40. Unlimited diabetes education provided.
  • No plan perk offered in 2023
For a complete list of plan changes, download the plan brochure.
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Elevate Plus coverage


Yearly deductible

Yearly deductible in-network1,2 You pay
Self Only $150
Self Plus One or Self and Family $300

Out-of-pocket maximum

Out-of-pocket maximum in-network1,2 You pay
Self Only $6,000
Self Plus One or Self and Family $12,000

Your medical benefits

Medical benefits in-network1,2 You pay
$0
$10
  • Primary physician office visit
  • Mental health office visit
  • Chiropractic care (manipulative therapy), including X-rays; up to 15 visits per year
  • Acupuncture; up to 20 treatments per year
$30
  • Specialist care office visit
$45
$50
  • X-ray and other diagnostic services
$504
  • ER visit
  • Outpatient and inpatient professional surgery services
  • Maternity; inpatient care
  • Hospital care; inpatient and outpatient
15%5

Your prescription benefits

Prescription benefits in-network1,2,3 You pay
30-day retail generic $10
30-day retail preferred brand-name $80 4
30-day retail non-preferred brand-name 50%4
90-day mail service generic $20
90-day mail service preferred brand-name $2004
90-day mail service non-preferred brand-name 50%4
30-day specialty CVS exclusive generic and preferred brand-name 40%($500 max4)
30-day specialty CVS exclusive non-preferred brand-name 50%4

Medicare + Elevate Plus coverage


Yearly deductible

Yearly deductible in-network1,2 You pay
Self Only $0
Self Plus One or Self and Family $0

Out-of-pocket maximum

Out-of-pocket maximum in-network1,2 You pay
Self Only $6,000
Self Plus One or Self and Family $12,000

Elevate Plus and Medicare medical benefits

Medical benefits with Medicare A & B primary in-network1,2 You pay
$0

Your prescription benefits

Prescription benefits in-network1,2,3 You pay
30-day retail generic $10
30-day retail preferred brand-name $804
30-day retail non-preferred brand-name 50%4
90-day mail service generic $20
90-day mail service preferred brand-name $2004
90-day mail service non-preferred brand-name 50%4
30-day specialty CVS exclusive generic and preferred brand-name 40%($500 max4)
30-day specialty CVS exclusive non-preferred brand-name 50%4

Included benefits & savings



Pharmacy benefits

Retail pharmacy

Fill your prescriptions at more than 20,000 in-network pharmacies nationwide including CVS, Walmart, Sam’s Club, Cardinal Health affiliated and more.
Locate your pharmacy

Mail service pharmacy

Have medications delivered to your door with CVS Caremark Mail Service Pharmacy. Many non-specialty drugs qualify for 90-day refills.
Learn more

Estimate medication costs

Visit our check drug costs tool, hosted by CVS Caremark, to evaluate your medication costs.
Estimate your costs

Your exclusive discounts

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Vision discounts1

With all GEHA medical plans, you get low copays on eye exams and discounts on frames and lenses through EyeMed.®
Learn more
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Medical alert discount1

Get free activation, plus a 10% monthly discount, for responsive emergency help.
Learn more
Hearing aid 

Hearing aid discount1

Receive TruHearing discounted pricing on hearing aids and save 30% to 60%, averaging more than $2,600 per pair. Elevate Plus plan members also receive a $1,500 hearing aid benefit.2
Learn more
electric toothbrush 

Electric toothbrush discount1,2

Save more than 70% off a premium electric toothbrush by cariPRO.®
Learn more
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Teeth whitening discount1

Receive a 20% discount off the lowest published price on all Smile Brilliant® home teeth whitening products. Includes custom-fitted trays, whitening gel and desensitizing gel.
Learn more

Find care




Choose the right care

For helpful instructions on how to find in-network primary, specialty and urgent care using GEHA’s Find Care tool, watch this video.

Nurse Advice Line
Talk to a nurse 24/7/365 at no cost.
MinuteClinic©
Local care for minor issues.
Telehealth
$0 unlimited visits with MDLIVE, including mental health.
Urgent care
Convenient local care option.
Primary and specialty care
Non-emergency doctor care.
Emergency room
Life threatening issues.
Suicide and Crisis Lifeline
Mental health, emotional distress or suicidal crisis-related emergencies.

Other care resources

Baby carriage 

Maternity resources

Count on GEHA’s maternity program for answers to your questions about pregnancy, prenatal care and your GEHA benefits.
LEARN MORE
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Rally Health portal

Get personalized recommendations that fit your healthy lifestyle with web and mobile-enabled wellness resources.
REGISTER NOW

Wellness Pays rewards



This program gives two adult members per household (age 18+) the opportunity to earn dollars on a Wellness Pays prepaid card as rewardable activities are completed. Earn up to $500 each (maximum $1,000 per household) per year.

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How it works

This program gives two adult members per household (18+) the opportunity to earn dollars on a Wellness Pays reloadable debit card as rewardable activities are completed. Earn up to $500 each (maximum $1,000 per household) per year.
EARN YOUR REWARDS
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Your Wellness Pays prepaid debit card

Once you have completed your first rewardable activity, you’ll receive your reloadable debit card in the mail. After you activate your account, many of the rewardable activities are processed automatically within ten business days.
ACTIVATE YOUR ACCOUNT
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Redeeming your rewards

You can use your Wellness Pays reloadable debit card during checkout for qualified medical expenses like copays, medical, dental and vision expenses at many major retailers.
USE YOUR REWARDS

Resources


Plan documents

Topic
Resource
2023 Elevate Plus Plan Brochure Download (PDF)
2023 Elevate Plus Member Guide Browse the e-book
2023 Medical Benefits Guide Browse the e-book
2023 Summary of Benefits Coverage Download (PDF)

Helpful resources

Topic
Resource
Create your GEHA web account geha.com/Register
Complete your Enrollment Questionnaire geha.com/EQ
Talk with GEHA Customer Care geha.com/Contact
Use the Find Care Tool geha.com/Find-Care
View the frequently asked questions geha.com/FAQs
Access the GEHA App Visit the App Store or Google Play