Low premiums and digital wellness tools at your fingertips
Elevate
Get rewarded for healthy living
This new plan is designed to be easy and affordable. Elevate offers innovative ways for you to live healthier. You also have peace-of-mind knowing you’re covered if the unexpected does happen.
When you enroll in GEHA’s Elevate option, you get:
- Rewards for your healthy behavior. Up to $500 annually (or a maximum of $1,000 annually for two family members).
- Access to a digital platform hosted by Rally Health with tools and incentives that make it easier to live healthier.
- FREE 24/7 online doctor visits. Seeing an MDLIVE doctor, therapist or dermatologist is simple, fast and uncomplicated.
Other Elevate highlights include:
- A $10 copay for in-network acupuncture and chiropractic treatments.
- A $10 copay for MinuteClinic® retail clinic visits.
- A $4 copay for 30-day supply of generic drugs at an in-network retail pharmacy.
- GEHA's lowest premium plan.
Costs for services in 2020
The table below summarizes your in-network cost for medical benefits with GEHA's Elevate plan. For complete information, refer to the GEHA Plan Brochure.
Copays
| Copay | What you pay in-network |
|---|---|
| Primary physician office visit | $10 |
| Specialist | $25 |
| MinuteClinic (where available) | $10 |
| Urgent care | $50 |
| Routine eye exam | $0 through EyeMed |
Other services
| Service | What you pay in-network |
|---|---|
| Preventive lab services | Nothing |
| Well-child visit; up to age 22 | Nothing |
| Adult routine screenings | Nothing |
Maternity care
| Service | What you pay in-network |
|---|---|
| Routine provider care | Nothing |
| Inpatient care | 25% after deductible |
2020 Rates
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.
Out-of-pocket maximums and yearly deductibles
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Calendar-year deductible (in-network) | $500 | $1,000 | $1,000 |
| Out-of-pocket-maximum (in-network) | $7,000 | $14,000 | $14,000 |
Prescriptions
The table below summarizes your cost for prescription drugs with GEHA’s Elevate plan. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.
To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.
You should know ... this plan is designed to lower premiums by focusing on generic drugs over specialty and brand-name prescriptions. Prescriptions can only be picked up at an in-network pharmacy, and mail order is not available. If these are priorities to you, please consider Elevate Plus. You can evaluate the pharmacy drug list and use the pharmacy locator at info.caremark.com/GEHA.
Retail pharmacy – 30-day supply
| In-Network | Out of Network | |
|---|---|---|
| Generic | $4 copay | You pay 100% of all charges |
| Preferred brand-name | 50% of allowance up to $500 max | You pay 100% of all charges |
| Non-preferred brand-name | You pay 100% of all charges | You pay 100% of all charges |
Mail service pharmacy – 90-day supply
| The mail service pharmacy is not available for the Elevate plan. |
Key plan features
DIGITAL HEALTH CARE
ONLINE DOCTOR VISITS
SURGICAL CONCIERGE
^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB, but are made available to all enrollees and family members who become members of a GEHA medical plan. For information on year-round savings for GEHA dental members, visit Savings for GEHA dental members.
This is a brief description of the features of the GEHA Elevate 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.