OUR LOWEST PREMIUM PLAN. Get rewarded for healthy living.
Elevate 2021
Get rewarded for healthy living and enjoy GEHA's lowest premium plan.
Elevate empowers members who want an alternative to traditional, one-size-fits-all plans by offering the most affordable coverage that’s there when you need it and rewarding you for your healthy lifestyle.Why you might like Elevate:
- Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards for healthy activities. (GEHA members have been rewarded more than $1 million over the last six months through Wellness Pays.)
- Low $10 copays for unlimited primary care visits and $25 copays for unlimited specialist visits.
- Low $10 copays for chiropractic and acupuncture visits.
- Digital tools to help you navigate your health care experience.
Costs for services in 2021
See High Option benefits with Medicare A & BThe table below summarizes your in-network cost for medical benefits with GEHA's Elevate plan. 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. For out-of-network benefits, refer to the GEHA Plan Brochure.
| What you pay in-network | |
|---|---|
| Unlimited telehealth visits with MDLIVE | $0 |
| Preventive care; adult routine screenings | $0 |
| Well-child visit; up to age 22 | $0 |
| Maternity; routine preventive care | $0 |
| MinuteClinic (where available) | $10 |
| Primary physician office visit | $10 |
| Specialist care; office visit | $25 |
| Urgent care | $50 |
| Emergency care | 25%1 |
| Hospital care; inpatient including maternity | 25%1 |
| Hospital care; outpatient | 25%1 |
| Inpatient professional surgical services | $250 |
| Outpatient professional surgical services | 25%1 |
| Lab services | 25%1 |
| Other diagnostic services | 25%1 |
| Chiropractic care; up to 12 visits per year (spinal manipulation therapy) | $10 |
| Chiropractic X-rays | $0 |
| Acupuncture; up to 20 treatments per year | $10 |
1Calendar year deductible applies.
2021 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.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.
For added convenience and management of medications, your GEHA prescription benefits include access to presorted multi-dose packets. Presorted packets can be delivered to your home or, if available, picked up at a retail location.
To find a drug cost based on your benefit plan and prescription dosage, check your drug costs.
Retail pharmacy – 30-day supply
| What you pay in-network | What you pay 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
$0 TELEHEALTH 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.