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Elevate Plus 2022

Highlights:

  • No deductible. Copays for most common services.
  • Low copays for non-traditional care, like chiropractic and acupuncture
  • Engaging digital wellness portal
  • NOTE: This plan has no out-of-network coverage

How this plan pays you back:

  • NEW! Subscribers can select an annual plan perk. Options include a SilverSneakers fitness benefit, a Fitbit wearable device including monthly Fitbit Premium Membership, a $125 gift card for DICK'S Sporting Goods or REI, or a Daily Burn virtual fitness subscription.
  • Earn up to $500 (maximum $1,000 per household) in Wellness Pays annually

View the 2021 Elevate Plus plan page


2022 Elevate Plus rates*


Self Only Self Plus One Self and Family
Biweekly – employed $79.13 $182.51 $190.63
Monthly – retired $171.44 $395.44 $413.04

Costs (what you pay in-network)

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, check the GEHA Plan Brochure.

What you pay
Unlimited telehealth visits with MDLIVE $0
Preventive care; adult routine screenings $0
Well-child visit; up to age 22 $0
Lab services $0
Maternity; routine preventive care $0
MinuteClinic (where available) $10
Primary physician office visit $25
Chiropractic care (manipulative therapy), including X-rays; up to 15 visits per year $25
Acupuncture; up to 20 treatments per year $25
Specialist care; office visit $40
Urgent care $50
Other diagnostic services $501
In-office professional surgical services $75
Emergency care $200
Outpatient and inpatient professional surgical services $200
Hospital care; inpatient including maternity $250 per day up to $1,000 per admission
Hospital care; outpatient $250 per day per facility



Deductible and out-of-pocket max (in-network)


Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $0 $0 $0
Out-of-pocket-max (what you pay in-network) $6,000 $12,000 $12,000

Prescriptions – 30-day supply

The table below summarizes your cost for prescription drugs with the Elevate Plus plan. For details on specialty drugs that are injected or infused, check the GEHA Plan Brochure. For added convenience and management of medications, prescription benefits include access to presorted multi-dose packets. Packets can be delivered to your home or, if available, picked up at a retail location. To find drug costs with the Elevate Plus plan, use this handy check your drug costs tool.

In-network Out-of-network
Generic $10 You pay 100% of all charges
Preferred brand-name $80 copay¤ You pay 100% of all charges
Non-preferred brand-name 50% of allowance¤ You pay 100% of all charges

Mail service pharmacy


In-network Out-of-network
Generic $20 n/a
Preferred brand-name $200 or the cost of the drug, whichever is less¤ n/a
Non-preferred brand-name 50% of allowance¤ n/a

Highlights that are special to Elevate Plus

Geha Rally Grey
Digital Health Care

GEHA's digital platform provides a fun way to stay motivated and earn up to $500 per person.
$0 Telehealth Visits

Access certified doctors, including pediatricians, licensed behavioral health therapists and dermatologists.
Surgical Concierge

$0 out-of-pocket surgery costs. Your dedicated Care Coordinator will help you every step of the way.
2022 geha medical benefits guide cover image

2022 Medical Benefits Guide


Review this guide with all our plans, including rates, costs, extra services, and side-by-side comparisons

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