Elevate 2023
One of the lowest national premiums
Highlights:
- Some of the lowest doctor visit copays available
- Low copays for chiropractic and acupuncture visits
- Engaging digital wellness hub powered by Rally Health
How this plan pays you back:
- Earn Wellness Pays rewards up to $500 (Self Only) or $1,000 (Self Plus One or Self and Family) annually. Rewards dollars can be used for qualified medical expenses such as copays, and medical, dental and vision expenses.
- Subscribers can select an annual plan perk. Options include a Fitbit wearable device including 12-month Fitbit Premium Membership, a $125 gift card for DICK'S Sporting Goods or REI, or a 12-month Daily Burn virtual fitness subscription.
2023 Elevate rates
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Biweekly — employed | $50.69 | $118.83 | $144.67 |
| Monthly — retired | $109.83 | $257.47 | $313.46 |
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.
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, including mental health, with MDLIVE | $0 |
| Preventive care; adult routine screenings | $0 |
| Well-child visit; up to age 22 | $0 |
| Maternity; routine care | $0 |
| Vision coverage; eye exams1 | $0 |
| Primary physician office visit | $10 |
| Mental health office visit | $10 |
| MinuteClinic (where available) | $10 |
| Chiropractic care (manipulative therapy), including X-rays; up to 12 visits per year | $10 |
| Acupuncture; up to 20 treatments per year | $10 |
| Specialist care office visit | $30 |
| Urgent care facility | $50 |
| ER visit | 25%2 |
| Maternity; inpatient care | 25%2 |
| Hospital care; inpatient and outpatient | 25%2 |
| Lab services | 25%2 |
| X-ray and other diagnostic services | 25%2 |
| Outpatient professional surgical services | 25%2 |
| Inpatient professional surgical services | $250 |
1 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 GEHA medical plan and their eligible family members.
2Calendar year deductible applies.
2Calendar year deductible applies.
Prescription benefits
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.
| What you pay in-network | |
|---|---|
| 30-day retail generic | $4 copay |
| 30-day retail preferred brand-name | 50% of allowance up to $500 max |
| 30-day retail non-preferred brand-name | You pay 100% of all charges |
| 30-day specialty CVS exclusive generic and preferred brand-name | 50% of allowance up to $500 max |
| 30-day specialty CVS exclusive non-preferred brand-name | You pay 100% of all charges |
| The mail service pharmacy is not available for the Elevate plan. | |
Highlights that are special to Elevate
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 mental health therapists and dermatologists.
2023 Medical Benefits Guide
Review this guide with all our plans, including rates, costs, extra services, and side-by-side comparisons
Ready to enroll?
Let's explain the process.
Our Benefits Advisers are available to help new shoppers Mon. – Fri. from 7 a.m. – 7 p.m. Central time.
GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB program, but are made available to all enrollees who become members of a GEHA medical plan and their eligible family members. 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.