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Elevate Plus 2024

The conventional plan for proactive people who always stay in-network

View the 2023 Elevate Plus plan

Highlights:

  • Low copays for non-traditional care, like chiropractic and acupuncture
  • $200 deductible for Self Only. $400 deductible for Self Plus One and Self and Family. 15% coinsurance for some services.
  • Copays for most common services.
  • Specialist copay of $50 per visit
  • Earn rewards with the Rally® digital health platform
  • Mental health benefit, including telehealth, from MDLIVE
  • Vision discounts and $0 annual eye exam included with EyeMed1

2024 Elevate Plus rates

Pay frequency Self Only Self Plus One Self and Family
Biweekly — employed $102.55 $232.73 $253.08
Monthly — retired $222.19 $504.25 $548.34

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.
Medical benefit 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
Lab services $0
Maternity; preventive prenatal and postnatal office visits $0
Maternity; childbirth/delivery professional services $0
Vision coverage; eye exams1 $0
MinuteClinic visit (where available) $10
Primary care physician office visit $30
Mental health office visit $30
Chiropractic care (manipulative therapy), including X-rays; up to 15 visits per year $30
Acupuncture; up to 20 visits per year $30
Specialist care office visit $50
Urgent care facility visit $50
X-rays and other diagnostic services $502
ER visit 15%3
Maternity; childbirth/delivery facility services 15%3
Hospital care; inpatient and outpatient 15%3
Outpatient and inpatient professional surgical services 15%3

Deductible and out-of-pocket maximum

Term Self Only Self Plus One Self and Family
Yearly deductible (what you pay in-network) $200 $400 $400
Out-of-pocket maximum (what you pay in-network) $7,000 $14,000 $14,000

Prescription benefits

The table below summarizes your cost for prescription drugs with the Elevate Plus plan. This plan has no out-of-network pharmacy coverage. 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.
Prescription benefit In-network
30-day retail generic $10
30-day retail preferred brand-name $80 copay¤
30-day retail non-preferred brand-name 50% of allowance¤
90-day mail service generic $20
90-day mail service preferred brand-name $200¤
90-day mail service non-preferred brand-name 50% of allowance¤
30-day specialty CVS exclusive generic and preferred brand-name 40% of allowance ($500 max¤)
30-day specialty CVS exclusive non-preferred brand-name 50% of allowance¤

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 mental health therapists and dermatologists.
Vision coverage1

Get in-network routine eye exams for $0 and discounts on eyewear.
cover image for the 2024 geha medical benefits guide

2024 Medical Benefits Guide


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



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