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FEHB Elevate 2027

The plan for people focused on essential coverage and extra wellness rewards

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2027 FEHB Elevate rates
Pay frequency	Self Only \| CODE 254	Self Plus One \| CODE 256	Self and Family \| CODE 255
Biweekly — employed	$77.92	$187.99	$228.85
Monthly — retired	$168.83	$407.31	$495.85

2027 FEHB Elevate rates
Pay frequency	Self Only \| CODE 254	Self Plus One \| CODE 256	Self and Family \| CODE 255
	Pay frequency Biweekly — employed	Self Only \| CODE 254 $77.92	Self Plus One \| CODE 256 $187.99	Self and Family \| CODE 255 $228.85	Pay frequency Monthly — retired	Self Only \| CODE 254 $168.83	Self Plus One \| CODE 256 $407.31	Self and Family \| CODE 255 $495.85

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 G.E.H.A Plan Brochure.

Costs (what you pay in-network)
Network benefits²	You pay
Yearly deductible (in-network)	$750 for Self Only $1,500 for Self Plus One or Self and Family
Out‑of‑pocket maximum³ (in-network)	$10,600 for Self Only $21,200 for Self Plus One or Self and Family
Preventive care Annual physical exam, routine screenings, immunizations and more	$0
Primary care office visits	$10
Mental health office visits	$10
Specialist office visit	$30
MinuteClinic^® / Urgent care facility visit	$10 / $50
Unlimited telehealth visits, including mental health	$0
Emergency room visit	35%⁴
Hospital care; outpatient / inpatient	25% ⁴ / 25% ⁴
Lab services	25% ⁴
X-rays and other diagnostic services	25% ⁴
Maternity inpatient	25% ⁴
Maternity; childbirth delivery professional services	$0
Chiropractic care (up to 12 visits per year)	$10
Acupuncture (up to 20 visits per year)	$10

Costs (what you pay in-network)
Network benefits²	You pay
	Network benefits² Yearly deductible (in-network)	You pay $750 for Self Only $1,500 for Self Plus One or Self and Family	Network benefits² Out‑of‑pocket maximum³ (in-network)	You pay $10,600 for Self Only $21,200 for Self Plus One or Self and Family	Network benefits² Preventive care Annual physical exam, routine screenings, immunizations and more	You pay $0	Network benefits² Primary care office visits	You pay $10	Network benefits² Mental health office visits	You pay $10	Network benefits² Specialist office visit	You pay $30	Network benefits² MinuteClinic^® / Urgent care facility visit	You pay $10 / $50	Network benefits² Unlimited telehealth visits, including mental health	You pay $0	Network benefits² Emergency room visit	You pay 35%⁴	Network benefits² Hospital care; outpatient / inpatient	You pay 25% ⁴ / 25% ⁴	Network benefits² Lab services	You pay 25% ⁴	Network benefits² X-rays and other diagnostic services	You pay 25% ⁴	Network benefits² Maternity inpatient	You pay 25% ⁴	Network benefits² Maternity; childbirth delivery professional services	You pay $0	Network benefits² Chiropractic care (up to 12 visits per year)	You pay $10	Network benefits² Acupuncture (up to 20 visits per year)	You pay $10

Prescription costs

(what you pay in-network)

Go to caremark.com to find a pharmacy near you or access drug costs, specialty drug lists and additional details about your prescriptions.

This plan has a limited pharmacy network with no out-of-network or mail service coverage. For details on specialty drugs that are injected or infused, check the G.E.H.A Plan Brochure.

Prescription benefits
Prescription drug benefits^2,5,6	Retail (30-day)	Specialty CVS exclusive (30-day)
Generic	$10	50% ($500 max)
Preferred brand-name	50% ($500 max)	50% ($500 max)
Non-preferred brand-name	100%	100%

Prescription benefits
Prescription drug benefits^2,5,6	Retail (30-day)	Specialty CVS exclusive (30-day)
	Prescription drug benefits^2,5,6 Generic	Retail (30-day) $10	Specialty CVS exclusive (30-day) 50% ($500 max)	Prescription drug benefits^2,5,6 Preferred brand-name	Retail (30-day) 50% ($500 max)	Specialty CVS exclusive (30-day) 50% ($500 max)	Prescription drug benefits^2,5,6 Non-preferred brand-name	Retail (30-day) 100%	Specialty CVS exclusive (30-day) 100%

Elevate benefits that go beyond

Vision discount¹

Eye exams, frames, lenses and more

Vision discount

Unlimited $0 telehealth visits

Including mental health with MD Live

Online doctor visit

Low copays

Including primary care, mental health visits and some alternative care

Find Care

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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 G.E.H.A health plan and their eligible family members.

2 In-network providers agree to limit what they will charge you. You pay a fixed dollar amount or percentage of the provider's negotiated amount.

3 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before G.E.H.A begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.

4 Calendar year deductible applies.

5 Refer to geha.com/Prescriptions for formulary and specialty coverage for specific medications.

6 This plan does not include mail-order prescriptions or out-of-network pharmacy coverage, and it has a limited pharmacy network. Find a pharmacy at geha.com/FindCare

This is a brief description of the features of the G.E.H.A Elevate health 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.

We reinvest our dollars to ensure our plans and member experience are second to none.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We're the benefits provider of choice for 2+ million federal employees, retirees and their families.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We offer two comprehensive dental plans with the right coverage for every stage of life.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Both G.E.H.A dental plans include no in-network deductibles with over 450,000 provider locations nationwide.

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Founded by Postal workers 88 years ago to protect the health and well-being of federal employees.

Agency benefits professionals, this is your one-stop shop for Open Season support.

FEHB Elevate 2027