2021 GEHA Medical Benefits Guide

Elevate Plus

Self Only premiums.

Enroll code 251 . geha.com/Enroll

$75.36

Non-Postal worker biweekly

Predictable costs and no in-network deductible. Copays for common medical expenses and includes out-of-network medical coverage. X Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards. X $0 out-of-pocket surgery costs and concierge care coordinator through BridgeHealth. 7 X Low copays for chiropractic and acupuncture visits. X Digital tools to navigate your health care experience. Learn more at geha.com/ElevateLearn Benefits included with your Elevate Plus plan. Unlimited telehealth visits with MDLIVE geha.com/MDLIVE Vision discount 6 geha.com/Vision Hearing aid discount 6 geha.com/Hearing Gym membership 6 geha.com/Fitness Electric toothbrush 6 geha.com/Toothbrush Teeth whitening 6 geha.com/Whitening $0 out-of-pocket surgery costs and concierge care coordinator through BridgeHealth 7 geha.com/BridgeHealth

$72.35

Postal worker biweekly – Category 1

$62.55

Postal worker biweekly – Category 2

$163.28

Retirees monthly

Self Plus One premiums.

Enroll code 253 . geha.com/Enroll

$175.81

Non-Postal worker biweekly

$168.62

Postal worker biweekly – Category 1

$147.06

Postal worker biweekly – Category 2

$380.93

Retirees monthly

Self and Family premiums.

Enroll code 252 . geha.com/Enroll

$186.89

Non-Postal worker biweekly

$179.42

Postal worker biweekly – Category 1

$155.12

Postal worker biweekly – Category 2

Yearly deductibles & out-of-pocket max 1 for Elevate Plus. What you pay in-network. 2

$404.93

Retirees monthly

$0 $6,000 $0 $12,000

Yearly deductible Out-of-pocket max Yearly deductible Out-of-pocket max

Self Only

Self Plus One Self and Family

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. 10

www.geha.com

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