2021 GEHA Medical Benefits Guide

Elevate

Self Only premiums.

Enroll code 254 . geha.com/Enroll

$47.32

Non-Postal worker biweekly

Get rewarded for healthy living and enjoy GEHA's lowest premium plan.

$45.43

Postal worker biweekly – Category 1

$39.28

Postal worker biweekly – Category 2

X Earn up to $500 for Self Only or $1,000 for Self Plus One and Self and Family through Wellness Pays rewards. X Low $10 copays for unlimited primary care visits and $25 copays for unlimited specialist visits. X Low copays for chiropractic and acupuncture visits. X Digital tools to navigate your health care experience. Learn more at geha.com/ElevateLearn

$102.53

Retirees monthly

Self Plus One premiums.

Enroll code 256 . geha.com/Enroll

$108.84

Non-Postal worker biweekly

Benefits included with your Elevate plan. Unlimited telehealth visits with MDLIVE

$104.49

Postal worker biweekly – Category 1

geha.com/MDLIVE geha.com/Vision geha.com/Fitness geha.com/Toothbrush geha.com/Whitening

$90.34

Postal worker biweekly – Category 2

Vision discount 6

$235.83

Retirees monthly

Gym membership 6 Electric toothbrush 6

Self and Family premiums.

Teeth whitening 6

Enroll code 255 . geha.com/Enroll

$0 out-of-pocket surgery costs and concierge care coordinator through BridgeHealth 7

geha.com/BridgeHealth

$132.51

Non-Postal worker biweekly

$127.21

Postal worker biweekly – Category 1

Yearly deductible & out-of-pocket max 2 for Elevate. What you pay in-network. 3

$109.98

Postal worker biweekly – Category 2

$500 $7,000 $1,000 $14,000

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

$287.10

Retirees monthly

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. 4

www.geha.com

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