Elevate Plus and Medicare Learn all about this plan at geha.com/ElevatePlus
• You pay $0 deductibles, copays and coinsurance for medical care in-network or out-of-network • Engaging digital wellness hub powered by Rally Health • $1,500 hearing aid benefit and additional discounts Though Elevate Plus plan on its own does not provide out-of-network coverage, when it's combined with Medicare and the provider accepts Medicare assignment, out-of-network cost shares are waived.
Premium and enrollment code
Retired – monthly
$185.84 $406.55 $454.64
251 Self Only
253 Self Plus One 252 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 which maintains your health benefits enrollment.
How often you use your plan:
Prescription benefit need:
Health care style: health-focused and proactive
Low
Average
High
Low
Average
High
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. geha.com/WellnessPays
Yearly deductible with Medicare A & B primary 1
You pay
$0
Self Only
$0
Self Plus One or Self and Family
1 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.
Out-of-pocket maximum in-network 1,2
You pay
$6,000
Self Only
$12,000
Self Plus One or Self and Family
1 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. 2 The out-of-pocket maximum is the maximum amount of coinsurance, copays and deductibles you pay for all family members before GEHA begins paying for 100% of covered services. This is a combined maximum for both medical care and prescriptions.
12
2023 GEHA Medicare benefits
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