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GEHA Indemnity Benefit Plan

www.geha.com
Customer Service: 800-821-6136

2023



IMPORTANT:
  • Rates
  • Changes for 2023
  • Summary of Benefits
A Fee-for-Service Plan (Elevate Plus and Elevate Options) with a Preferred Provider Network

This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides.  See page 7 for details. This plan is accredited. See page 12.

Sponsored and administered by:   
Government Employees Health Association, Inc.


Who may enroll in this Plan:  All Federal employees and annuitants who are eligible to enroll in the Federal Employees Health Benefits Program may become members of Government Employees Health Association, Inc. (GEHA). You must be, or must become a member of GEHA.

To become a member:  You join simply by signing a completed Standard Form 2809, Health Benefits Registration Form, evidencing your enrollment in the Plan.

Membership dues:  There are no membership dues for the Year 2023.

Enrollment codes for this Plan:

    251 Elevate Plus Option - Self Only
    253 Elevate Plus Option - Self Plus One
    25
2 Elevate Plus Option - Self and Family
    254 Elevate Option - Self Only
    256 Elevate Option - Self Plus One
    25
5 Elevate Option - Self and Family
    

 
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