Transcription of A Fee-for-Service Plan (Elevate Plus and Elevate Options ...
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GEHA Indemnity Benefit Customer Service: 800-821-6136 2022 A Fee-for-Service Plan ( Elevate Plus and Elevate Options ) with a Preferred Provider Network IMPORTANT Rates: Back Cover Changes for 2022: Page 14 Summary of Benefits: Page 122 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 and administered by: Government Employees health Association, 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 2022.
Employees Health Association, Inc. and the United States Office of Personnel Management, as authorized by the Federal Employees Health Benefits law. This Plan is underwritten by Government Employees Health Association, Inc. (GEHA, Inc.) and Surety Life Insurance Company and administered by GEHA, Inc.
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