High dental 2023
Exceptional coverage and no deductibles
Why you might like High:
- Includes three dental cleanings per year
- Includes an unlimited annual maximum benefit per person
- Provides GEHA's greatest coverage for intermediate and major dental care services
- Offers orthodontic coverage for both children and adults, with no waiting period
Who should consider High dental?
- People planning for dental procedures in the near future
- Adults and children who want a lower out-of-pocket cost for orthodontic coverage
- People with medical conditions that may affect or can be affected by their dental health
- People looking for the peace of mind that comes with comprehensive coverage
|2023 dental benefit||Benefit description||What you pay In-network or out-of-network1|
|Basic||Class A. Covers two exams, three cleanings and two2 sets of bitewing X-rays per calendar year||Nothing|
|Teledentistry.com||Class A. One oral evaluation per patient in a 12-consecutive-month period||Nothing|
|Intermediate||Class B. Covers restorations, extractions and periodontal maintenance||20%|
|Major||Class C. Covers root canals, crowns, bridges, dentures and periodontal surgery3||50%|
|Orthodontic||Class D. Covers adults and children orthodontic. No waiting periods.||30% with $3,500 lifetime maximum|
|Calendar year maximum||Applies only to Class A, B and C services||Unlimited per person|
There are no deductibles for High.
1 If your out-of-network dentist charges more than GEHA's agreed-upon plan allowance for a specific service, you are responsible for the difference between the plan allowance and the out-of-network dentist’s charge plus regular coinsurance.
2 Two bitewings covered annually for members 22 and under. One set of bitewings is covered per year for adults ages 23+.
3 Implants are limited to $2,500 per person per year in-network or out-of-network on High.
This is a brief description of services covered under the GEHA Connection Dental Federal plan. For a complete list of plan limitations and exclusions, please refer to the GEHA Connection Dental Federal plan brochure available online at geha.com/PlanBrochureDental.
Coordination of benefits — As with all FEDVIP plans, dental benefits available from your FEHB carrier will be considered before we calculate benefits paid by GEHA.
Orthodontic services – GEHA does not cover orthodontic services previously started with another carrier, except for High Option members with orthodontics started under TRICARE.
Choosing a dentist — You have the choice of providers. However, for many services, your out-of-pocket costs may be lower when you visit in-network locations. Network providers will not bill you more than the Plan's maximum allowable charge for covered services.
Claim forms — No special claim forms are required. Just send in the itemized bill from your provider.
Included benefits & discounts
Electric toothbrush discount
Teeth whitening discounts
Hearing aid discounts
Medical alert system discount
1 These benefits are neither offered nor guaranteed under contract with the FEDVIP program, but are made available to all enrollees who become members of GEHA and their eligible family members.
2 The cariPRO® premium toothbrush removes seven times more plaque than a regular brush, is completely waterproof and comes with a two-year manufacturer's warranty. Replacement brush heads with high-quality DuPont™ bristles are also available at this exclusive, member-only price.