Standard dental plan 2025

¹ If your out-of-network dentist charges more than G.E.H.A'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 sets of bitewing X-rays covered per year for members 22 and under. One set of bitewing X-rays covered per year for members ages 23+.

³ Implants are limited to $2,500 per person per year in-network or out-of-network on High. For Standard, implants are limited to $2,500 per person per year in-network, or $2,000 per person per year out-of-network.

⁴ These benefits are neither offered nor guaranteed under contract with the FEDVIP Program but are made available to all Enrollees who become members of G.E.H.A and their eligible family members.

Coordination of benefits — As with all FEDVIP plans, dental benefits available from your FEHB carrier will be considered before we calculate benefits under your G.E.H.A FEDVIP plan.

Orthodontic services — G.E.H.A does not cover orthodontic services previously started with another carrier, except for High and Standard 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.

This is a brief description of services covered under the G.E.H.A Connection Dental Federal plan. For a complete list of plan limitations and exclusions, please refer to the G.E.H.A Connection Dental Federal plan brochure available online at geha.com/PlanBrochureDental.