Standard dental 2023
GEHA's lowest premium dental plan
Why you might like Standard:
- GEHAs lowest premium dental plan
- In-network preventive dental covered at 100%
- Offers orthodontic coverage for both children and adults, with no waiting period
- Includes an in-network annual maximum of $2,500 per person
Who should consider Standard dental?
- People concerned with their overall health and wellness
- People looking for the peace of mind that comes with additional dental coverage beyond what’s included in their medical plan
2023 GEHA Dental Plan Rates
| 2023 dental benefit | Benefit description | What you pay In-network | What you pay out-of-network1 |
|---|---|---|---|
| Basic | Class A. Covers two exams, two cleanings, and two2 sets of bitewing X-rays per calendar year | Nothing | 25% |
| Teledentistry.com | Class A. One oral evaluation per patient in a 12-consecutive-month period | Nothing | No benefit |
| Intermediate | Class B. Covers restorations, extractions and periodontal maintenance | 45% | 50% |
| Major | Class C. Covers root canals, crowns, bridges, dentures and periodontal surgery3 | 65% | 70% |
| Orthodontic | Class D. Covers adults and children orthodontic. No waiting periods. | 50% with $2,500 lifetime maximum | 50% with $1,500 lifetime maximum |
| Calendar year maximum | Class A, B and C services only | $2,500 per person | $2,000 per person |
Out-of-network deductible for Class B and C services is $25 Standard Self Only, $50 Standard Self Plus One and $75 Standard Self and Family.
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 on Standard are limited to $2,500 per person per year in-network, or $2,000 per person per year out-of-network.
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
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.
2023 Dental Benefits Guide
Review our 2023 guide with GEHA's dental plans, including rates, costs, extra services, and side-by-side comparisons
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