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
|Self Plus One|
|Self and Family|
|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
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.