Standard dental plan 2025
Traditional dental coverage for people who want affordable premiums
                    Why our Standard plan might work for you
- G.E.H.A's lowest premium dental plan
 - Orthodontic coverage for both children and adults, with no waiting period
 - Two preventive cleanings per year included
 - Includes a $2,500 annual maximum benefit for in-network expenses
 - Vision benefit: $5 routine eye exam plus frames, lens and LASIK discounts4
 
2025 Standard dental benefits
| 
                         
                                2025 dental benefit
                         
                     | 
                    
                         
                                Benefit description
                         
                     | 
                    
                         
                                In-network You Pay
                         
                     | 
                    
                         
                                Out-of-network1 You pay
                         
                     | 
                    
|---|---|---|---|
| 
                             Basic — Class A 
                     | 
                    
                              Covers two exams, two cleanings and two sets of bitewing X-rays per calendar year2 
                     | 
                    
                             $0 
                     | 
                    
                             25% 
                     | 
                    
| 
                             Basic — Class A  
                     | 
                    
                             Teledentistry.com 
                    One oral evaluation per patient in a 12-consecutive-month period  | 
                    
                             $0 
                     | 
                    
                             N/A 
                     | 
                    
| 
                             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 children and adult orthodontics. No waiting periods. 
                     | 
                    
                             50%  with $2,500  lifetime maximum 
                     | 
                    
                             50%  with $1,500  lifetime maximum 
                     | 
                    
| 
                             Calendar year maximum 
                     | 
                    
                             Applies only to Class A, B and C services 
                     | 
                    
                             $2,500  per person 
                     | 
                    
                             $2,000  per person 
                     | 
                    
| 
                         
                                2025 dental benefit
                         
                     | 
                    
                         
                                Benefit description
                         
                     | 
                    
                         
                                In-network You Pay
                         
                     | 
                    
                         
                                Out-of-network1 You pay
                         
                     | 
                    |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Basic — Class A
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                     Covers two exams, two cleanings and two sets of bitewing X-rays per calendar year2
                                                                 
                                                             | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    $0
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    25%
                                                                 
                                                             | 
                                                            
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Basic — Class A 
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                    Teledentistry.com 
                                                            One oral evaluation per patient in a 12-consecutive-month period  | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    $0
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    N/A
                                                                 
                                                             | 
                                                            
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Intermediate — Class B
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                     Covers restorations, extractions and periodontal maintenance
                                                                 
                                                             | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    45%
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    50%
                                                                 
                                                             | 
                                                            
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Major — Class C
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                    Covers root canals, crowns, bridges, dentures and periodontal surgery3
                                                                 
                                                             | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    65%
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    70%
                                                                 
                                                             | 
                                                            
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Orthodontic — Class D
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                     Covers children and adult orthodontics. No waiting periods.
                                                                 
                                                             | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    50%  with $2,500  lifetime maximum
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    50%  with $1,500  lifetime maximum
                                                                 
                                                             | 
                                                            
                                                                 
2025 dental benefit                                                                 
                                                                
                                                                    Calendar year maximum
                                                                 
                                                             | 
                                                            
                                                                 
Benefit description                                                                 
                                                                
                                                                    Applies only to Class A, B and C services
                                                                 
                                                             | 
                                                            
                                                                 
In-network You Pay                                                                 
                                                                
                                                                    $2,500  per person
                                                                 
                                                             | 
                                                            
                                                                 
Out-of-network1 You pay                                                                 
                                                                
                                                                    $2,000  per person
                                                                 
                                                             | 
                                            
- For the Standard plan, there is a $75 out-of-network deductible per person with no family limit for Class A, B and C.
 
Included benefits & discounts
Vision benefit
Electric toothbrush discount
Hearing aid discounts
Teeth whitening discounts
Medical alert system discount
Enrolling now, or still weighing options?
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.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
By phone: Available 8 a.m.–8 p.m. ET
Live chat: Available 8 a.m.–7 p.m.  ET
                    
                        More ways to contact us
                        
                        
                    
                
                More ways to contact us
Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336

