Why you might like High:
- Offers orthodontic coverage for both children and adults, with no waiting period
- Includes an unlimited annual maximum benefit per person
Who should consider High dental?
- People planning for dental procedures in the near future
- Parents with children immediately requiring orthodontic care
- 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
For 2021 benefits, see Section 5 of the 2021 plan brochure (PDF).
2022 GEHA Dental Plan Rates
|Self Plus One|
|Self and Family|
|2022 plan year benefit||Benefit description||What the plan pays In-network or out-of-network2|
|Class A – Basic||Two exams, two cleanings3 and two sets of bitewing X-rays per calendar year||100%|
|Class B – Intermediate||Fillings, extractions and periodontal maintenance||80%|
|Class C – Major||Root canals, crowns, bridges, dentures, periodontal surgery (implants limited to $2,500 per person per year)||50%|
|Class D – Orthodontic||Adults and children orthodontic||
|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 High plan members with certain health conditions can be eligible for a third cleaning in a calendar year if considered medically necessary.
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.
Limitations and exclusions – This plan has certain limits on dental coverage in order to keep plan rates affordable for you and your dependents. A complete list of plan limitations and exclusions may be found in the Plan Brochure.
Included benefits & discounts
Hearing aid discount
Electric toothbrush discount
Teeth whitening discount
Medical alert system
1 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.