Why you might like Standard:
- Offers orthodontic coverage for both children and adults, with a 12-month waiting period
- Includes $2,500 in-network annual maximum benefit per person
Who should consider Standard dental?
- People concerned with their overall health and wellness
- Parents with children anticipating future orthodontic care
- People anticipating dental procedures
- People looking for the peace of mind that comes with additional dental coverage beyond what’s included in their medical plan
|2022 plan year benefit||Benefit description||What the plan pays In-network2||What the plan pays out-of-network2|
|Class A – Basic||Two exams, two cleanings and two sets of bitewing X-rays per calendar year||100%||75%|
|Class B – Intermediate||Fillings, extractions and periodontal maintenance||55%||50%|
|Class C – Major||Root canals, crowns, bridges, dentures, periodontal surgery (implants limited to $2,500 per person per year in-network, or $2,000 per person per year out-of-network.)||35%||30%|
|Class D – Orthodontic||Adults and children orthodontic||
|Calendar year maximum||Applies only to Class A, B and C services||$2,500 per person||$2,000 per person|
1 There is no waiting period for Class A, B or C services. There is a 12-month waiting period for Class D orthodontic services on the Standard plan only.
2 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.
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.