High dental 2024
More comprehensive care for dental work like crowns, bridges and dentures
Why you might like High:
- Includes an unlimited annual maximum benefit per person
- Greatest coverage for intermediate and major dental care services
- Orthodontic coverage for both children and adults, with no waiting period
- Includes three dental cleanings per year for adults
- New in 2024: Nitrous oxide will now be covered for all ages for covered procedures, if medically necessary
- New in 2024: Coverage for prefabricated porcelain/ceramic crowns on primary teeth, limited to one per patient, per tooth, per lifetime
- Vision benefit: $5 routine eye exam plus frames, lens and Lasik discounts1
2024 GEHA Dental Plan Rates
|2024 dental benefit
|What you pay In-network or out-of-network1
|Class A. Covers two exams, three cleanings (for adults) and two2 sets of bitewing X-rays per calendar year
|Class A. One oral evaluation per patient in a 12-consecutive-month period
|Class B. Covers restorations, extractions and periodontal maintenance
|Class C. Covers root canals, crowns, bridges, dentures and periodontal surgery3
|Class D. Covers child and adult orthodontics. No waiting periods.
|30% with $3,500 lifetime maximum
|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 Two bitewings covered annually for members 22 and under. One set of bitewings is 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.
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.