Standard dental 2024
Basic preventive care and cleanings for the lowest premium
Why you might like Standard:
- GEHA's lowest premium dental plan
- Offers orthodontic coverage for both children and adults, with no waiting period
- Two preventive cleanings per year
- Includes a $2,500 annual maximum benefit per person when staying in-network
- 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 discounts*
* 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.
2024 GEHA Dental Plan Rates
|Self Plus One|
|Self and Family|
|2024 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 members 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.