GEHA will be closed in observance of the Memorial Day holiday on Monday, May 29. We will reopen at 7 a.m. Central time on Tuesday, May 30.
GEHA will perform system maintenance this Sunday (May 28) from 8 a.m.–11 a.m. Central time. ID cards might not be available during this time. We apologize for any inconvenience.
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Preventive Dental Benefits
GEHA Standard, High and HDHP medical plan members have access to the following preventive care dental benefits:
Standard
High
HDHP
In-network & out-of-network providers
In-network & out-of-network providers
In-network & out-of-network providers
Benefits are limited to (per person, per calendar year)
2 exams
2 prophylaxis (cleanings)
2 fluoride (no age limit)
(Exams, prophylaxis and fluoride) are paid at 50% of GEHA's allowable amount. X-ray charges (no frequency/any type of X-ray) are paid at 50%, for a maximum of $75 paid per person per calendar year.
In addition:
One surface fillings, the plan pays $21 per tooth
Two or more surface fillings, the plan pays $28 per tooth
Simple extractions, the plan pays $21 per tooth
Benefits are limited to two visits per calendar year. The plan will pay $22 per visit, for a total of $44 paid per person per year. Visits may include any combination of:
Exams
Prophylaxis (cleanings)
Fluoride (no age limit)
X-rays (no frequency limit)
In addition:
One surface fillings, the play pays $21 per tooth
Two or more surface fillings, the plan pays $28 per tooth
Simple extractions, the plan pays $21 per tooth
Benefits are limited to (per person, per calendar year)
2 exams
2 prophylaxis (cleanings)
2 fluoride (no age limit)
(Exams, prophylaxis and fluoride) are paid at 100% of GEHA's allowable amount. X-ray charges (no frequency/any type of X-ray) are paid at 100%, for a maximum of $150 paid per person per calendar year.
In addition:
One surface fillings, the plan pays $21 per tooth
Two or more surface fillings, the plan pays $28 per tooth
