Frequently Asked Dental Questions

You may use the Find Care tool to search for in-network providers in your area or online.

G.E.H.A members can also sign in to the MyG.E.H.A member portal for plan-specific dental provider details and personalized information.

Provider participation can change throughout the year. Before booking your visit, please call your dental office to make sure they are still in-network with one of the following networks:

• G.E.H.A Connection Dental Network
• Careington 
• DenteMax

You can download a Plan Brochure and other plan materials in the Resource Center.

If you want to receive a hard copy of a Plan Brochure, please contact G.E.H.A Customer Care, and one will be mailed to you.

New enrollments or plan changes:

You should receive your G.E.H.A ID card within 15 days of your enrollment effective date. If you do not receive your ID card within 30 calendar days after the effective date of your enrollment:

• Request/reprint a card through the MyG.E.H.A member portal
• Contact G.E.H.A Customer Care, and one will be mailed to you

If you're a new or returning member, you can view and download a digital version of your G.E.H.A ID card through the MyG.E.H.A member portal.

Returning members in the same plan:

For existing members who have requested replacement ID cards, please allow 10 to 14 days from the date of your request.

At the end of the year, you may be issued a new ID card.

Providers that are in-network will file claims on your behalf at the time of service. If your provider is out of network and G.E.H.A is your primary benefits provider, you can submit your claims from the MyG.E.H.A member portal.  

1. Log into the MyG.E.H.A member portal
2. Navigate to the Claims and EOBs section
3. Select Submit a claim
4. Choose Get started
5. Following the prompts, upload your claim documentation

If you’re mailing in your claims submission or have additional questions, learn more at How to file a dental claim.

You can view your claims on the MyG.E.H.A member portal.

1. To get started, sign in or create your MyG.E.H.A member portal account
2. Select View all claims/EOBs located on the member dashboard

This dashboard will show G.E.H.A-processed claims from the past two years.

For more information on how to access your MyG.E.H.A member portal, visit MyG.E.H.A member portal + app for step-by-step instructions.

If you have Self Only coverage, you may change to Self Plus One or Self and Family coverage starting on the first day of the pay period after the family member becomes eligible due to a qualifying life event (such as birth, adoption, marriage or loss of other coverage).

To add a dependent, FEDVIP members must contact BENEFEDS online at BENEFEDS.gov or by phone at 1-877-888-3337 (TTY 711).

You can view our plan summary information or download your Plan Brochure from our Resource Center, which include specifics on covered services as well as any limitations and exclusions.

We also have a dental procedure pricing tool to let members and prospective members estimate the general non-network maximum allowable charge for common dental services.

It depends on your plan and the services you receive:

• If you’re a High plan member, G.E.H.A will pay the same percentage whether you use an in-network dentist or an out-of-network dentist
• If you’re a Standard plan member, the percentage G.E.H.A pays varies based on the services provided

For coverage details, view the G.E.H.A Dental Benefits Guide.

Important: If you use an out-of-network provider, you would be responsible for paying the difference between their charge and the G.E.H.A allowable amount. To estimate your expected costs, use the dental procedure pricing tool.

For High plan members, G.E.H.A will pay the same percentage whether you use an in-network provider or an out-of-network provider.

For Standard plan members, the annual deductible and maximums are lower for out-of-network providers:

• The annual deductible for out-of-network services is $75 per person
• The annual benefit maximum for services (including implants) is $2,000 per person
• The annual benefit maximum for implants is $2,000 per person
• The lifetime benefit maximum for orthodontic services is $1,500 per person