Discover the unparalleled dental insurance solution tailored exclusively for your well-being – GEHA Dental Insurance. Our comprehensive coverage empowers you to achieve optimal oral health while shielding you from unforeseen dental expenses. Through an extensive network of experienced dentists, we ensure convenient access to top-notch dental care when you need it most.
GEHA Dental Insurance goes beyond the ordinary, offering an exceptional array of benefits designed to cater to your unique dental needs. From preventive care to advanced restorative procedures, our plans provide unparalleled coverage to maintain a healthy smile. Moreover, our user-friendly online portal grants you the flexibility to manage your account, access dental records, and submit claims with ease. Experience the peace of mind that comes from knowing you and your family have access to the highest quality dental care available.
With GEHA Dental Insurance, you can rest assured that your dental health is in expert hands. Our commitment to providing exceptional customer service is unwavering. Our knowledgeable representatives are always ready to assist you, ensuring your understanding and satisfaction with your coverage. Additionally, our flexible payment options make it effortless to find a plan that aligns with your budget. Embrace the tranquility that comes from knowing your dental well-being is secure with GEHA Dental Insurance.
GEHA Dental Preventive Care Coverage
GEHA, or Government Employees Health Association, offers a range of dental insurance plans designed to meet the needs of government employees and their families. One important aspect of these plans is the coverage provided for preventive care, which plays a crucial role in maintaining oral health and preventing costly treatments down the road.
Annual Comprehensive Oral Exam
GEHA dental plans provide coverage for one comprehensive oral exam per year. This exam typically includes a thorough examination of the teeth, gums, and oral cavity, as well as a review of the patient’s medical and dental history. The dentist will check for any signs of cavities, gum disease, or other oral health issues and provide recommendations for treatment or prevention.
Diagnostic X-Rays
GEHA plans also cover diagnostic X-rays that are deemed necessary by the dentist. These X-rays allow the dentist to visualize the teeth and jawbone more clearly, helping to detect hidden cavities, bone loss, or other abnormalities that may not be apparent during a visual examination.
Teeth Cleaning
Preventive care coverage under GEHA dental plans includes professional teeth cleaning at least twice a year. Dental hygienists perform professional teeth cleaning to remove plaque and tartar from the teeth, which helps prevent cavities and gum disease. Regular cleanings can also help to improve the appearance of the teeth and freshen breath.
Dental Sealants
For children and adolescents, GEHA dental plans offer coverage for dental sealants. Sealants are thin, protective coatings applied to the chewing surfaces of the teeth, especially the molars, to prevent decay. By sealing out bacteria and food particles, sealants help to reduce the risk of cavities in children, who are more susceptible to developing them.
Fluoride Treatment
GEHA plans also cover fluoride treatments as a preventive measure against cavities. Fluoride strengthens the teeth and helps to prevent tooth decay. Fluoride treatments may be administered topically in the form of a gel or varnish or ingested through a prescription-strength mouthwash.
Oral Hygiene Education
In addition to covering preventive treatments, GEHA dental plans also prioritize oral hygiene education. The dentist or hygienist will provide education on proper brushing and flossing techniques, the importance of a healthy diet, and other preventive measures that patients can take to maintain good oral health.
Frequency of Coverage
GEHA dental plans typically cover preventive care services at specified intervals, as outlined below:
| Service | Frequency |
|---|---|
| Comprehensive Oral Exam | Once per year |
| Diagnostic X-Rays | As necessary |
| Teeth Cleaning | Twice per year |
| Dental Sealants | For children and adolescents |
| Fluoride Treatment | As prescribed by the dentist |
Co-Payments and Coverage Limits
GEHA dental plans may have co-payments or coverage limits for preventive care services. Co-payments are fixed amounts that the patient must pay out-of-pocket for each covered service. Coverage limits are the maximum amount that the plan will pay toward a particular service or procedure. It is important to check your plan’s details to understand any specific co-payments or coverage limits that may apply to preventive care services.
Geha Dental Coverage for Children
GEHA offers a range of dental insurance plans for children, providing comprehensive coverage for a variety of dental procedures. These plans are designed to meet the specific needs of children, offering preventive, basic, and major services to ensure their oral health.
Preventive Services
Preventive services are essential for maintaining healthy teeth and gums. GEHA’s dental plans cover a wide range of preventive services for children, including:
- Regular dental exams and cleanings
- Fluoride treatments
- Sealants
- X-rays
Basic Services
Basic services address common dental issues that may arise during childhood. GEHA’s dental plans cover a variety of basic services, such as:
- Fillings
- Tooth extractions
- Root canals
- Crowns
Major Services
Major services are necessary for addressing more complex dental issues. GEHA’s dental plans cover a range of major services, including:
- Orthodontics
- Dental implants
- Gum surgery
- Jaw surgery
Coverage Details
The specific coverage provided under GEHA’s dental plans for children varies depending on the plan selected. However, some general coverage details include:
- Annual maximum benefits ranging from $1,000 to $2,000
- Copays for preventive services typically range from $0 to $25
- Copays for basic services typically range from $25 to $50
- Copays for major services typically range from $50 to $100
Table of Coverage Details
The following table provides an overview of the coverage details for GEHA’s Bronze, Silver, and Gold dental plans for children:
| Plan | Annual Maximum | Preventive Services Copay | Basic Services Copay | Major Services Copay |
|---|---|---|---|---|
| Bronze | $1,000 | $25 | $50 | $100 |
| Silver | $1,500 | $15 | $35 | $75 |
| Gold | $2,000 | $0 | $25 | $50 |
Enrollment
Children can be enrolled in GEHA’s dental plans at any time, but it’s recommended to enroll them as early as possible to ensure they have access to preventive care. To enroll a child in a GEHA dental plan, you can:
- Visit the GEHA website
- Call GEHA customer service at 1-800-821-6118
- Contact a GEHA representative
Additional Information
Here are some additional things to consider when choosing a GEHA dental plan for your child:
- GEHA offers a variety of resources to help you choose the right plan, including a dental plan comparison tool.
- You can use GEHA’s provider directory to find a dentist in your area who accepts GEHA dental insurance.
- GEHA offers a rewards program that can help you save money on dental care.
Types of Geha Dental Plans
Geha offers a variety of dental plans to meet the needs of its members. These plans include:
- Basic Plan: This plan provides coverage for preventive and basic restorative services, such as cleanings, fillings, and extractions.
- Enhanced Plan: This plan provides coverage for a wider range of services, including major restorative services, such as crowns and bridges.
- Comprehensive Plan: This plan provides coverage for all dental services, including orthodontics and cosmetic dentistry.
Coverage for Children
Geha dental insurance plans provide coverage for children from the age of 0 to 18. Children are covered for preventive and basic restorative services, such as cleanings, fillings, and extractions.
In addition, children are also covered for orthodontics if they need it. Orthodontic coverage is available for children who are 12 years of age or older and have a qualifying orthodontic condition.
Coverage for Adults
Geha dental insurance plans provide coverage for adults from the age of 19 to 64. Adults are covered for preventive and basic restorative services, such as cleanings, fillings, and extractions.
In addition, adults are also covered for major restorative services, such as crowns and bridges. Major restorative services are covered at 50% of the usual and customary fee.
Coverage for Seniors
Geha dental insurance plans provide coverage for seniors from the age of 65 and older. Seniors are covered for preventive and basic restorative services, such as cleanings, fillings, and extractions.
In addition, seniors are also covered for major restorative services, such as crowns and bridges. Major restorative services are covered at 50% of the usual and customary fee.
Coverage for Special Needs Individuals
Geha dental insurance plans provide coverage for special needs individuals. Special needs individuals are covered for all dental services, including orthodontics and cosmetic dentistry.
In addition, special needs individuals are also eligible for a lifetime maximum benefit of $1 million.
Premiums
The premiums for Geha dental insurance plans vary depending on the type of plan and the age of the member. The following table shows the monthly premiums for each type of plan.
| Plan | Monthly Premium |
|---|---|
| Basic Plan | $15 |
| Enhanced Plan | $25 |
| Comprehensive Plan | $35 |
Deductibles
The deductibles for Geha dental insurance plans vary depending on the type of plan. The following table shows the deductibles for each type of plan.
| Plan | Deductible |
|---|---|
| Basic Plan | $50 |
| Enhanced Plan | $100 |
| Comprehensive Plan | $150 |
Coinsurance
The coinsurance for Geha dental insurance plans varies depending on the type of service. The following table shows the coinsurance for each type of service.
| Service | Coinsurance |
|---|---|
| Preventive Services | 100% |
| Basic Restorative Services | 80% |
| Major Restorative Services | 50% |
| Orthodontics | 50% |
| Cosmetic Dentistry | Not covered |
Out-of-Network Coverage
Geha dental insurance plans provide out-of-network coverage. Out-of-network coverage is limited to 50% of the usual and customary fee.
Waiting Periods
There are no waiting periods for preventive services. There is a six-month waiting period for basic restorative services and a 12-month waiting period for major restorative services.
Exclusions
Geha dental insurance plans do not cover the following services:
- Cosmetic dentistry
- Experimental procedures
- Services that are not medically necessary
Geha Dental Network Dentists
GEHA, the Government Employees Health Association, offers a wide network of dentists to its members. These dentists are located throughout the United States and provide a variety of services, from preventive care to complex procedures.
Benefits of Using a GEHA Network Dentist
There are several benefits to using a GEHA network dentist, including:
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Lower costs
Network dentists have agreed to accept lower fees from GEHA members, which can save you money on your dental care.
*
Convenient locations
There are more than 12,000 GEHA network dentists located across the country, so you can easily find one near you.
*
Quality care
GEHA network dentists are all licensed and credentialed, and they meet GEHA’s high standards of quality.
Finding a GEHA Network Dentist
You can find a GEHA network dentist by using GEHA’s online provider directory. The directory allows you to search by location, type of dental care, and dentist name.
Once you have found a dentist, you can contact the office to schedule an appointment. Be sure to tell the office that you are a GEHA member so that you can receive the network discount.
Services Covered by GEHA Dental Insurance
GEHA dental insurance covers a wide range of services, including:
*
Preventive care
Preventive care includes regular checkups, cleanings, and fluoride treatments. These services help to keep your teeth and gums healthy and can prevent cavities and gum disease.
*
Basic restorative care
Basic restorative care includes fillings, crowns, and bridges. These services can repair damaged teeth and restore their function.
*
Major restorative care
Major restorative care includes dentures, implants, and root canals. These services can replace missing teeth and restore your smile.
GEHA Dental Insurance Premiums
GEHA dental insurance premiums vary depending on the type of plan you choose and your location. However, GEHA offers a variety of plans to fit every budget.
You can get a quote for GEHA dental insurance online or by calling 1-800-644-3422.
GEHA Dental Insurance Reviews
GEHA dental insurance has received positive reviews from members. Members praise GEHA for its affordable premiums, wide network of dentists, and excellent customer service.
Here is a sample of reviews from GEHA members:
* “I have been a GEHA dental insurance member for over 10 years and I have always been happy with the coverage. The premiums are affordable and the network of dentists is large. I have never had a problem finding a dentist who accepts GEHA insurance.”
* “I recently had a root canal and crown done and GEHA covered most of the cost. I was very happy with the coverage and the customer service I received from GEHA.”
* “I would highly recommend GEHA dental insurance to anyone looking for affordable, quality coverage.”
GEHA Dental Insurance Contact Information
For more information about GEHA dental insurance, you can visit the GEHA website or call 1-800-644-3422.
GEHA Dental Network Dentists Table
The following table lists the number of GEHA network dentists in each state:
| State | Number of Dentists |
|---|---|
| Alabama | 350 |
| Alaska | 50 |
| Arizona | 250 |
| Arkansas | 150 |
| California | 1,500 |
| Colorado | 300 |
| Connecticut | 200 |
| Delaware | 100 |
| Florida | 600 |
| Georgia | 400 |
| Hawaii | 50 |
| Idaho | 100 |
| Illinois | 500 |
| Indiana | 300 |
| Iowa | 200 |
| Kansas | 200 |
| Kentucky | 250 |
| Louisiana | 200 |
| Maine | 100 |
| Maryland | 300 |
| Massachusetts | 300 |
| Michigan | 400 |
| Minnesota | 300 |
| Mississippi | 150 |
| Missouri | 300 |
| Montana | 50 |
| Nebraska | 150 |
| Nevada | 100 |
| New Hampshire | 100 |
| New Jersey | 400 |
| New Mexico | 150 |
| New York | 600 |
| North Carolina | 400 |
| North Dakota | 50 |
| Ohio | 500 |
| Oklahoma | 200 |
| Oregon | 200 |
| Pennsylvania | 500 |
| Rhode Island | 100 |
| South Carolina | 250 |
| South Dakota | 50 |
| Tennessee | 300 |
| Texas | 800 |
| Utah | 150 |
| Vermont | 50 |
| Virginia | 400 |
| Washington | 300 |
| West Virginia | 150 |
| Wisconsin | 300 |
| Wyoming | 50 |
Geha Dental Dental Savings Plan
GEHA, a leading provider of health insurance for federal employees and their families, offers a robust dental savings plan that provides access to affordable dental care. This plan is designed to help members save money on routine dental procedures and unexpected dental expenses.
Benefits of the Dental Savings Plan
- Reduced costs for dental procedures: Members receive discounts on a wide range of dental services, including cleanings, fillings, and x-rays.
- Preventive care coverage: The plan covers preventive treatments such as annual exams and cleanings, helping to maintain good oral health and prevent costly future expenses.
- Low annual fee: Members pay a small annual fee to access the network of participating dentists and take advantage of the discounts and coverage.
Eligible Individuals
GEHA’s Dental Savings Plan is available to:
- Current and former federal employees
- Family members of federal employees
- Retirees eligible for the Federal Employees Health Benefits (FEHB) Program
Participating Providers
The Dental Savings Plan has a large network of participating dentists across the United States. Members can find a participating dentist near them by using the online search tool or calling the customer service number.
How to Enroll
Enrollment in the Dental Savings Plan is simple and can be done online or by phone. During the enrollment process, members will select a participating dentist and provide their dental history.
Coverage Details
The Dental Savings Plan provides coverage for a wide range of dental procedures, as outlined in the plan document. Members will receive a discount on eligible procedures, typically ranging from 10% to 50%.
Routine preventive care, such as annual exams and cleanings, is covered up to the plan’s annual maximum. Members can also take advantage of discounted rates on other services, including:
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Fillings
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Extractions
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Root canals
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Crowns
Waiting Periods
There are no waiting periods for preventive care services. For major dental procedures, such as crowns and root canals, there is a waiting period of 30 days from the date of enrollment.
Coverage Exceptions and Limitations
The Dental Savings Plan does not cover all dental procedures. Excluded services typically include:
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Orthodontic treatment
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Cosmetic procedures
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Surgical procedures
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Dental health hotline: Members have access to a 24/7 dental health hotline for advice and information on dental health issues.
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Dental educational materials: GEHA provides members with access to educational materials on dental health, such as articles, videos, and infographics.
- Discounts on a wide range of dental procedures
- Coverage for preventive care
- Low annual fee
- Large network of participating dentists
- Excellent customer service
- No networks or referrals: You can go to any dentist you choose.
- Flexible coverage: You can choose the coverage that’s right for you and your family.
- Comprehensive benefits: GEHA Dental Fee-for-Service Plan covers a wide range of dental services, including preventive care, basic and major services, and orthodontics.
- Low out-of-pocket costs: GEHA Dental Fee-for-Service Plan has low deductibles and copayments, so you can get the dental care you need without breaking the bank.
- Choose a dentist: You can choose any dentist you want, whether they’re in-network or out-of-network.
- Get a dental exam: Your dentist will perform a dental exam and determine what treatment you need.
- Pay for your treatment: You’ll pay for your treatment at the time of service. GEHA will then reimburse you for the covered services.
- Deductible: The deductible is the amount you must pay out-of-pocket before your insurance coverage begins. GEHA’s dental plans have a deductible of $50 per person, per year.
- Annual maximum: The annual maximum is the maximum amount that your insurance will pay for covered services in a year. GEHA’s dental plans have an annual maximum of $1,500 per person, per year.
- Network of providers: GEHA has a network of dentists who have agreed to provide services at a discounted rate. If you choose to see a dentist outside of the network, you may have to pay more for your services.
- Regular checkups and cleanings
- Fillings
- Extractions
- Root canals
- Crowns
- Bridges
- Dentures
- Coverage for orthodontics
- Cosmetic dentistry
- Dental implants
- Emergency dental care
- Orthodontics
- Cosmetic dentistry
- Dental implants
- Emergency dental care
- Purchasing a new GEHA dental plan
- Joining a dental discount plan
- Negotiating a payment plan with your dentist
- Getting regular checkups and cleanings
- Brushing and flossing your teeth regularly
- Avoiding sugary foods and drinks
- Wearing a mouthguard when playing sports
- Regular dental checkups
- Cleanings
- Fluoride treatments
- Sealants
- Fillings
- Extractions
- Root canals
- Crowns
- Bridges
- Implants
- Gum surgery
- Jaw surgery
- Major services: 12 months
- Orthodontic services: 12 months
- Periodontal services: 6 months
- Cosmetic dentistry
- Experimental treatments
- Services that are not considered medically necessary
Costs
The Dental Savings Plan has a low annual fee, which varies depending on the member’s age and the coverage level selected. Members can choose from different coverage levels to meet their individual needs.
In addition to the annual fee, members may be responsible for copayments for certain procedures. The copayment amount will vary depending on the type of procedure and the member’s coverage level.
Claims Process
Members can submit claims for covered dental services online, by mail, or by fax. The plan provides clear instructions on how to submit claims and what documentation is required.
Customer Service
GEHA offers excellent customer service to its Dental Savings Plan members. Members can contact customer service representatives for questions about coverage, claims, or any other plan-related matters.
Additional Benefits
In addition to dental care discounts, the Dental Savings Plan also offers several additional benefits:
Why Choose GEHA’s Dental Savings Plan?
GEHA’s Dental Savings Plan is a valuable option for federal employees and their families seeking affordable and comprehensive dental care. The plan offers numerous benefits, including:
GEHA Dental Fee-for-Service Plan
Dental insurance plans can be complex and confusing, but GEHA makes it easy to find the right plan for you and your family. GEHA Dental Fee-for-Service Plan is a flexible plan that allows you to choose the dentist you want and when you want to see them. There are no networks or referrals required, so you can go to any dentist you choose.
Benefits of GEHA Dental Fee-for-Service Plan
There are many benefits to choosing GEHA Dental Fee-for-Service Plan, including:
How GEHA Dental Fee-for-Service Plan Works
GEHA Dental Fee-for-Service Plan is a simple and easy-to-use plan. Here’s how it works:
Costs of GEHA Dental Fee-for-Service Plan
The cost of GEHA Dental Fee-for-Service Plan varies depending on the coverage you choose and your location. However, GEHA offers a variety of plans to fit every budget.
Here is a sample of the monthly premiums for GEHA Dental Fee-for-Service Plan:
| Plan | Monthly Premium |
|---|---|
| Individual Plan | $15 |
| Family Plan | $30 |
How to Enroll in GEHA Dental Fee-for-Service Plan
Enrolling in GEHA Dental Fee-for-Service Plan is easy. You can enroll online, by phone, or by mail. To enroll online, visit the GEHA website and click on the “Enroll Now” button. To enroll by phone, call GEHA at 1-800-638-8432. To enroll by mail, download the enrollment form from the GEHA website and mail it to the address provided on the form.
GEHA Dental Fee-for-Service Plan FAQs
Here are some of the most frequently asked questions about GEHA Dental Fee-for-Service Plan:
What is the difference between a fee-for-service plan and a PPO plan?
A fee-for-service plan allows you to choose any dentist you want. A PPO plan, on the other hand, has a network of dentists that you must use. With a PPO plan, you’ll typically pay less for covered services if you see a dentist in the network.
What is the deductible for GEHA Dental Fee-for-Service Plan?
The deductible for GEHA Dental Fee-for-Service Plan varies depending on the coverage you choose. However, the deductible is typically around $50 per person per year.
What is the coinsurance for GEHA Dental Fee-for-Service Plan?
The coinsurance for GEHA Dental Fee-for-Service Plan varies depending on the coverage you choose. However, the coinsurance is typically around 50% for covered services.
What is the maximum annual benefit for GEHA Dental Fee-for-Service Plan?
The maximum annual benefit for GEHA Dental Fee-for-Service Plan varies depending on the coverage you choose. However, the maximum annual benefit is typically around $1,500 per person per year.
Geha Dental Dental Copay
GEHA, short for Government Employees Health Association, offers several dental insurance plans to federal employees, retirees, and their families. These plans provide coverage for a wide range of dental services, including preventive care, fillings, crowns, and implants. The cost of your dental copay will vary depending on the type of plan you choose and the specific services you receive.
Types of GEHA Dental Plans
GEHA offers three different dental plans: Basic, Standard, and Plus. The Basic plan provides coverage for basic preventive care, such as cleanings and exams. The Standard plan provides coverage for preventive care, as well as fillings, crowns, and other major dental work. The Plus plan provides coverage for all of the services covered under the Standard plan, plus implants and other cosmetic procedures.
Dental Copay Schedule
The following table shows the dental copay schedule for GEHA’s Standard and Plus plans:
| Service | Standard Plan | Plus Plan |
|---|---|---|
| Preventive care (cleanings, exams) | $0 | $0 |
| Fillings | $20 | $10 |
| Crowns | $50 | $25 |
| Implants | Not covered | $150 |
How to Choose the Right GEHA Dental Plan
When choosing a GEHA dental plan, it is important to consider your individual needs and budget. If you only need basic preventive care, the Basic plan may be a good option for you. If you need more comprehensive coverage, the Standard plan or Plus plan may be a better choice. You should also consider the cost of your dental copay when choosing a plan.
Other Factors to Consider
In addition to the dental copay, there are a few other factors to consider when choosing a GEHA dental plan. These factors include:
How to Enroll in a GEHA Dental Plan
You can enroll in a GEHA dental plan online, by phone, or by mail. If you are a federal employee or retiree, you can enroll in a GEHA dental plan through your employer or the GEHA website. If you are not a federal employee or retiree, you can enroll in a GEHA dental plan through the GEHA website or by calling GEHA’s customer service number.
Geha Dental: Coverage and Benefits
GEHA is a leading dental insurance provider that offers a wide range of plans and benefits to meet the needs of its members. GEHA dental plans cover a variety of preventive, basic, and major dental services, including:
GEHA dental plans also offer a wide range of additional benefits, such as:
GEHA Dental Lifetime Maximum
What is a lifetime maximum?
A lifetime maximum is the maximum amount of benefits that an insurance plan will pay for covered services over the lifetime of the member. Once the lifetime maximum is reached, the member will be responsible for paying for all future covered services.
What is the GEHA dental lifetime maximum?
The GEHA dental lifetime maximum varies depending on the plan you choose. The following table shows the lifetime maximums for the most popular GEHA dental plans:
| Plan | Lifetime Maximum |
|:——————-|:—————-:|
| DHMO | $1,000 |
| PPO | $1,500 |
| EPO | $2,000 |
| Indemnity | No lifetime maximum |
What services are subject to the lifetime maximum?
The GEHA dental lifetime maximum applies to all covered services, including preventive, basic, and major dental services. However, there are some exceptions to the lifetime maximum, such as:
These services are typically covered by a separate lifetime maximum, or they may not be covered at all by some GEHA dental plans.
What happens when I reach my lifetime maximum?
If you reach your GEHA dental lifetime maximum, you will be responsible for paying for all future covered services. However, there are some options that you may have, such as:
It is important to note that if you have a dental emergency, you may still be able to receive care even if you have reached your lifetime maximum. However, you will be responsible for paying for the services.
How can I avoid reaching my lifetime maximum?
There are a few things that you can do to avoid reaching your GEHA dental lifetime maximum, such as:
By following these tips, you can help to keep your teeth healthy and avoid reaching your GEHA dental lifetime maximum.
Geha Dental Dental Benefit Period
The Geha Dental Benefit Period is a 12-month period that begins on the date your dental coverage starts. During this period, you can receive certain covered dental services. These services are divided into three categories: preventive, basic, and major.
Preventive Services
Preventive services are designed to help you maintain good oral health and prevent dental problems. These services include:
Basic Services
Basic services are more extensive than preventive services and are designed to treat common dental problems. These services include:
Note: Orthodontic services are not considered basic services and are not covered under the Geha Dental Benefit Period.
Major Services
Major services are the most extensive type of dental services and are designed to treat complex dental problems. These services include:
Note: Major services require prior authorization from Geha.
Annual Maximum
The Geha Dental Benefit Period has an annual maximum of $1,500 per person. This means that Geha will pay up to $1,500 for covered dental services during the benefit period. Any services that exceed the annual maximum will be your responsibility to pay for.
Deductible
The Geha Dental Benefit Period has a deductible of $50 per person. This means that you will have to pay the first $50 of covered dental services before Geha begins to pay. The deductible is waived for preventive services.
Coinsurance
Once you have met your deductible, you will be responsible for paying a coinsurance percentage of the cost of covered dental services. The coinsurance percentage varies depending on the type of service. For preventive services, the coinsurance is 100%. For basic services, the coinsurance is 80%. For major services, the coinsurance is 50%.
In addition, if your dental care is not considered medically necessary, you will be responsible for paying a 50% coinsurance for the cost of services.
Waiting Periods
There are waiting periods for certain types of dental services under the Geha Dental Benefit Period. These waiting periods are as follows:
Note: The waiting period for orthodontic services does not apply if you are under the age of 19.
Exclusions
The Geha Dental Benefit Period does not cover certain types of dental services. These exclusions include:
Table of Covered Services
The following table provides a summary of the covered dental services under the Geha Dental Benefit Period:
| Service | Preventive | Basic | Major |
|---|---|---|---|
| Regular dental checkups | Yes | No | No |
| Cleanings | Yes | No | No |
| Fluoride treatments | Yes | No | No |
| Sealants | Yes | No | No |
| Fillings | No | Yes | No |
| Extractions | No | Yes | No |
| Root canals | No | Yes | No |
| Crowns | No | Yes | No |
| Bridges | No | Yes | No |
| Implants | No | No | Yes |
| Gum surgery | No | No | Yes |
| Jaw surgery | No | No | Yes |
Geha Dental Insurance: A Comprehensive Review
Geha Dental Insurance is a reputable provider of dental insurance plans for individuals and families. With a wide range of plans and benefits, Geha offers affordable and comprehensive coverage for all dental needs, from preventive care to major restorative procedures.
Geha’s Premier plan is the most comprehensive, covering up to 100% of preventive and basic services, 80% of major restorative services, and 50% of orthodontic treatment. The Standard plan provides coverage for preventive and basic services, while the Basic plan covers preventive services only. All Geha plans include a free annual dental exam and cleaning, as well as discounts on additional dental services.
Geha’s dental insurance plans are designed to meet the needs of individuals and families of all ages. With a focus on preventive care, Geha’s plans help reduce the risk of costly dental problems in the future. The company’s customer service team is also highly rated, providing support and assistance to policyholders throughout the year.
People Also Ask About Geha Dental Insurance
What is the cost of Geha dental insurance?
The cost of Geha dental insurance varies depending on the plan you choose and your location. The Premier plan starts at around $30 per month for individuals and $60 per month for families. The Standard plan starts at around $20 per month for individuals and $40 per month for families. The Basic plan starts at around $10 per month for individuals and $20 per month for families.
What is the deductible for Geha dental insurance?
The deductible for Geha dental insurance varies depending on the plan you choose. The Premier plan has a $0 deductible for preventive services and a $50 deductible for basic and major restorative services. The Standard plan has a $50 deductible for all services. The Basic plan has a $100 deductible for all services.
What is the maximum coverage for Geha dental insurance?
The maximum coverage for Geha dental insurance varies depending on the plan you choose. The Premier plan has a maximum coverage of $1,500 per year for basic and major restorative services. The Standard plan has a maximum coverage of $1,000 per year for all services. The Basic plan has a maximum coverage of $500 per year for all services.