2022 GEHA Dental Benefits Guide

Coverage for major dental needs

You pay $0 deductible in-network No waiting period 1 on most services (except Standard orthodontic care).

GEHA’s dental plans let you start treatments right away, 1 even when your needs go beyond annual cleanings.

Examples of three common major dental services

Night guards (occlusal guards) coverage

Coverage type

Orthodontic coverage

Dental implant coverage

In-network for both dental plans

You pay your regular coinsurance and/or any amount that exceeds the lifetime benefit maximum. You pay any charges that exceed the plan allowance, plus any regular coinsurance. You pay any charges that exceed the plan allowance, plus any regular coinsurance.

You pay your regular coinsurance and/or any amount that exceeds the annual benefit maximum. You pay any charges that exceed the plan allowance, plus any regular coinsurance.

High out-of-network

Standard out-of-network

You pay the $25 deductible plus any charges that exceed the plan allowance, plus any regular coinsurance.

High maximum benefit

GEHA pays a $3,500 lifetime maximum, per covered member.

GEHA pays a $2,500 calendar year maximum, per covered member.

GEHA pays once per calendar year.

Standard maximum benefit

GEHA pays a $2,500 in-network , $2,000 out-of-network , lifetime maximum, per covered member.

GEHA pays a $2,500 in-network , $2,000 out-of-network , calendar year maximum, per covered member.

GEHA pays once per calendar year.

1 There is no waiting period for Class A, Class B or Class C services. There is a 12-month waiting period for Class D orthodontic services on the Standard plan only. 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

06 2022 GEHA DENTAL PLANS