2023 GEHA Dental Benefits Guide

Step 1: Use your ZIP code to find your rate code Find your state and the first three digits of your ZIP in the chart below to determine your rate code. Use that code on the next page to determine your 2023 dental premium. geha.com/DentalRates

First 3 digits of ZIP code

Rate code

First 3 digits of ZIP code

Rate code

First 3 digits of ZIP code

Rate code

State

State

State

AL, AR, GU, IA, MS, ND, NE, PR, VI ID, LA, MO, MT, NC, OK, SC, SD, TN, UT, VT DE, HI, NM, OR CO, DC, NH, RI

NY

Rest of state

2

IN

Rest of state 1

Entire state or territory

430-433, 437, 440-443, 446, 447, 450-455, 459

1

KS

660-662, 666

2

OH

2

KS

Rest of state 1

KY

410

2

OH Rest of state

1

Entire state

2

KY

Rest of state 1

PA

172-174

4

MA 012

2

PA

180-181, 183

5

Entire state or territory

MA

Rest of state 4

PA

189-196

3

3

205-212, 214, 216, 217

PA Rest of state

1

MD

4

Entire state

4

755-759, 763- 769, 776-779, 783-785, 788- 799, 885 733, 786-787

MD 219

3

AK AZ AZ

Entire state

5 3

TX

1

850-853, 864

MD

Rest of state 2

Rest of state 2

TX

3

ME

039-042

4

900-931, 933- 935, 939-952, 954, 956-959

TX

Rest of state

2

CA

5

ME

Rest of state 3

201, 203, 205, 220-227

VA

4

MI

480-485

3

CA CT CT

Rest of state 4

MI

Rest of state 2

VA Rest of state

2

064-069

5

MN 3 MN Rest of state 2 NJ 080-084 3 NJ Rest of state 5 NV 897 5 NV Rest of state 3 550-555, 563

Rest of state 4

WA 980-985

5

FL FL

329-334, 349

3

WA

986

3

Rest of state 2

WA Rest of state

4

300-303, 305, 306, 311, 399

GA

3

WI

540

3

GA

Rest of state 2

WI

Rest of state

2

IL IL IL

600-609, 613

3 2

WV 254

4

620, 622

WV Rest of state

1

005, 100- 119,124-126

NY

5

Rest of state 1

WY

834

2

460-462, 470, 472, 473

NY

063

4

IN

2

WY

Rest of state

1

127, 129-139, 144-149

NY

1

IN

463,464

3

INTL All international

5

12

2023 GEHA dental plans

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