2023 GEHA Dental Benefits Guide

Step 2: Use your rate code to find your 2023 premium

geha.com/DentalRates

Employed – biweekly High premium

Rate code 1 1

Rate code 2 1

Rate code 3 1

Rate code 4 1

Rate code 5 1

$17.25

$19.40

$21.21

$23.70

$25.69

Self Only

$34.50

$38.79

$42.42

$47.40

$51.39

Self Plus One

$51.76

$58.19

$63.63

$71.10

$77.08

Self and Family

Employed – biweekly Standard premium

Rate code 1 1

Rate code 2 1

Rate code 3 1

Rate code 4 1

Rate code 5 1

$9.53

$10.69

$11.71

$13.07

$14.15

Self Only

$19.07

$21.37

$23.37

$26.10

$28.30

Self Plus One

$28.59

$32.06

$35.06

$39.16

$42.44

Self and Family

Retired – monthly High premium

Rate code 1 1

Rate code 2 1

Rate code 3 1

Rate code 4 1

Rate code 5 1

$37.38

$42.03

$45.96

$51.35

$55.66

Self Only

$74.75

$84.05

$91.91

$102.70

$111.35

Self Plus One

$112.15

$126.08

$137.87

$154.05

$167.01

Self and Family

Retired – monthly Standard premium

Rate code 1 1

Rate code 2 1

Rate code 3 1

Rate code 4 1

Rate code 5 1

$20.65

$23.16

$25.37

$28.32

$30.66

Self Only

$41.32

$46.30

$50.64

$56.55

$61.32

Self Plus One

$61.95

$69.46

$75.96

$84.85

$91.95

Self and Family

1 Rates based on member’s primary state of residence.

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2023 GEHA dental plans

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