2023 GEHA Dental Benefits Guide

Compare GEHA dental plans

No in-network deductibles and no waiting periods. Compare plans at geha.com/CompareDental

High Dental in-network or out-of-network 1 you pay

Standard Dental in-network you pay

Standard Dental out-of-network 1 you pay

2023 dental benefit

Benefit description

Class A. Covers two exams, two cleanings, and two 2 sets of bitewing X-rays per calendar year

Nothing

Nothing

25%

Basic

Class A. Covers a third cleaning

Nothing

Basic

No benefit

No benefit

Class A. One oral evaluation per patient in a 12-consecutive-month period Class B. Covers restorations, extractions and periodontal maintenance Class C. Covers root canals, crowns, bridges, dentures and periodontal surgery 3 Class D. Covers adults and children orthodontic. No waiting periods.

Teledentistry.com

Nothing

Nothing

No benefit

20%

45%

50%

Intermediate

50%

65%

70%

Major

30% with $3,500 lifetime maximum

50% with $2,500 lifetime maximum

50% with $1,500 lifetime maximum

Orthodontic

Class A, B and C services only

Unlimited per person

$2,500 per person

$2,000 per person

Calendar year maximum

Class B and C services out-of-network deductible is $0 for High, $25 Standard Self Only, $50 Standard Self Plus One and $75 Standard Self and Family. 1 If your out-of-network dentist charges more than GEHA’s agreed-upon plan allowance for a specific service, you are responsible for the difference between the plan allowance and the out-of-network dentist’s charge plus regular coinsurance. 2 Two bitewings covered annually for members 22 and under. One set of bitewings is covered per year for adults ages 23+. 3 Implants are limited to $2,500 per person per year in-network or out-of-network on High. For Standard, implants are limited to $2,500 per person per year in-network, or $2,000 per person per year out-of-network.

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

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2023 GEHA dental plans

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