GEHA offers two dental plan options – High and Standard. Both dental plans include comprehensive dental services, from preventive care to crowns, bridges and dentures. No in-network deductibles and no waiting periods for most services. GEHA plans also have worldwide coverage with a large nationwide network.
GEHA dental coverage plans
Increase your savings and maintain flexibility with a GEHA PPO plan. From comprehensive dental insurance to lower-cost options, you have the flexibility to personalize your dental insurance for you, your family, and your employees. And with multiple price points, it's easy to create a design to fit a wide range of budgets. Additionally, you can be sure that you will receive high-quality dental care because all dentists in the network have credentials proving they meet or exceed GEHA's requirements.
GEHA Dental Standard Plan
GEHA's standard dental plan offers orthodontic coverage for both children and adults, with a 12-month waiting period. Includes an in-network $2,500 annual maximum benefit per person
GEHA Dental High Plan
Provides GEHA's most comprehensive coverage for intermediate and major dental care services. Offers orthodontic coverage for both children and adults, with no waiting period. Includes an unlimited annual maximum benefit per person.
Looking for a dentist that accepts GEHA Dental PPO? We accept GEHA dental PPO.
Does GEHA Dental cover tooth extraction cost?
According to GEHA Dental, estimated 80% of basic procedures such as tooth extractions are covered by GEHA Dental High PPO plan. Meanwhile, estimated 55% is covered by Standard PPO Plan. Be aware that these services may be subject to a deductible, which is the sum you must pay before your dental insurance begins to pay, unless you receive preventive or diagnostic care.
Is wisdom teeth removal accepted by GEHA Dental?
Yes, GEHA Dental covers wisdom teeth removal. Depending on your specific circumstances, a GEHA Dental insurance plan normally covers between estimate of 50% and 80% of the entire cost of your wisdom teeth removal procedure. The average out-of-network cost of surgical extractions of wisdom teeth is $3,120. This price includes up to an hour of general anesthesia as well as the surgical removal of all four wisdom teeth from beneath the gum line. The average out-of-network cost of non-surgical removal of third molars is $720 while the average out-of-network cost of the surgical removal of a single wisdom tooth below the gum line is $550 per tooth. Source
Does GEHA Dental covers X-ray?
Yes, GEHA Dental covers dental x-rays. GEHA Dental offers full estimated (100%) coverage of dental x-rays for both High and Standard plans. GEHA Dental plans do not require waiting periods for diagnostic services such as dental x-rays. However, some policies only pay for bitewing x‐rays, one set every 12 months, while full mouth x-rays once every 5 years.
Are Braces Covered by GEHA Dental?
Yes, braces are covered by plans offered by GEHA Dental. High dental plan covers up to estimated 70% of the cost. However, there is a maximum orthodontic coverage limit of $3,500 per person and with no waiting period. Standard dental plan also covers up to estimated 70% of the cost but has a $2,500 limit and 12-month waiting period. Source
Does GEHA Dental Covers Invisalign?
Yes, about estimated 70% of the total cost of your Invisalign treatment will be covered by GEHA Dental if your plan includes orthodontic benefits. By checking the small print in your insurance policy, you can make sure that orthodontic treatments like Invisalign are covered. Watch out for a few provisions in the insurance policy, such as a non-covered expense clause, that could prevent you from receiving Invisalign coverage. You will not be covered for Invisalign if your insurance policy specifies that orthodontics are not covered services or expenses. Additionally, keep an eye out for restrictions and exclusions. There may be a clause limiting orthodontic benefits only for those who are 19 years of age or younger. All insured members who are older than 19 will not be eligible for the orthodontic benefit, including reimbursement for Invisalign treatment, due to this specific limitation.
Does GEHA coverage for Dental Implants?
Implants are limited to $2,500 per person per year in- 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. Keep in mind that waiting periods, annual maximums, and deductibles are applicable and that they can significantly lower the amount of coverage you can use for teeth implants. Don't expect to be able to buy insurance for dental implants if your teeth are already missing because not all policies cover pre-existing conditions like missing teeth. Source
Does GEHA cover dentures procedures?
According to GEHA Dental, its High dental plans cover estimated 50% of major procedures including dentures and estimated 35% for standard. However, you must keep in mind that unless you receive preventative or diagnostic care, these services may be subject to a deductible, which is the amount you must pay before your dental insurance starts to pay. Certain pre-existing conditions, such as missing teeth, are not covered by some insurance plans. You may have to pay for your own procedure if you already had a condition when you signed up for your dental plan.
How much of the cost of GEHA veneers is covered?
GEHA does not cover cosmetic treatment like veneer or orthodontic work in progress (except for High plan members with orthodontics started under TRICARE).
Does GEHA covers gum grafts?
GEHA Dental covers 50% of the cost of tissue graft procedures such as gum grafts. Deductibles apply. Deductibles are the amount you must pay before your dental insurance starts to pay. Before the procedure, be sure to check with your insurance provider.
Are cleaning and tooth fillings covered by GEHA?
According to GEHA dental insurance, their PPO plans cover estimated 80% of basic procedures like dental fillings while covering estimated 100% of preventive care such as dental cleanings. However, you should be aware that these services can be subject to a deductible, which is the sum you must pay before your dental insurance begins to pay, unless you get preventative or diagnostic care. Additionally, your plan may impose time restrictions between certain services, like teeth fillings. Source
For latest information, please visit: https://www.geha.com/plans/medical/dental-benefits for more details.
DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 06/05/2023. The above logo & trademarks are property of GEHA Dental.