The EmblemHealth FEDVIP Dental Program is a unique program created especially for federal employees and retirees. 0000002627 00000 n maximum allowance; Deductible applies to out-of-network benefits only, Applies to intermediate and major services received out-of-network only, In-network: $0 Individual/$0 Family; Out-of-network: $50 Individual/$150 Family, Annual maximum per covered member (not including orthodontia), Lifetime orthodontia maximum per covered member. 0000011658 00000 n 0000012573 00000 n At BENEFEDS.com, you can sign up for the EmblemHealth FEDVIP Dental Program. This is a brief description of services covered under the GEHA Connection Dental Federal plan. ... Federal law. 0000001559 00000 n Estimates should not be construed as financial or medical advice. All Benefits are paid according to the terms, conditions, and provisions of … All Benefits are paid according to the terms, conditions, and provisions of … 0000014170 00000 n 0000001171 00000 n To find out, review your Contract, Policy or Evidence of Coverage booklet or check with your benefits administrator. 0000004174 00000 n Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. In FEDVIP, Delta Dental offers a choice between two great plans to meet your needs. Do not rely on this chart alone. All Rights Reserved. Plan Year: Charlotte Lewis 9/27/2019 7:23:49 PM 2020 Federal Employees Dental and Vision Insurance Program (FEDVIP) Dental Premium Rate Charts Plan - Option Rating Region Please note: Rating areas for each carrier are not the same for all plans. GEHA offers “High Option” and “Standard Option” plans that are now better than they ever were before…and that’s really saying something! Delta Dental is the nation's leading dental insurance company, providing access to over 145,000 dentists at more than 292,000 office locations. 0000008942 00000 n Any information provided on this Website is for informational purposes only. For additional coverage beyond our health plan benefits, we offer supplemental dental coverage for federal employees and … Delta Dental PPO TM and Delta Dental Premier ® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. Your coverage will continue automatically. ... Federal law. Your cost-sharing responsibilities are kept low, while you continue to get 100 percent dental coverage for in-network preventive dental services and complex procedures. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Make sure to include the EmblemHealth FEDVIP Dental Program enrollment codes as shown on the Enrollment Codes and Rates section of this page. Standard Option: $3,000 This is a brief description of the features of Kaiser Foundation Health Plan of Georgia, Inc.’s High Option and Standard Option. All benefits are subject to the definitions, Please refer to the Dental Rating Chart to determine your specific region. Delta Dental Premier® Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. The program is available only to eligible federal employees who live or work in New York, New Jersey, Pennsylvania, and Connecticut, in the following counties: As a FEDVIP member, you can choose from any of our thousands of network dentists. Please see your plan booklet or Policy for a complete description of plan benefits, limitations, and exclusions. Delta Dental Individual & Family – High Plan WELCOME Delta Dental is pleased to provide important dental Benefits that include the pediatric oral essential health benefit, to all persons who need coverage for their families. 0000000936 00000 n The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. The Standard Plan option offers quality care at a low premium and per person in-network maximum of $1,500. Estimates should not be construed as financial or medical advice. View my ID card. If you have any concerns about your health, please contact your health care provider's office. Dominion National is the brand name for the Dominion group of companies, which includes Dominion Dental Services, Inc., a licensed issuer of dental plans, and Dominion Dental Services USA, Inc., a licensed administrator of dental benefits. 0000006723 00000 n Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. Should you choose to receive care from out-of-network dentists, just submit a claim to us. Note that you must live or work in the following counties where we have network providers, in order to be eligible for this program: EmblemHealth FEDVIP Dental Program RI Download (PDF). The amount paid is determined on whether the dentist is a participating or a non-participating dentist. Or, you can call BENEFEDS at 877-888-3337 for assistance. Before making a final decision, please read the Plan’s Federal brochure (RI 73-321). 1327 32 Many PPO plans also come with access to the Delta Dental Premier® network. Medicaid, HARP, and CHPlus (State-Sponsored Programs), 1199SEIU Preferred Premier and Preferred Plus, What you need to know about Coronavirus (COVID-19), New Jersey: Bergen, Essex, Hudson, Middlesex, Monmouth, Morris, Passaic, Somerset, Sussex and Union, Connecticut: Fairfield, Litchfield and New Haven. The member pays the difference between EmblemHealth’s payment and the provider’s charge. You might be covered for orthodontic services under your Delta Dental plan. 0000006199 00000 n Find forms. This is a brief description of services covered under the Delta Dental Federal Employees Dental Program. All benefits are subject to the definitions, limitations and exclusions set forth in the 2021 Plan Brochure 409 KB. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. 0000010349 00000 n You’ll even receive reimbursement for covered services performed by out-of-network dentists based on the plan’s in-network allowance. Find a dentist. Pursuant to Section 1557, Delta Dental's Federal Employees Dental Program Delta Dental: Best Overall. Our plan includes 100% in-network dental coverage for preventive dental services and complex procedures. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. News. Create new account. If a dentist who is NOT on For easy access to information about your dental benefits, claim status, benefits eligibility and more, simply visit emblemhealth.com and register for your personal account. trailer <]/Prev 58923/XRefStm 1171>> startxref 0 %%EOF 1358 0 obj <>stream Blue Cross Blue Shield FEP Dental SM. Delta Dental Insurance dates back to 1954 when it first began building out dental insurance programs for employees on the West Coast. %PDF-1.4 %âãÏÓ Delta Dental's Federal Employees Dental Program complies with all applicable Federal civil rights laws, to include both Title VII of the Civil Rights Act of 1964 and Section 1557 of the Affordable Care Act. The GEHA dental plan (also known as the GEHA connection Dental Federal SM Dental Plan) has a few special features that other dental insurance companies just don’t have. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. 0000004289 00000 n ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. Delta Dental PPO Plus Premier™ Find a dentist Using an in-network provider can save you money. 0000009056 00000 n Contact Delta Dental… 2021 Delta Dental Plan Highlights Welcome, Uniformed Services retirees, Federal employees and annuitants! 0000004494 00000 n 0000007164 00000 n As one of the FEDVIP dental and vision carriers, learn more about one of the Nation's largest networks of dental … Enrollment: 1-866-640-3856, (TDD: 711) from 8 a.m. to 8 p.m., seven days a week (excluding major holidays). With 37 locations throughout New York City and Long Island, you can find a convenient location near home or work. You can use the handy map to locate a dentist’s office when you click on his or her name in our directory. Delta Dental’s plans Delta Dental Premier ® Delta Dental Premier is a traditional fee-for-service plan that allows you to visit any licensed dentist and to change dentists at any time without notifying Delta Dental. 6 This not only gives you a great selection of qualified dentists to choose from, but increases the likelihood that your dentist already participates in the network. 0000011134 00000 n 1327 0 obj <> endobj xref Shop plans. 0000001605 00000 n Please be aware, however, that since we don’t have a payment contract with out-of-network dentists, the amount we pay you may not be the full amount the dentist charged. That ’ s determination of fees can call BENEFEDS at 877-888-3337 for.... Program and the provider ’ s payment and the provider ’ s determination of fees Federal employees and... Shown on the plan ’ s payment and the Dental Rating Chart to determine your specific region ’. Insurance Program ( FEDVIP ) answer a few quick questions to see how our High and. 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