©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. Delta Dental Insurance dates back to 1954 when it first began building out dental insurance programs for employees on the West Coast. It now claims to be the nation’s leading benefits provider in the United States with over 150,000 dentists participating in its large national network and many plans also providing out-of-network dental coverage. To find out, review your Contract, Policy or Evidence of Coverage booklet or check with your benefits administrator. The EmblemHealth FEDVIP Dental Program is a unique program created especially for federal employees and retirees. 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. We’ll send you a check for the amount we cover. LEARN MORE. The company also provides the best discounts, averaging 20.3% on all claims. Blue Cross Blue Shield FEP Dental SM. Find forms. 0000023824 00000 n
You can also call BENEFEDS at 1-877-888-3337 for assistance. With our robust network of quality doctors, you can get care from many of the region’s leading doctors, clinicians and facilities, including hospitals and urgent care centers. 0000004174 00000 n
This free service ensures that you know up front how much, if anything, the dental plan will pay and how much you will be responsible for. Find a dentist. 1327 0 obj
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Estimates should not be construed as financial or medical advice. Covers services meant to maintain good dental health, including exams, X-rays, cleanings and fluoride treatments. Plus, it’s easy to receive the dental care you need because you don’t need any referrals with this plan. Delta Dental Premier® Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. hŞb```b``�b`e`0acàc@ > (Ç †©'şÁ%X´LÔí2. This is a brief description of the features of Kaiser Foundation Health Plan of Georgia, Inc.’s High Option and Standard Option. This is a brief description of services covered under the GEHA Connection Dental Federal plan. 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. 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. 0000001379 00000 n
At BENEFEDS.com, you can sign up for the EmblemHealth FEDVIP Dental Program. 0000006723 00000 n
All benefits are subject to the definitions, The High Plan option offers greater coverage, including adult orthodontics, and an increased per person in-network maximum of $30,000. 0000000016 00000 n
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You’ll be able to choose from any of our thousands of network dentists and specialists in New York, New Jersey, Pennsylvania and Connecticut without ever needing a referral or to fill out paperwork. 0000013360 00000 n
If you have a Delta Dental PPO plan, then your plan is designed to give you the greatest opportunity for savings when you visit a Delta Dental PPO network dentist. Pursuant to Section 1557, Delta Dental's Federal Employees Dental Program We encourage you to visit BENEFEDS.com for a comparison between our program and the dental options offered by other insurers. 0000014170 00000 n
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With 37 locations throughout New York City and Long Island, you can find a convenient location near home or work. The member pays the difference between EmblemHealth’s payment and the provider’s charge. If you’d like to enroll in the EmblemHealth FEDVIP Dental Program, it’s easy to do — just register and log on at www.BENEFEDS.com and select the EmblemHealth FEDVIP dental option. 0000001171 00000 n
Any information provided on this Website is for informational purposes only. Your coverage will continue automatically. 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. Our FEDVIP plan stands out because it offers: • Great benefits. The amount paid is determined on whether the dentist is a participating or a non-participating dentist. 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. Estimates should not be construed as financial or medical advice. Find a dentist Using an in-network provider can save you money. 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. All benefits are subject to the definitions, limitations and exclusions set forth in the 2021 Plan Brochure 409 KB. Locate a network dentist for your Delta Dental plan in FEDVIP and save on your out-of-pocket costs. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. trailer
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If a dentist who is NOT on Contact Delta Dental… ), High Option: $4,000 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. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Our mission is to improve lives by promoting optimal oral health. 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. %PDF-1.4
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That’s why we offer a great dental plan through the Federal Employees Dental and Vision Insurance Program (FEDVIP). At EmblemHealth, we believe your dental health is key to your overall health. EmblemHealth FEDVIP Dental Program is a unique program that was created especially for federal employees and retirees. DELTA DENTAL PLAN (PPO & PREMIER) DELTACARE USA- PLAN (HMO) ELIGIBILITY You may receive services from any licensed dentist. 1327 32
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• • Adult orthodontic coverage in the High Plan • 30,000 in-network maximum in the High Plan • Large network of dentists nationwide • 100% coverage on in-network cleanings, x-rays, fuoride treatments and exams New! ... Federal law. 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). Delta Dental Individual & Family – Low 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. Our plan includes 100% in-network dental coverage for preventive dental services and complex procedures. Standard Option: $3,000 0000024138 00000 n
2020 Federal Employees Dental and Vision Insurance Program (FEDVIP) Dental Premium Rate Charts Please note: Rating areas for each carrier are not the same for all plans. Delta Dental PPO TM and Delta Dental Premier ® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. 0000004494 00000 n
You might be covered for orthodontic services under your Delta Dental plan. Enrollment: 1-866-640-3856, (TDD: 711) from 8 a.m. to 8 p.m., seven days a week (excluding major holidays). 0000022468 00000 n
For additional coverage beyond our health plan benefits, we offer supplemental dental coverage for federal employees and … Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. Dental 2021 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. File or view claims. If you have a Delta Dental PPO TM1 or Delta Dental Premier ®1 plan (our fee-for-service, open network plans), you can visit any licensed dentist, but you’ll usually save the most when you visit a dentist in your plan’s network. Benefits at-a-glance: EmblemHealth FEDVIP Dental Program. Do not rely on this chart alone. Create new account. If you’re already in the EmblemHealth FEDVIP Dental Program, you don’t need to do anything. News. 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. 0000008942 00000 n
Delta Dental’s PPO network is one of the nation’s largest, with more than 112,000 dentists participating in over 278,000 locations nationwide. You’ll even receive reimbursement for covered services performed by out-of-network dentists based on the plan’s in-network allowance. 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. 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. It’s easy to receive care when you have our FEDVIP Dental plan. 0000001559 00000 n
As one of the FEDVIP dental and vision carriers, learn more about one of the Nation's largest networks of dental … 0000003007 00000 n
Where’s my ID card? Delta Dental: Best Overall. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. 2021 Delta Dental Plan Highlights Welcome, Uniformed Services retirees, Federal employees and annuitants! 0000011658 00000 n
Please referto the Dental Rating Chart to determine your specific region. The Standard Plan option offers quality care at a low premium and per person in-network maximum of $1,500. Many PPO plans also come with access to the Delta Dental Premier® network. Estimates should not be construed as financial or medical advice. 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. Delta Dental PPO Plus Premier™ Make sure to include the EmblemHealth FEDVIP Dental Program enrollment codes as shown on the Enrollment Codes and Rates section of this page. You must visit a dentist from the current list of DeltaCare USA network dentists. 0000004289 00000 n
This is a brief description of services covered under the Delta Dental Federal Employees Dental Program. You can use the handy map to locate a dentist’s office when you click on his or her name in our directory. All Benefits are paid according to the terms, conditions, and provisions of … 0000004402 00000 n
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All Rights Reserved. Please see your plan booklet or Policy for a complete description of plan benefits, limitations, and exclusions. We’re committed to creating healthier futures for our members and our community. 0000006110 00000 n
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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. Should you choose to receive care from out-of-network dentists, just submit a claim to us. 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. Customer Service: call the number on the back of your member ID card, from 8 a.m. to 8 p.m., seven days a week (excluding major holidays). 0000019046 00000 n
To find a dentist in your plan’s network, go to our Find a Doctor tool. AdvantageCare Physicians are the newest addition to the EmblemHealth family and are now one of the largest primary and specialty care practices in New York City. Shop plans. Or, you can call BENEFEDS at 877-888-3337 for assistance. Please referto the Dental Rating Chart to determine your specific region. 0000007164 00000 n
MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. Paid in full in-network; Deductible applies to out-of-network benefits only, Intermediate Services, and Periodontal and Endodontic Services, Covers fillings, extractions, denture/crown/bridge repair, emergency treatments, oral surgery and anesthesia/IV sedation; and specialist consultations, Covers root canals, crowns, gingivectomy periodontal surgery, fixed bridgework and dentures, High Option: $4,500 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. Delta Dental is the nation's leading dental insurance company, providing access to over 145,000 dentists at more than 292,000 office locations. Before making a final decision, please read the Plan’s Federal brochure (RI 73-321). 0000003614 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. If you have any concerns about your health, please contact your health care provider's office. 0000011134 00000 n
It is not medical advice and should not be substituted for regular consultation with your health care provider. In FEDVIP, Delta Dental offers a choice between two great plans to meet your needs. GEHA offers “High Option” and “Standard Option” plans that are now better than they ever were before…and that’s really saying something! Standard Option: $3,000. Please refer to the Dental Rating Chart to determine your specific region. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. ... Federal law. 0000000936 00000 n
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View my ID card. 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. © 2020 EmblemHealth. (Orthodontia benefits are effective at the time coverage begins. Check my Exchange status. Two exams and two cleanings per covered person are payable in a calendar year. Just answer a few quick questions to see how our High Option and Standard Option plans would work for you. All Benefits are paid according to the terms, conditions, and provisions of … 0000006199 00000 n
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