A Nationwide Dental PPO Plan
A Nationwide Dental PPO Plan IMPORTANT • Rates: Back Cover • Changes for 2022: Page 4 • Summary of Benefits: Page 43 Who may enroll in this plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the United States and overseas who are eligible to enroll in the Federal Employees Dental and Vision Insurance Program
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A Nationwide Vision Plan, available nationwide and overseas
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A Nationwide Dental PPO Plan
cdn.benefeds.comoffering the same type of coverage; i.e., you (or covered family members) cannot be covered by two FEDVIP dental plans or two FEDVIP vision plans. Dual Enrollment. If you sign up for a dental and/or vision plan during the 2021 Open Season, your coverage will begin on January 1, 2022. Premium deductions will start with the first full pay period
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cdn.benefeds.comD2921 Reattachment of tooth fragment, incisal edge or cusp D3355 Pulpal regeneration – initial visit D3356 Pulpal regeneration – interim medication replacement D3357 Pulpal regeneration – completion of treatment D5225 Maxillary partial denture-flexible …
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cdn.benefeds.comPlan Providers 12 . In-Network 12 . Out-of-Network 12 . Emergency Services 12 . Plan Allowance 13 . Pre-Treatment Plan 13 . Alternate Benefit 13 . FEHB First Payor 13 . Coordination of Benefits 13 . Service Area 14 . Rating Areas 14 . Limited Access Areas 14 . Dental Review 14 . Co-payment 15 . Annual Benefit Maximum 15
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