Delta Dental's Federal Employees Dental Program

Delta Dental’s Federal Employees Dental Program

FEDVIP Program Highlights . You can select from several nationwide, and in some areas, regional dental Preferred Provider Organization (PPO) or Health Maintenance Organization (HMO) plans, and high

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A National Dental PPO Plan

This brochure describes the benefits of GEHA Connection Dental Federal® under Government Employees Health Association, Inc.’s contract OPM02-FEDVIP-02AP-08 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: GEHA Connection Dental Federal. 310 NE Mulberry St. Lee's Summit, MO 64086 (877) GEHA-DEN or (877 ...

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A Nationwide Dental PPO Plan

offering 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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A Regional Dental Plan with PPO and EPO Options

Plan 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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UnitedHealthcare Dental Plan

OPM has contracted with dental and vision insurers to offer an array of choices to Federal employees and annuitants. Section 715 of the National Defense Authorization Act for Fiscal Year 2017 (FY 2017 NDAA), Public Law 114-38,expanded FEDVIP eligibility to certain TRICARE-eligible individuals.

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A NationwideDental PPO Plan

This brochure describes the benefits of the United Concordia FEDVIP under United Concordia's contract OPM02-FEDVIP-02AP-14 with OPM, as authorized by the FEDVIP law. The address for our administrative office is: United Concordia Companies, Inc. 1800 Center Street. Camp Hill, PA 17011. 1-877-394-8224. www.uccifedvip.com

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United Health Care Vision 2021 - BENEFEDS

OPM has contracted with dental and vision insurers to offer an array of choices to Federal employees and annuitants. Section 715 of the National Defense Authorization Act for Fiscal Year 2017 (FY 2017 NDAA), Public Law 114-38, expanded FEDVIP eligibility to certain TRICARE-eligible individuals.

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www.choosevsp.com (800) 807-0764 2019

VSP® Vision Care www.choosevsp.com (800) 807-0764 AN ationwide PPO Vision Plan 2019 VSP Vision Care is available nationwide and overseas. Enrollment options for this plan:

UnitedHealthcare Vision Plan

6th Floor . Columbia, MD 21044 . 1-866-249-1999, TTY 711. www.fedvip.myuhcvision.com. This brochure is the official statement of benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. It is …

A Nationwide Vision Plan, available nationwide and overseas

• Summary of Benefits: Page 22 ... annuity or for disability under CSRS, FERS or another retirement system for employees of the Government, regardless of the length of time you had FEDVIP coverage as an employee. There is no requirement …

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Schedule of Benefits (Who Pays What)

If you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734.

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Kaiser Permanente & Delta Dental

Delta Dental Preventive Plan With your FEHBP medical plan (High, Standard, or Basic) through Kaiser Permanente, you may purchase dental coverage for preventive services. With Delta Dental PPOSM plus Premier, you may visit the dentist of your choice, but you will pay nothing for covered procedures (after you’ve met your deductible)

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PLAN YEAR 2022

Delta Dental PPO $ 19.48 $ 38.96 $ 55.91 $ 81.81 $ 36.43 $ 62.33 Delta Dental PPO – Choice $ 7.84 $ 25.62 $ 43.53 $ 69.10 $ 25.75 $ 51.32 HealthChoice Dental $ 20.86 $ 41.72 $ 58.58 $ 84.97 $ 37.72 $ 64.11 MetLife High Classic MAC $ 23.66 $ 47.32 $ 67.60 $ 97.51 $ 43.94 $ 73.85 MetLife Low Classic MAC $ 13.44 $ 26.88 $ 38.41 $ 55.21 $ 24.97 ...

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Dental Handbook 2021 - California

Delta Dental dentist. The plan pays a percentage of the costs for each specific type of dental treatment. You are responsible for paying any remaining balance based on the type of dental treatment you receive. A monthly premium cost share will be deducted from your pay warrant. (See pages 8 and

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Dental Claim Form

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.) licensed by the state to practice dentistry, and practicing within the scope of that license. 122300000X General Practice 1223G0001X Dental Specialty (see following list) Various Dental Public Health 1223D0001X Endodontics 1223E0200X

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Example Letter of Support - Albion College

Letters of Support When requested, letters of support can be very influential in determining whether or not your project/program is worthy of funding.

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