Delta Dental FEHB Plan Overview and Benefits

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The Delta Dental FEHB Plan is a great option for federal employees looking for reliable dental coverage. Delta Dental offers a wide range of benefits to its members.

Delta Dental's FEHB Plan is administered by the Federal Employees Health Benefits (FEHB) Program, which is a government-sponsored health insurance program for federal employees. The program provides access to a network of providers across the country.

The Delta Dental FEHB Plan offers a range of benefits, including preventive care, restorative services, and major services. Members can expect to pay a portion of the costs out-of-pocket, but the plan helps to keep expenses manageable.

One of the benefits of the Delta Dental FEHB Plan is that it has a large network of providers, making it easy for members to find a dentist in their area.

Plan Details

Delta Dental FEHB plans offer two main options: DeltaCare and Delta Dental PPO. DeltaCare requires you to see a DeltaCare network dentist for coverage, with no deductibles and no annual maximum for most services.

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The DeltaCare plan is best for those who want the most protection from out-of-pocket costs. DeltaCare network dentists are available, but coverage won't apply if you see an out-of-network dentist.

Delta Dental PPO, on the other hand, allows you to choose your dentist from the largest state and nationwide networks. This plan has a $50/person or $150/family deductible, with a maximum out-of-pocket cost of $1,750.

Here are the key differences between the two plans:

  • DeltaCare: No deductibles, no annual maximum, see DeltaCare network dentist
  • Delta Dental PPO: $50/person or $150/family deductible, $1,750 out-of-pocket maximum, choose from largest state and nationwide networks

Key Features

To help you understand the key features of this plan, let's break it down. You'll need to see a primary care dentist from the DeltaCare network, which is a requirement. This dentist will also refer you to any specialists you need to see.

Here are some specific details to keep in mind:

  • Requires primary care dentist from DeltaCare network.
  • Primary care dentist must refer you for any specialty care.
  • No coverage for out-of-network care.

This means you'll need to stick with the DeltaCare network for all your dental care needs.

Plan Options

Delta Dental of Washington offers a managed-care (HMO) dental plan that requires you to receive care and specialist referrals only from a DeltaCare network dentist. This means you'll pay fixed copays for dental care, with no deductibles and no annual maximum for most services.

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To give you a better idea of your options, let's take a look at the plan details. Here are the key points to consider:

  • Fixed copays for dental care
  • No deductibles
  • No annual maximum (for most services)

This plan is a great option if you want predictable costs and don't mind seeing a network dentist.

Annual Costs

When you're considering the costs of a plan, it's essential to know what you're getting into.

There is no deductible, which means you won't have to pay a certain amount out of pocket before your insurance kicks in.

You also won't have to worry about an annual out-of-pocket maximum, so you can budget without worrying about hitting a cap.

Eligibility

To be eligible for Delta Dental FEDVIP, you must be a federal employee, retiree, or family member, and you must enroll within the annual open season or experience a qualifying life event.

You can enroll in Delta Dental FEDVIP if you're a federal employee, including those in the United States Postal Service, the Foreign Service, and the National Oceanic and Atmospheric Administration (NOAA).

Frequently Asked Questions

Can federal retirees get dental insurance?

Yes, federal retirees can get dental insurance through the Federal Employees Dental and Vision Insurance Program (FEDVIP) on an enrollee-pay-all basis. This program offers dental benefits to eligible federal retirees and their family members.

What is the age limit for FEHB dental insurance?

Dependent children are covered until age 22. FEHB dental insurance coverage ends at this age.

Alfred Blanda

Senior Writer

Alfred Blanda has carved out a niche for himself in the realm of banking information, offering readers clear, concise, and comprehensive insights into the financial sector. His articles are known for their depth and clarity, making complex financial concepts accessible to a wide audience. With a keen eye for detail and a passion for educating, Blanda continues to be a trusted voice in financial journalism.

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