GEHA Dental Dentist – Fairfax, VA
Helping You Afford High-Quality Care
Do you have GEHA dental insurance? Whether you bought your policy on your own or you are fortunate enough to have benefits through your workplace, you should certainly make efforts to use your insurance to the full! Doing so will help you to prevent dental problems. Plus, your policy will always be there to lend a helping hand when your smile needs some restorative work. But how can you truly optimize your benefits? As an in-network GEHA dentist in Fairfax, our team is ready to help.
GEHA Dental Coverage Availability & Fees
If you have a PPO plan from GEHA, your coverage may be as follows:
- Preventive care (cleanings, exams, etc.): 100% covered
- Intermediate care (fillings and other minor restorative services): 80% covered with High Option plan, 55% covered with Standard Option plan
- Major services (crowns, root canals, etc.): 50% covered with High Option plan, 35% covered with Standard Option plan
- Orthodontics: 70% covered
You can visit any dentist and use your GEHA benefits. However, there are distinct advantages to choosing an in-network care provider. For example, because we have a contract with GEHA that sets the price for certain services, your insurance will always cover the percentage of the cost that is specified in your plan. However, if you visit an out of network dentist, your plan will only cover a percentage of the usual and customary fee for a particular service. If the dentist charges more than the usual and customary fee, you will be responsible for paying the difference.
Also, since we are in-network with GEHA, we are used to working with their plans. We can explain your coverage to you and help you plan treatments in a way that optimizes your benefits. For instance, if you have the Standard Option plan, you are subject to an annual maximum (the most that GEHA will pay out for services in a calendar year). We might be able to schedule major services across calendar years so you pay as little out of pocket as possible for your treatment.
Meet Susan, Our In-Office Insurance Pro
As our office manager, Susan takes the lead in helping our patients navigate their dental insurance. She is honest, dedicated, intelligent, and friendly. She’ll take the time to answer your questions about how your policy applies to your treatment. She’ll also verify your coverage and file claims on your behalf. If you would like to talk to Susan about how you can get the most out of your GEHA coverage, contact our office today.