GEHA Dental PPO insurance Orthodontics coverage - Hardy Pediatric Dentistry & Orthodontics

GEHA dental PPO cover for Orthodontics

GEHA offers two dental plan options – High and Standard. Both dental plans include comprehensive dental services, from preventive care to crowns, bridges and dentures. No in-network deductibles and no waiting periods for most services. GEHA plans also have worldwide coverage with a large nationwide network.



GEHA dental coverage plans

Increase your savings and maintain flexibility with a GEHA PPO plan. From comprehensive dental insurance to lower-cost options, you have the flexibility to personalize your dental insurance for you, your family, and your employees. And with multiple price points, it’s easy to create a design to fit a wide range of budgets. Additionally, you can be sure that you will receive high-quality dental care because all dentists in the network have credentials proving they meet or exceed GEHA’s requirements.

GEHA Dental Standard Plan

GEHA’s standard dental plan offers orthodontic coverage for both children and adults, with a 12-month waiting period. Includes an in-network $2,500 annual maximum benefit per person. Source

GEHA Dental High Plan

Provides GEHA’s most comprehensive coverage for intermediate and major dental care services. Offers orthodontic coverage for both children and adults, with no waiting period. Includes an unlimited annual maximum benefit per person. Source

Looking for an Orthodontist accepts GEHA Dental? We accept GEHA dental.

GEHA Dental covers Retainers?

With GEHA Dental PPO Standard and High plan, one set of post-treatment retainers (for orthodontic purposes) is typically covered for the course of a lifetime. Keep in mind that the general information given here may not apply to your benefits, limitations, maximums, waiting periods, and deductibles. For specific information about your plan’s orthodontic coverage, review your plan booklet.

GEHA Dental Lingual Braces cost coverage?

GEHA Dental PPO Standard and High Plan offers an estimated 50% coverage for lingual braces. The waiting period is 6 months while the maximum lifetime benefit is $1,500. When visiting a PPO orthodontist, you will receive the $1500 calendar year maximum. Source

Does GEHA Dental cover X-Rays?

Yes, GEHA Dental covers dental x-rays. GEHA Dental offers full (100%) coverage of dental x-rays. GEHA Dental plans do not require waiting periods for diagnostic services such as dental x-rays. However, some policies only pay for bitewing x‐rays, one set every 12 months, while full mouth x-rays once every 5 years.

GEHA Dental covers Braces?

Yes, braces are covered by plans offered by GEHA Dental. High dental plan covers up to an estimate of 70% of the cost. However, there is a maximum orthodontic coverage limit of $3,500 per person and with no waiting period. Standard dental plan also covers up to an estimate of 70% of the cost but has a $2,500 limit and 12-month waiting period. Source

Is Invisalign covered by GEHA Dental?

Yes, an estimate of 70% of the total cost of your Invisalign treatment will be covered by GEHA Dental if your plan includes orthodontic benefits. By checking the small print in your insurance policy, you can make sure that orthodontic treatments like Invisalign are covered. Watch out for a few provisions in the insurance policy, such as a non-covered expense clause, that could prevent you from receiving Invisalign coverage.

You will not be covered for Invisalign if your insurance policy specifies that orthodontics are not covered services or expenses. Additionally, keep an eye out for restrictions and exclusions. There may be a clause limiting orthodontic benefits only for those who are 19 years of age or younger. All insured members who are older than 19 will not be eligible for the orthodontic benefit, including reimbursement for Invisalign treatment, due to this specific limitation.

How much does GEHA Dental cover for Clear Braces?

With GEHA Dental PPO Standard and High Plan, clear braces are estimated to be 50% covered with a waiting period of 6 months. The maximum lifetime benefit is $1,500. You will receive the $1500 calendar year maximum when you’re visiting a PPO orthodontist.

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DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of GEHA Dental.