Complete Coverage for Your Child’s Dental Health in Erie, CO
At Hardy Pediatric Dentistry & Orthodontics, we understand that navigating dental insurance for your children can be overwhelming. That’s why we’re proud to accept GEHA Dental PPO plans, providing families in Erie and surrounding areas with access to top-quality pediatric dental care. Our board-certified specialists, Dr. Namrata Hardy and Dr. T.C. Hardy, are committed to creating healthy, beautiful smiles for children of all ages while maximizing your insurance benefits.
GEHA Dental PPO plans offer exceptional coverage for pediatric dental services, from routine cleanings to more complex treatments. With no in-network deductibles and minimal waiting periods, your child can receive the care they need promptly. Whether you’re seeking preventive care, restorative treatments, or orthodontic services, our team works directly with GEHA to ensure you receive the maximum benefits available under your plan.
New to GEHA dental coverage or considering switching to this provider? We’re here to help explain your benefits and answer any questions about coverage for your child’s specific dental needs. Continue reading to learn more about GEHA dental plans and how they can benefit your family at Hardy Pediatric Dentistry & Orthodontics.
Understanding GEHA Dental PPO Plans for Children
Standard vs. High Plan Options
GEHA offers two comprehensive dental PPO plan options—Standard and High—each designed to meet different needs and budgets while providing excellent coverage for your child’s dental care. Both plans feature nationwide networks with worldwide coverage, ensuring your family can access quality dental care wherever you are.
The GEHA Dental Standard Plan provides solid coverage for basic pediatric dental needs with an in-network $2,500 annual maximum benefit per person. This plan includes orthodontic coverage for children with a 12-month waiting period. For families with basic dental needs who may require orthodontic treatment in the future, this plan offers a balance of coverage and affordability.
The GEHA Dental High Plan delivers GEHA’s most comprehensive coverage for intermediate and major dental services with no waiting period for orthodontic treatment. One of its standout features is the unlimited annual maximum benefit per person, making it an excellent choice for families anticipating significant dental or orthodontic work. This plan provides greater coverage percentages for many procedures, minimizing your out-of-pocket expenses.
Benefits of GEHA Dental for Pediatric Care
GEHA Dental PPO plans stand out for their child-friendly coverage options. All in-network dentists, including our specialists at Hardy Pediatric Dentistry & Orthodontics, meet or exceed GEHA’s rigorous credentialing requirements, ensuring your child receives the highest quality care. The plans offer flexibility to personalize your dental insurance for your family’s specific needs.
With GEHA Dental PPO coverage, your child can benefit from preventive services like regular cleanings and check-ups that establish healthy oral hygiene habits early. These plans also cover essential diagnostic services, restorative treatments, and orthodontic care that may be necessary as your child grows. The combination of comprehensive coverage and flexible options makes GEHA an excellent choice for families seeking quality pediatric dental care.
Specific GEHA Coverage for Common Pediatric Dental Services
Diagnostic and Preventive Care Coverage
GEHA Dental PPO plans excel in covering essential diagnostic and preventive services for children. Both the Standard and High plans provide an estimated 100% coverage for diagnostic services such as bitewing x-rays and full mouth x-rays with no waiting period. This complete coverage is crucial for early detection of dental issues and establishing a baseline for your child’s ongoing dental health.
The High plan offers even more comprehensive diagnostic coverage, providing coverage for bitewing x-rays twice in a calendar year for children under 18 (compared to once annually for adults) and full mouth x-rays once every five years. Regular preventive cleanings are covered at 100% under both plans, allowing your child to receive professional teeth cleaning twice per calendar year with no waiting period.
Advanced diagnostic tools available at Hardy Pediatric Dentistry & Orthodontics, such as digital x-rays and the iTero scanner, work seamlessly with your GEHA coverage to provide comprehensive care with less radiation exposure and greater accuracy than traditional methods.
Restorative Treatment and Orthodontic Coverage
When it comes to restorative treatments like fillings, GEHA Dental PPO plans offer different levels of coverage based on your selected plan. The High Plan covers approximately 80% of amalgam and synthetic fillings for children with a short 6-month waiting period, while the Standard plan covers an estimated 50% of these same procedures.
For orthodontic treatment, both GEHA plans include coverage for braces and other orthodontic services. The Standard plan has a 12-month waiting period for orthodontic coverage, while the High plan offers immediate coverage with no waiting period—an important consideration if your child needs orthodontic treatment soon. Both plans include coverage for retainers after braces with a maximum orthodontic coverage limit of $1,500 per dependent.
At Hardy Pediatric Dentistry & Orthodontics, Dr. T.C. Hardy offers various orthodontic options that work with your GEHA coverage, including traditional braces, clear braces, InBrace, and Invisalign® treatments for children and teens.
Specialized Pediatric Procedures Coverage
GEHA Dental PPO plans also provide coverage for specialized pediatric dental procedures that aren’t always covered by standard insurance plans. Frenectomy procedures (correction of tongue tie and lip tie) may be partially covered by GEHA Dental PPO plans, depending on your specific coverage details. These procedures can be crucial for proper speech development and feeding in infants and young children.
Dr. Nam specializes in infant and child frenectomy using advanced Lightscalpel laser technology, offering a gentler experience with faster healing times. Our office can verify your specific GEHA coverage for these specialized procedures before treatment begins.
For children requiring sedation dentistry or special needs dentistry, GEHA plans may offer coverage depending on medical necessity and your specific plan details. Our team works closely with families to determine coverage options for these essential services.
Maximizing Your GEHA Dental Benefits at Hardy Pediatric Dentistry & Orthodontics
How We Work With Your GEHA Dental Plan
At Hardy Pediatric Dentistry & Orthodontics, we pride ourselves on making insurance easy for our patients. Our experienced staff will verify your GEHA benefits before your child’s appointment, help file claims on your behalf, and explain any out-of-pocket costs clearly before treatment begins.
As an in-network provider for GEHA Dental PPO plans, we’ve established a strong working relationship with GEHA to streamline the insurance process. This means faster claims processing, pre-treatment estimates when needed, and maximizing your available benefits. We understand the nuances of GEHA coverage and work to ensure you receive all the benefits you’re entitled to under your plan.
Our office also offers flexible payment options for any costs not covered by your GEHA plan, including interest-free payment plans for larger treatments like orthodontics. We believe financial concerns shouldn’t be a barrier to quality pediatric dental care.
Advanced Technology Covered By GEHA
GEHA Dental PPO plans work seamlessly with our state-of-the-art dental technology to provide superior care for your child. Our digital x-ray system, which reduces radiation exposure by up to 90% compared to traditional x-rays, is fully covered under both GEHA plans’ diagnostic benefits.
Dr. Nam’s laser dentistry services—which often eliminate the need for shots and drills—may be covered under your GEHA plan as an alternative to traditional treatment methods. This revolutionary approach makes dental visits more comfortable for children and often results in faster healing times.
For orthodontic patients, our iTero scanner creates 3D models of your child’s teeth to plan treatment, and works in conjunction with advanced options like InBrace, KLOwen braces, and Invisalign. These technologies, when medically necessary, are typically included within your GEHA orthodontic coverage allowance.
Why Choose Hardy Pediatric Dentistry & Orthodontics for Your GEHA Dental Coverage
Our Specialized Pediatric Approach
Hardy Pediatric Dentistry & Orthodontics stands apart with our specialized focus on children’s dental needs. Dr. Namrata Hardy, a board-certified pediatric dentist and Diplomate of the American Board of Pediatric Dentistry, has dedicated her career to understanding and addressing the unique dental concerns of infants, children, and adolescents.
Our child-friendly approach includes the “Tell-Show-Do” technique, where we explain procedures in kid-friendly terms before beginning treatment. We’ve created a warm, welcoming environment designed to make dental visits positive experiences. Dr. Nam’s use of advanced laser dentistry means many procedures can be completed without shots or drills—reducing anxiety and discomfort for young patients.
Parents are encouraged to be active participants in their child’s dental care, accompanying children during treatment to provide emotional support. This family-centered approach aligns perfectly with GEHA’s philosophy of comprehensive family dental health.
Comprehensive Services Under One Roof
One of the key benefits of choosing Hardy Pediatric Dentistry & Orthodontics for your GEHA-covered care is our ability to provide comprehensive pediatric dental and orthodontic services in one location. From your child’s first dental visit to orthodontic treatment during adolescence, our team provides continuity of care that maximizes your insurance benefits.
Dr. T.C. Hardy, a board-certified orthodontist who has received numerous awards including The Everett Shapiro Award in Orthodontics, works seamlessly with our pediatric team to coordinate care when both dental and orthodontic treatment are needed. This integrated approach not only saves you time but often results in better treatment outcomes and more efficient use of your GEHA benefits.
Our comprehensive service offerings include preventive care, restorative treatments, early orthodontic intervention, full orthodontic treatment, and specialized procedures like frenectomies—all covered to varying degrees by your GEHA Dental PPO plan.
Frequently Asked Questions About GEHA Dental Coverage
Does GEHA Dental cover pediatric dental exams and how often?
Yes, GEHA Dental PPO plans cover pediatric dental exams at 100% for in-network providers like Hardy Pediatric Dentistry & Orthodontics. Both the Standard and High plans cover two regular check-up exams per calendar year with no waiting period. These comprehensive exams include professional cleaning, fluoride treatment, oral hygiene instruction, and a thorough examination by Dr. Nam or one of our pediatric specialists. Regular exams are crucial for monitoring your child’s dental development and catching potential issues early. For children with certain conditions that may require more frequent monitoring, GEHA may cover additional exams when medically necessary with proper documentation from our office.
How does GEHA Dental coverage work for pediatric orthodontic treatment?
GEHA Dental provides orthodontic coverage for children under both the Standard and High plans, but with important differences. The Standard plan includes a 12-month waiting period before orthodontic treatment is covered, while the High plan offers immediate coverage with no waiting period. Both plans provide a lifetime maximum orthodontic benefit of $1,500 per covered dependent. This coverage applies to comprehensive orthodontic treatment including diagnostic records, braces application, periodic adjustments, and retention with retainers. At Hardy Pediatric Dentistry & Orthodontics, Dr. T.C. Hardy offers various orthodontic options including traditional braces, clear braces, Invisalign Teen, and InBrace—all of which can be partially covered by your GEHA plan. Our team can provide a detailed breakdown of coverage and out-of-pocket costs before beginning treatment.
Are pediatric dental emergencies covered by GEHA Dental plans?
Yes, GEHA Dental PPO plans provide coverage for pediatric dental emergencies. Emergency exams are typically covered at the same rate as regular exams (100% for in-network providers) under both the Standard and High plans. Treatment needed following a dental emergency—such as fixing a broken tooth, treating an infection, or addressing trauma—would be covered according to the plan’s benefit schedule for that specific procedure. For example, a crown needed after trauma might be covered at 50% under the Standard plan or 80% under the High plan. At Hardy Pediatric Dentistry & Orthodontics, we offer same-day emergency appointments whenever possible and will work directly with GEHA to maximize your coverage during these stressful situations. We recommend calling our office immediately at (720) 764-6158 if your child experiences a dental emergency.
Does GEHA Dental cover specialized pediatric procedures like sedation or special needs dentistry?
GEHA Dental may provide coverage for specialized pediatric procedures, including sedation and special needs dentistry, depending on your specific plan and medical necessity. For children with special healthcare needs or severe dental anxiety, sedation services may be partially covered when properly documented as medically necessary. The coverage percentage varies based on your plan and the specific type of sedation required. Dr. Nam has specialized training in treating children with special needs and works with families to determine the most appropriate and covered treatment options. Our office can submit pre-treatment authorization requests to GEHA for these specialized services to determine coverage levels before proceeding with treatment. We’re committed to helping families navigate these more complex insurance situations with compassion and clarity.
How can I verify my child’s specific GEHA Dental coverage at Hardy Pediatric Dentistry?
The easiest way to verify your child’s specific GEHA Dental coverage is to contact our office directly at (720) 764-6158. Our insurance specialists can check your benefits in real-time and explain exactly what services are covered under your plan. Before your child’s first appointment, we recommend having your GEHA member ID card available. We’ll verify coverage, check if you have met deductibles or maximums, and determine what percentage of various procedures is covered under your specific plan. For more complex procedures or orthodontic treatment, we can request a pre-treatment estimate from GEHA to provide you with a detailed breakdown of expected costs before beginning treatment. You can also check your coverage directly through GEHA’s member portal at geha.com or by calling GEHA’s customer service number on your ID card.
Schedule Your Child’s GEHA-Covered Dental Visit Today
Don’t wait to take advantage of your GEHA Dental benefits for your child’s oral health. At Hardy Pediatric Dentistry & Orthodontics, we’re ready to provide exceptional care while maximizing your insurance coverage. Our team of specialists, including Dr. Namrata Hardy and Dr. T.C. Hardy, offers comprehensive pediatric dental and orthodontic services in a warm, child-friendly environment.
From preventive care to specialized treatments and orthodontics, your GEHA Dental PPO plan provides valuable coverage for services that will help your child develop a healthy, beautiful smile. Our experienced team will guide you through the insurance process, ensuring you understand your benefits and any potential out-of-pocket costs.
📍 Visit Us: 3200 Village Vista Dr., Suite 110, Erie, CO 80516
📞 Call: (720) 764-6158
📩 Or Request an Appointment Online Today at www.hardypedoortho.com
DISCLAIMER: This information is subject to change by the insurance company. We provide this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please visit the insurance company’s website or call the customer service number listed on your insurance ID card. Updated as of April 2025. The GEHA logo and trademarks are property of GEHA Dental.