|* Class A, B and C Covered Services are limited to a combined Calendar Year Maximum Benefit of $2,500 per covered person.
** Plans cover two cleanings per calendar year.
Pretreatment estimate Before you receive treatment, estimate how much your care will cost. You or your provider can send in an itemized proposed treatment plan and we will send you and your dentist an explanation of how the services will be covered.
Choosing a dentist You have the choice of provider. However, for many services, your costs are lower when you see a dentist in the Connection Dental® Network. Network providers will not bill you more than the plan's maximum allowable charge for covered services.
Claim forms No special claim forms are required. Just send in the itemized bill from your provider.
Limitations and exclusions This plan has certain limits on dental coverage in order to keep plan rates affordable for you and your dependents. A complete list of plan limitations and exclusions may be found in the GEHA Connection Dental Federal Plan Brochure.