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Dental member resources

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2025 Dental Benefits Guide

Dental plans for federal employees, federal retirees, military retirees and their families. We offer two comprehensive dental plans with the right coverage for every stage of life.

PDF

2025 Dental Plan Brochure

This brochure describes the benefits, exclusions, limitations and maximums of the G.E.H.A FEDVIP dental plan for 2025.

PDF

2024 Dental Plan Brochure

This brochure describes the benefits, exclusions, limitations and maximums of the G.E.H.A Connection Dental Federal plan for 2024.

PDF

Bank Draft Authorization Form (online form)

Use this form to set up automatic monthly or quarterly bank draft for Connection Dental Plus premium payment.

online form

Connection Dental Plus Change in Enrollment Form

Use this form to request an address change, or to add or change dependent coverage information for a Connection Dental Plus membership.

PDF

Connection Dental Plus Plan Brochure

This brochure provides complete information on the Connection Dental Plus dental plan.

PDF

Connection Vision Plan Brochure

This brochure provides complete information on the Connection Vision powered by EyeMed vision program.

PDF

Dental Claim Form

To submit dental claims to GEHA.

Fillable PDF

Dental Coordination of Benefits Form (online form)

If you or a family member has other coverage that pays for your dental expenses in addition to GEHA, please complete this form.

online form

Dental Coordination of Benefits Form (PDF)

If the online form won't work for you, you can download this PDF version to print, complete and return to GEHA by fax or by mail.

Fillable PDF

Dentist Nomination Form (online form)

Use this form to nominate a dentist to participate in the Connection Dental Network.

online form

Dentist Nomination Form (PDF)

If the online form won't work for you, you can download this PDF version to print, complete and return to GEHA by fax or by mail.

Fillable PDF

EyeMed Out-Of-Network Vision Services Claim Form (online form)

You only need to complete this form if you visit a provider that is not in the EyeMed network.

online form

EyeMed Out-Of-Network Vision Services Claim Form (PDF)

If the online form won't work for you, you can download this PDF version to print, complete and return by mail.

Fillable PDF

Formulario de Solicitud de Apelación Dental de G.E.H.A (en espanol)

Llene la siguiente información cuando solicite una revisión de una determinación de beneficios adversao la denegación de un reclamo por parte de G.E.H.A.

Fillable PDF

Formulario de solicitud de información — apelaciones (en espanol)

Utilice este formulario para solicitar registros relevantes a una determinación de beneficios realizada por G.E.H.A.

Fillable PDF

G.E.H.A Dental Appeal Request Form

Use this form to request a review of an adverse dental benefit determination or claim denial. Members may fill the form out electronically and mail it in to the listed address.

Fillable PDF

How to File a Dental Claim

Webpage

How to make a payment for Connection Dental Plus

Information on how to pay your Connection Dental Plus premium by credit card or directly from your bank account.

online form

How To Read Your Dental Explanation Of Benefits

PDF

Information request form — Appeals

Use this form to request records relevant to a benefit determination made by G.E.H.A.

Fillable PDF

Or, choose from popular search topics

We reinvest every dollar to ensure our plans and member experience are second to none.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We're the benefits provider of choice for 2+ million federal employees, retirees and their families.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We offer two comprehensive dental plans with the right coverage for every stage of life.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Both G.E.H.A dental plans include no in-network deductibles with over 450,000 provider locations nationwide.

Founded by Postal workers 87 years ago to protect the health and well-being of federal employees.

Our Customer Care team can be reached Monday through Friday from 7 a.m.–7 p.m. Central time.

Agency benefits professionals, this is your one-stop shop for Open Season support.

Or, choose from popular search topics

Dental member resources

2025 Dental Benefits Guide

2025 Dental Plan Brochure

2024 Dental Plan Brochure

Bank Draft Authorization Form (online form)

Connection Dental Plus Change in Enrollment Form

Connection Dental Plus Plan Brochure

Connection Vision Plan Brochure

Dental Claim Form

Dental Coordination of Benefits Form (online form)

Dental Coordination of Benefits Form (PDF)

Dentist Nomination Form (online form)

Dentist Nomination Form (PDF)

EyeMed Out-Of-Network Vision Services Claim Form (online form)

EyeMed Out-Of-Network Vision Services Claim Form (PDF)

Formulario de Solicitud de Apelación Dental de G.E.H.A (en espanol)

Formulario de solicitud de información — apelaciones (en espanol)

G.E.H.A Dental Appeal Request Form

How to File a Dental Claim

How to make a payment for Connection Dental Plus

How To Read Your Dental Explanation Of Benefits

Information request form — Appeals

We reinvest every dollar to ensure our plans and member experience are second to none.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We're the benefits provider of choice for 2+ million federal employees, retirees and their families.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Visit the G.E.H.A formulary to learn about the coverage and costs for your prescriptions.

We have 1.7 million providers in our national network — plus worldwide coverage for access to health care while traveling abroad.

We offer two comprehensive dental plans with the right coverage for every stage of life.

G.E.H.A plans are packed with the extra features and benefits federal employees want most.

Both G.E.H.A dental plans include no in-network deductibles with over 450,000 provider locations nationwide.

Founded by Postal workers 87 years ago to protect the health and well-being of federal employees.

Our Customer Care team can be reached Monday through Friday from 7 a.m.–7 p.m. Central time.

Agency benefits professionals, this is your one-stop shop for Open Season support.

Or, choose from popular search topics

Dental member resources

More ways to contact us

*2025* Dental Benefits Guide

*2025* Dental Plan Brochure

2024 Dental Plan Brochure

Bank Draft Authorization Form (online form)

Connection Dental Plus Change in Enrollment Form

Connection Dental Plus Plan Brochure

Connection Vision Plan Brochure

Dental Claim Form

Dental Coordination of Benefits Form (online form)

Dental Coordination of Benefits Form (PDF)

Dentist Nomination Form (online form)

Dentist Nomination Form (PDF)

EyeMed Out-Of-Network Vision Services Claim Form (online form)

EyeMed Out-Of-Network Vision Services Claim Form (PDF)

Formulario de Solicitud de Apelación Dental de G.E.H.A (en espanol)

Formulario de solicitud de información — apelaciones (en espanol)

G.E.H.A Dental Appeal Request Form

How to File a Dental Claim

How to make a payment for Connection Dental Plus

How To Read Your Dental Explanation Of Benefits

Information request form — Appeals

2025 Dental Benefits Guide

2025 Dental Plan Brochure