Member FAQs About GEHA's Dental Benefits and COVID-19

As your health partner, GEHA has made updates to our dental plans to help you during this time. We answer some of our members' frequently asked questions about these changes below.

  • Is GEHA going to cover the cost for Personal Protective Equipment (PPE) for dentists? 

    GEHA recognizes the cost of Personal Protective Equipment (PPE) has increased during the COVID-19 pandemic. To assist our GEHA Connection Dental Plus and Connection Dental Federal participating providers, we are reimbursing $7 per patient visit when PPE code D1999 is billed, so long as it is accepted as payment in full, with no additional billing to our members. This benefit will be in effect from July 1, 2020, through December 31, 2020.
  • What if I have a dental treatment that was in progress when dental offices closed?

    As dental offices reopen, many are prioritizing their patients with previously mid-progress treatment as they begin to reschedule routine dental care appointments. Contact your dentist for more information.
  • Are teledentistry services covered?

    Effective from March 1 through July 31, 2020 only, we will accept claims for an exam through a teledentistry consultation, only when required to determine a member’s need for emergency care. By allowing this additional consultation type during the COVID-19 timeframe, we are increasing the member maximum from two exams to three exams for 2020. This maximum can be met through any combination of allowed exam types, typically via routine cleaning/exam appointments.

    The claim should list the limited oral evaluation code (D0140) and the teledentistry code (D9995), however the teledentistry code is descriptive only and not billable to GEHA or members.  
  • What if my dental provider needs to consult a medical provider?

    While not currently a covered service, GEHA will allow a consultation with a medical health care professional from March 1, 2020 through July 31, 2020. Additionally, this will be a covered code beginning in 2021.
  • What if I am in the process of getting a dental implant?

    Implant services are limited to an annual maximum benefit of $2,500 per member, but, on the High Option only, we will rollover the unused maximum allowed benefit to 2021.
  • What if my dependent child’s coverage ended due to their age, while dental offices were closed?

    If your child’s coverage ends due to the dependent age cutoff from March 1 through July 31, 2020, we will extend their coverage through December 31, 2020.
  • Will GEHA be reducing or refunding member premiums due to dental offices being closed?

    All FEDVIP regulations still apply during this COVID-19 crisis, so GEHA is not allowed to reduce or refund premiums unless legislation is passed.
  • What if I have more COVID-19 dental questions and want to speak to someone directly? 

    You can call GEHA Customer Care at 877.434.2336 during our normal business hours, which are 7 a.m. to 7 p.m. Central time, Monday through Friday (except holidays). Or you can send an email to Customer Care using our secure Contact GEHA form.