GEHA stands by those who are affected by Hurricane Florence. Customer Care can assist and offer member ID lookups at 877.434.2336. Learn more

Dental Coordination of Benefits Form

If you or any other family member has other coverage that pays for your dental expenses in addition to GEHA, please complete the information below and select Submit to send this secure form electronically to GEHA.

    Employee or Annuitant Identification Data

    To help us identify your account, please provide the following information.








    Other Group Coverage Information







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