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Dental & Vision (FEDVIP) - Carrier Information

Carrier Information

BENEFEDS administers enrollment and premium payment processes on behalf of the FEDVIP carriers. There are ten (10) dental carriers and four (4) vision carriers participating in the FEDVIP.

In addition to the information below, you can also download and print the full list of FEDVIP Dental and Vision Carrier Information.

FEDVIP Dental Plans—National/International

National/International plans include nationwide coverage as well as coverage overseas.

Plan
PPO
A Preferred or Participating Provider Organization is a plan that typically requires you to pay a deductible and care is obtained through a network of dental providers who agree to serve the plan's members at reduced rates. When you use a network provider you typically pay a certain percentage of that reduced rate and the plan will pay the remaining percentage.
Providers Brochure Phone
Aetna Dental, PPO Search 2015 800-554-2042
Delta Dental, PPO Search 2015 855-410-3255
FEP BlueDental, PPO Search 2015 855-504-2583
GEHA, PPO Search 2015 877-434-2336
MetLife, PPO Search 2015 888-865-6854
United Concordia, PPO Search 2015 877-394-8224

Note: Plan and Provider Search links will bring you to an external site.

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FEDVIP Dental Plans—Regional

Regional plans provide coverage in designated locations; they do not provide coverage overseas.

Plan
EPO
An EPO plan is an in-network, copay based plan. Members will pay a fixed copay for covered services received from in-network providers. There is no out-of-network coverage except in cases of emergency.

HMO
An HMO plan typically doesn't have any deductibles, rather when you receive a dental service you pay a fixed amount for the treatment (copay). Diagnostic and preventative services often have no copayment. A Primary Care Provider selection is required and coordinates your care. Services received outside of the network may or may not be covered.

PPO
A Preferred or Participating Provider Organization is a plan that typically requires you to pay a deductible and care is obtained through a network of dental providers who agree to serve the plan's members at reduced rates. When you use a network provider you typically pay a certain percentage of that reduced rate and the plan will pay the remaining percentage.
Providers Brochure Phone
Dominion Dental, HMO (Service Area) Search 2015 855-836-6337
Emblem Health, PPO (Service Area) Search 2015 877-842-3625
Humana, EPO (Service Area) Search 2015 877-692-2468
Triple-S Salud, PPO (Service Area) Search 2015 787-774-6060
TTY 787-792-1370

Note: Plan and Provider Search links will bring you to an external site.

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FEDVIP Vision Plans

All vision plans provide nationwide coverage as well as coverage overseas.

Plan
PPO
A Preferred or Participating Provider Organization is a plan that typically requires you to pay a deductible and care is obtained through a network of dental providers who agree to serve the plan's members at reduced rates. When you use a network provider you typically pay a certain percentage of that reduced rate and the plan will pay the remaining percentage.
Providers Brochure Phone
Aetna Vision, PPO Search 2015 855-347-6899
FEP BlueVision, PPO Search 2015 888-550-2583
UnitedHealthcare Vision, PPO Search 2015 866-249-1999
Vision Service Plan (VSP), PPO Search 2015 800-807-0764

Note: Plan and Provider Search links will bring you to an external site.

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ID Cards & Claims

If you have any questions about FEDVIP plan ID cards, payment of claims or covered services, please contact your FEDVIP dental plan and/or FEDVIP vision plan directly—BENEFEDS cannot help you with such inquiries.

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Coordination of Benefits

During the FEDVIP enrollment process, you are asked questions about other insurance coverage you may have. This includes coverage under the Federal Employees Health Benefits (FEHB) Program, Medicare, TRICARE, and other dental or vision insurance.

Coordination of Benefits (COB) is a method by which two or more carriers or plans coordinate their respective benefit payments so the total amount paid in benefits does not exceed 100% of the total allowable expenses incurred. If you have coverage from more than one plan, one of your plans pays first as the primary carrier, and other plan(s) pay the remainder of charges up to their allowed amount. By law, FEHB plans pay primary to (before) FEDVIP plans for dental and/or vision coverage.

If you have any questions about COB, you need to contact your FEDVIP plan(s) directly.

Note: BENEFEDS is not involved in the COB process. This is handled by your FEDVIP plan and any other applicable plan coverage you have.

About Medicare

Medicare is a government-sponsored health insurance program.

To learn more about Medicare, call 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov.

About TRICARE

TRICARE provides health care for certain active-duty and retired military personnel and Eligible Family Members.

To learn more about TRICARE, visit www.tricare.org.

Other Insurance

During the FEDVIP enrollment process, you will be asked if you are covered by any non-FEHB/non-FEDVIP dental or vision insurance. This includes any separate individual coverage, as well as supplemental dental or vision coverage offered by your FEHB plan, outside of the FEHB Program. If you have any non-FEHB/non-FEDVIP dental or vision insurance, you may enter the policy number and insurance company name.

While you do not have to provide this information while enrolling, you will need to provide this information to your FEDVIP plan(s) at some point, since it is required for coordination of benefits when submitting a claim. BENEFEDS sends this information to your FEDVIP plan(s).

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Coverage Details

Viewing/Comparing Coverage Between Plans

You can view and compare coverage details for all FEDVIP plans using our FEDVIP Plan Comparison tool. After entering your search criteria, you'll be presented with a list of plans available to you based on your residential zip code. From this list you can choose to view the coverage details of any carrier by clicking "View Details".

To view specific plan details, click View Details click to enlarge

Coverage details include contact information, plan year premiums based on the pay frequency selected and links to websites and plan brochures. This section also includes services covered, in and out-of-network costs, annual maximum benefits, deductibles and any other specific information pertaining to a carrier.

You also have the option to print or download the coverage details for your use.

Viewing Your Coverage Details

Once enrolled, you can view the coverage details for your FEDVIP plan(s) from your My BENEFEDS home page by clicking "More Details" for a specific plan, then clicking "Coverage Details" from the plan's summary page. Details for the plan in which you've enrolled include the same information as the FEDVIP Plan Comparison tool, as well as the specific enrollment type selected, premium/pay frequency and any family members covered.

You can view your enrollment details, any covered family members and in- and out-of-network coverage percentages for most services click to enlarge

Your coverage details are displayed as of the current date, as noted in the upper-right corner of the screen. This is important to note in case there are any pending changes to your plan that have yet to take effect.

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