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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.

FEDVIP Dental Plans

Nationwide Plans

Nationwide plans include nationwide coverage as well as coverage overseas.


Regional Plans

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

  • Dominion Dental, HMO
    Plan Type— Health Maintenance Organization (HMO)
    Service Area—District of Columbia, Delaware, Maryland, Pennsylvania, parts of New Jersey and parts of Virginia
    855-836-6337
    www.federaldentalplans.com
  • Emblem Health, PPO
    Plan Type—Preferred Provider Organization (PPO)
    Service Area—All of New York State as well as some Zip Codes in Pennsylvania, Connecticut and New Jersey
    877-842-3625
    www.emblemhealth.com
  • Humana, EPO
    Plan Type—Exclusive Provider Organization (EPO)
    Service Area—All of Alabama, Arizona, Arkansas, California, Colorado, DC, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Missouri, Mississippi, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and most of Maryland
    877-692-2468
    feds.humana.com
  • Triple-S Salud, PPO
    Plan Type—Preferred Provider Organization (PPO)
    Service Area—The Island of Puerto Rico
    787-774-6060
    TTY: 787-792-1370
    www.ssspr.com

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FEDVIP Vision Plans

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

  • Aetna Vision, PPO
    Plan Type—Preferred Provider Organization (PPO)
    855-347-6899
    www.aetnafeds.com/vision
  • FEP BlueVision, PPO
    Plan Type—Preferred Provider Organization (PPO)
    888-550-2583
    www.fepblue.org
  • UnitedHealthcare Vision, PPO
    Plan Type—Preferred Provider Organization (PPO)
    866-249-1999
    www.myuhcvision.com/fedvip
  • Vision Service Plan (VSP), PPO
    Plan Type—Preferred Provider Organization (PPO)
    800-807-0764
    www.choosevsp.com

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Claims

If you have any questions about your benefits or payment of claims, 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 image 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.

To view more of your enrollment details, click More Details click image 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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