The EmblemHealth FEDVIP Dental Program

EmblemHealth FEDVIP Dental Program is a unique program that was created especially for federal employees and retirees. Your cost-sharing responsibilities are kept low, while you continue to get 100 percent dental coverage for in-network preventive dental services and complex procedures.

We encourage you to visit www.BENEFEDS.com for a comparison between our program and the dental options offered by other insurers. At BENEFEDS.com, you can sign up for the EmblemHealth FEDVIP Dental Program. Or you can call BENEFEDS at 877-888-3337 for assistance.
 

资格


Note that you must live or work in the following counties where we have network providers in order to be eligible for this program:

  • New York State: all counties
  • New Jersey: Bergen, Essex, Hudson, Middlesex, Monmouth, Morris, Passaic, Somerset, Sussex and Union
  • Pennsylvania: Monroe and Pike
  • Connecticut: Fairfield, Litchfield and New Haven

Enrollment: 1-866-640-3856, (TDD: 711) from 8 a.m. to 8 p.m., seven days a week (excluding major holidays).

Customer Service: call the number on the back of your member ID card, from 8 a.m. to 8 p.m., seven days a week (excluding major holidays).

Plan Details

2019 EmblemHealth FEDVIP Dental Program

 

Compare the high cost of dental services in your region with your low biweekly rates below. You’ll see how the dollars you spend for FEDVIP dental benefits can make real sense for you and your family.

Plan Type

Enrollment Code

Biweekly Rates

Monthly Rates

Self

DAG1HS

20.21 美元

43.79 美元

Self Plus One

DAG1HP

40.40 美元

87.53 美元

Self and Family

DAG1HF

60.61 美元

131.32 美元

Benefits at-a-glance: 安保健康保险 FEDVIP 牙科方案

Preventive and Diagnostic Services

Covers services meant to maintain good dental health, including exams, X-rays, cleanings and fluoride treatments. Two exams and two cleanings per covered person are payable in a calendar year.

Paid in full in-network; Deductible applies to out-of-network benefits only

Intermediate Services, and Periodontal and Endodontic Services

Covers fillings, extractions, denture/crown/bridge repair, emergency treatments, oral surgery and anesthesia/IV sedation; and specialist consultations

Paid in full in-network; Deductible applies to out-of-network benefits only

Major Services

Covers root canals, crowns, gingivectomy periodontal surgery, fixed bridgework and dentures

 

 

Implants (includes crowns)

Paid in full in-network; Deductible applies to out-of-network benefits only

 

$1,400 maximum allowance; Deductible applies to out-of-network benefits only

Calendar Year Deductible

Applies to intermediate and major services received out-of-network only

In-network: $0 Individual/$0 Family; Out-of-network: $50 Individual/$150 Family

Maximum Benefit Payout

Annual maximum per covered member (not including orthodontia)

 

 

Lifetime orthodontia maximum per covered member. (Orthodontia benefits are effective at the time coverage begins.)

Unlimited

 

 

 

3,000 美元

Out-of-Network Reimbursement

The member pays the difference between EmblemHealth’s payment and the provider’s charge.

Refer to the plan’s Preferred Schedule (same as the in-network schedule).

 

Note that you must live or work in the following counties where we have network providers, in order to be eligible for this program:

  • New York State: all counties
  • New Jersey: Bergen, Essex, Hudson, Middlesex, Monmouth, Morris, Passaic, Somerset, Sussex and Union
  • Pennsylvania: Monroe and Pike
  • Connecticut: Fairfield, Litchfield and New Haven

EmblemHealth FEDVIP Dental Program RI Download (PDF)

For easy access to information about your dental benefits, claim status, benefits eligibility and more, simply visit emblemhealth.com and register for your personal account.

2019 EmblemHealth FEDVIP Dental Program

It’s easy to receive care when you have our FEDVIP Dental plan. You’ll be able to choose from any of our thousands of network dentists and specialists in New York, New Jersey, Pennsylvania and Connecticut without ever needing a referral or to fill out paperwork.

You’ll even receive reimbursement for covered services performed by out-of-network dentists based on the plan’s in-network allowance. Should you choose to receive care from out-of-network dentists, just submit a claim to us. We’ll send you a check for the amount we cover. Please be aware, however, that since we don’t have a payment contract with out-of-network dentists, the amount we pay you may not be the full amount the dentist charged.

Need to see a dentist?

To find a dentist in your plan’s network, go to our Find a Doctor tool. You can use the handy map to locate a dentist’s office when you click on his or her name in our directory. 

 

Choosing FEDVIP Dental

If you’d like to enroll in the EmblemHealth FEDVIP Dental Program, it’s easy to do — just register and log on at www.BENEFEDS.com and select the EmblemHealth FEDVIP dental option. You can also call BENEFEDS at 1-877-888-3337 for assistance.

Make sure to include the EmblemHealth FEDVIP Dental Program enrollment codes as shown on the Enrollment Codes and Rates section of this page.

If you’re already in the EmblemHealth FEDVIP Dental Program, you don’t need to do anything. Your coverage will continue automatically.    


  • FEDVIP Plan Brochure 2019

Provider Coverage

凭借我们强大的优质医生网络,您可以从该地区许多领先的医生、临床医生和设施(包括医院和紧急护理中心)获得治疗。

A partner in wellness

The Right Care, Right in Your Neighborhood

AdvantageCare Physicians are the newest addition to the EmblemHealth family and are now one of the largest primary and specialty care practices in New York City. With 37 locations throughout New York City and Long Island, you can find a convenient location near home or work.