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Yes, all FEDVIP dental plans cover dentures. However, requirements for coverage may vary between plans. We suggest that you have your dentist submit a predetermination of benefits prior to beginning the work so both you and your dentist have an estimate of what the plan may pay and what your out-of-pocket expense may be.
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You do not need to reenroll. Although your payroll office will notify BENEFEDS of the change in payroll offices, we encourage enrollees to notify BENEFEDS before any change in enrollment. If you do not see the premium deduction by your new payroll office, please contact BENEFEDS at 1-877-888-3337.
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Yes, depending on your needs and the needs of your family, you may enroll in a FEDVIP dental plan, a FEDVIP vision plan, or both.
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No. For FEHB and FEDVIP, if you and your eligible family members are satisfied with the coverage that you have now, then you do not have to do anything. Keep in mind that premiums and benefits change each year, so you should check the plan brochures. All FEHB and FEDVIP plan brochures are on our website at
www.opm.gov/healthcare-insurance/.
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Monday November 13, 2017 - Monday December 11, 2017.
Each year, Open Season runs from the Monday of the second full workweek in November through the Monday of the second full workweek in December.
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Monday November 13, 2017 - Monday December 11, 2017.
Each year, Open Season runs from the Monday of the second full workweek in November through the Monday of the second full workweek in December.
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There are questions you should ask yourself when deciding to enroll in FEDVIP or selecting a FEDVIP plan. By considering these questions thoroughly, you will be able to determine if FEDVIP is a good option for you.
1. Does my FEHB plan provide dental or vision coverage?
2. Does the FEDVIP plan coordinate benefits with the FEHB plan and how is the coordination of benefits calculated?
3. How affordable is the plan?
- How much will it cost me on a biweekly or monthly basis? Can I afford that for the entire year?
- Must I pay a deductible?
- If I use a FEDVIP provider outside of the network, how much will I pay to get care?
- How frequently can I visit the dentist and how much do I have to pay at each visit?
- Will the plan provide benefits if I am also covered by another dental or vision plan?
4. Do I have access to any provider?
- Does the plan give me the freedom to choose my own dentist or am I restricted to a panel of dentists selected by the plan?
- Are there enough of the kinds of dentists I want to see?
Where will I go for care? Are these places near where I work or live?
- Do I need to get permission before I see a dental specialist?
- Will the plan allow referrals to specialists? Will my dentist and I be able to choose the specialist?
5. Does the plan provide coverage for specialty services?
- Are dentures, orthodontics, implants or replacement of missing teeth covered?
- What are the plan’s limitations or exclusions?
- Are there annual limits on the types of services included?
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If you are a new employee eligible for FEDVIP, or an employee who has become newly eligible to enroll, you may enroll within 60 days of first becoming eligible. This is a onetime opportunity outside of Open Season to enroll. There is a separate 60day enrollment period for dental and vision. For example: you may enroll in a dental plan on day 30 and a vision plan on day 59. Once you enroll, your 60day opportunity for that type of plan ends. An eligible employee or retiree may also enroll during the annual Federal Benefits Open Season, which runs from the Monday of the second full work week in November through the Monday of the second full work week in December. An eligible employee or retiree may enroll, cancel, or change enrollment type or options during Open Season. They may enroll or make changes outside of Open Season if they experience a qualifying life event (QLE) such as a change in family or other insurance coverage status. Please see Appendix H for more information about QLEs that permit employees and retirees to enroll or make changes in FEDVIP. If you enroll during Open Season, premiums are deducted beginning the first full pay period on or after January 1. For new or newly eligible employees who elect to enroll, coverage is effective the first day of the pay period following the one in which BENEFEDS receives your enrollment. An Open Season enrollment or change is effective January 1.
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