Benefits

• If you have dental coverage under FEHB, is FEHB primary payor and FEDVIP secondary payor? View more
  Yes, FEHB is the primary payor if you have both FEDVIP and FEHB.
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• Does FEHB pay any dental and/or vision services when you are covered under FEDVIP? View more
  It depends.  FEHB plans vary greatly in the amount and type of dental and/or vision services they cover.  The FEHB plan is the first payor of benefits.  FEDVIP is the secondary payor to any FEHB benefits.  Review your FEHB plan’s brochure to find out what dental and vision coverage it offers.
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• Is my child covered under my FEDVIP (dental or vision) plan until her 26th birthday like with my health plan? View more
  No, FEDVIP covers unmarried dependent children until their 22nd birthday.  The age 26 provision of the Affordable Care Act does not apply to FEDVIP.
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• I am currently enrolled in a FEDVIP dental plan (mainly for the orthodontic coverage). My dependent has come to the end of this phase of treatment and we have used the maximum allowance under the current plan. I am thinking about switching coverage and understand that I would have a waiting period to use the orthodontics coverage under the new plan. I am being told through my orthodontist provider that since I have used my maximum allowance under one plan, that even if I switch plans and wait the waiting period, the insurance provider would not have to pay out since I used a maximum under a different plan. Is this true? Should I change plans? View more
  If you switch plans you will have to satisfy the new plan’s waiting period for orthodontic care.  Also, the new plan may not continue the work that was in progress prior to enrolling.  Contact the new plan and inquire before deciding whether or not to switch.  You may also review the “Things We Do Not Cover” sectionof the new plan’s brochure, available atwww.opm.gov/healthcare-insurance/dental-vision/plan-information/.
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• I am currently enrolled in FEDVIP but cannot remember what plan I have because I have never received an identification card. How do I find this information? View more
  You may contact BENEFEDS at 1-877-888-3337 or go to www.benefeds.com to find out which FEDVIP plan you have.You can then contact your plan by phone or web to request an ID card.  Contact information for each plan is available atwww.opm.gov/healthcare-insurance/dental-vision/plan-information/.
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• I’ve had FEDVIP for a couple of years, how far back can I file claims? View more
  The filing deadline is different for each plan.  Please review the “Claims Filing and Disputed Claims Processes” section of your plan brochure, available atwww.opm.gov/healthcare-insurance/dental-vision/plan-information/.
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• I currently have FEHB coverage, and both dental and vision coverage under FEDVIP. My 22 year old daughter is my dependent for life (she is totally disabled). Currently my FEHB and FEDVIP plans are aware of her disability status; thus, she and I are currently covered by all 3. If I change my plans, do I have to prove her disability again? Also, will she incur a break in coverage? View more
  There will be no break in coverage if you change your plan during Open Season. However, if you change to another plan, you may be asked to resubmit the documentation that your daughter is certified as incapable of self-support.
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• I have a FEDVIP vision plan now. Does it cover laser eye surgery? View more
  Most vision plans cover laser eye surgery with a discount.  Review the plan brochures to learn if a discount is available.  You can download each plan’s brochure at www.opm.gov/healthcare-insurance/dental-vision/plan-information/.
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• Are dentures covered under FEDVIP (Federal Employees Dental and Vision Insurance Program)? View more
  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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• I (the enrollee) am located in one area and my dependents are located in another region. How can I enroll myself and my dependents in one FEDVIP (Federal Employees Dental and Vision Insurance Program) plan? View more
  FEDVIP offers both nationwide dental and nationwide vision plans.  These plans cover you and your eligible dependents anywhere in the U.S. and overseas.  You can find which plans are available nationwide by entering your zip code at www.opm.gov/healthcare-insurance/dental-vision/plan-information/compare-plans/#url=Compare-Plans.
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