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U.S. Office of Personnel Management

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Insurance FAQs Dental & Vision

Benefits

When I go to a dentist or optometrist, should I give them both my health plan card and my FEDVIP plan card? View more

Yes. Your FEHB plan is considered your primary insurance, even if they have little or no benefits. Not all FEDVIP plans issue ID cards, but you should let your provider know what coverage you have.
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My dentist does not currently participate with the national dental insurance plan that I use. If I sign up for FEDVIP (Federal Employees Dental and Vision Insurance Program) and he does not want to participate, what happens? View more

If the plan pays out-of-network benefits, a portion of your dentist’s eligible services will still be covered. The amount covered will depend on the service and may vary among plans. Generally, you will pay less out-of-pocket when you use an in-network dentist. Most plans pay out-of-network benefits. You cannot change plans or cancel your enrollment because of your provider's participation. You can review your plan’s brochure at www.opm.gov/healthcare-insurance/dental-vision/plan-information/#url=Dental-Overview.
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Will there be a waiting period before I can use the services? View more

For dental benefits, there is a waiting period for orthodontia services of up to 12 months, for all but one dental plan. Your eligible dependent must be enrolled in the same dental plan/option over the duration of the waiting period to receive orthodontia services. There are no waiting periods for any other dental services or any vision services.
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Can braces be covered for parents? View more

No. Parents are not eligible for coverage under FEDVIP.
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Can I get braces for myself? View more

Yes, most plans offer orthodontic services for children up to age 19 and adults.
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Do any of the FEDVIP ( dental ) plans cover braces? View more

Yes, all FEDVIP dental plans cover orthodontic services (braces). Most plans have a waiting period before you can receive this benefit.
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With FEDVIP (Federal Employees Dental and Vision Insurance Program), Do I have to go to a certain doctor or can I see anyone I choose? View more

Except for Humana Dental, which has a closed network, and Dominion Dental, which will assign a provider, you may go to any doctor. Keep in mind that you will pay less out-of-pocket when you use an in-network dentist.
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