Anonymous wrote:Anonymous wrote:Anonymous wrote:Can someone explain how the language of dental plans work. I don't understand.
The coverage for GEHA is "you pay 30% of the allowable charges" but it also says there is a $2500 lifetime max. So, in practice, let's say the orthodonist cost is $6000 with $5000 being the "allowable charge."
How does the 30% and the $2500 fit into this?
GEHA will not pay more than $2,500 on your behalf. Switch to met life once you've hit that number.
Will Metlife pay for treatment that has already started? Usually plans won't.
Anonymous wrote:Anonymous wrote:Don't you all have dental insurance that pays at least half?
Lol, lots of us are Feds here. What is this dental insurance of which you speak?![]()
Anonymous wrote:Falls Church City - $3000 for a 3rd grader, traditional braces were on for one year.
Anonymous wrote:I realize it varies by type of braces, etc but I'm just trying to get a sense of the range. Thanks!
Anonymous wrote:$8,450. Ins covered $1k. My daughter needs 4 teeth minimum pulled, has an expander and braces on the bottom. We hit the jackpot :/
Anonymous wrote:Anonymous wrote:Switch insurances mid way and get the max twice if you have a high estimate.
One kid was $10k and one kid was $7500, but out of pocket was $3k (phase 1) and less than $100 (not a typo) phase 2. We used three total insurances (switched between phase 1 and 2, and second parent added dental coverage) and could stack the contributions. The second kid had two insurance coverages and a family discount so it was $1500 out of pocket.
It pays to pay attention at annual enrollment. One parent is a fed.
Many insurances require 24 months of enrollment to get the max benefit to prevent people doing this. No surprise Feds have better insurance than most other people.
Anonymous wrote:Anonymous wrote:Can someone explain how the language of dental plans work. I don't understand.
The coverage for GEHA is "you pay 30% of the allowable charges" but it also says there is a $2500 lifetime max. So, in practice, let's say the orthodonist cost is $6000 with $5000 being the "allowable charge."
How does the 30% and the $2500 fit into this?
GEHA will not pay more than $2,500 on your behalf. Switch to met life once you've hit that number.
Anonymous wrote:Anonymous wrote:Anonymous wrote:Don't you all have dental insurance that pays at least half?
Lol, lots of us are Feds here. What is this dental insurance of which you speak?![]()
Well.... we use fed-based insurance for dental.... I'm pretty sure they have 12-15 plans. Maybe you should look into it.
Anonymous wrote:Switch insurances mid way and get the max twice if you have a high estimate.
One kid was $10k and one kid was $7500, but out of pocket was $3k (phase 1) and less than $100 (not a typo) phase 2. We used three total insurances (switched between phase 1 and 2, and second parent added dental coverage) and could stack the contributions. The second kid had two insurance coverages and a family discount so it was $1500 out of pocket.
It pays to pay attention at annual enrollment. One parent is a fed.
Anonymous wrote:Anonymous wrote:Just palate expander is going to be $4k. NW DC
Same here. Estimate if they need braces for phase 2 is $7500.
Anonymous wrote:My insurance pays $1000 max lifetime. Son's palate expander is $3,000. Not sure how much braces will be in a few years.