Your Benefits
AFGE offers you the opportunity to enroll in a DHMO dental plan. Below are highlights of your plan to help you determine if a DHMO plan meets your needs. See your Schedule of Benefits documents at the bottom of the chart for complete benefit details.
Plan Information
| Dental HMO / Managed Care | |
| How the Plan Works | When you enroll in the Dental HMO/ Managed Care plan, you will pre-select a primary care dentist from the network to provide your day-to-day care. Except for Emergency Dental Services, out-of-network benefits are not available through the Dental HMO/Managed Care plan. Each enrolled family member may select a different participating dentist and has the ability to change dentists up to one time each month. Out-of-pocket costs for covered services are based on copayments as listed in the plan's Schedule of Benefits below. |
| Deductible | None |
| Annual Maximum | None |
| Benefit Waiting Period | None |
| Copayments & Coinsurance | $5 office visit copay. Copayments for covered services may be considerably lower1 than your cost without a dental plan. |
| Specialty Care | This plan features “Direct Referral”. Your selected participating dentists will provide you with the name of a network specialist. Just call that specialist to schedule your visit. No pre-authorization is required.2 Any copayment amount for specialty services is listed on your plan’s Schedule of Benefits. |
| Quality of Network Dentists | All dentists and specialists who participate must meet well-established credentialing standards. |
| Rates | Please see your plan documents below for complete details.
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| Exclusions and Limitations | Please see your plan documents below for complete details. |
| Complete Benefit Details | Dental HMO/Managed Care Schedule of Benefits |