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.
|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.
|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.
Please see your plan documents below for complete details.
|Exclusions and Limitations||Please see your plan documents below for complete details.|
|Complete Benefit Details||
Dental HMO/Managed Care Schedule of Benefits