Can
a family member continue enrollment when they are no longer an eligible family member?
YES
NO
Domestic
Partner Coverage?
YES
NO
Children
covered to what age?
PPO
to 24
DHMOs
23 except
DHMO
Texas
to 25
22
Coverage for over age children, parents, grand kids, siblings?
YES
NO
Dental
and Eye Care together?
YES
NO
Orthodontics-
braces for children waiting period?
12
months PPO
No
Waiting DHMO
24
months
Orthodontics
for adults?
YES
with DHMO
NO
Orthodontics-
braces for adults waiting period?
None
with DHMO
NO
Coverage
Disputes
handled by OPM?
Direct Quote:
“Can an employee
appeal a plan’s denial to pay a claim?”
You may go to the insurance commissioner in your state as all insured PPO benefits are licensed in
all 50 states and D.C.
There is no OPM REVIEW.
Yes, must go through plan’s appeal process. An independent third party review of a claim denial
is available when the internal appeal process has been exhausted. There is
no OPM REVIEW.
This website, www.fedvp.com and its representatives are not a part of the Federal
Employees Dental and Vision Insurance Program and the Federal government does not endorse this site nor its contractors.
We
elect to provide additional and more benefits then OPM
has
contracted for.
OPM
Plans are limited in scope and benefits as described herein. .
both Dental & Eye Care available in all
50 States & D.C.
or
Dental HMO with Vision in specific areas
[for enrolled clients you may request changes
in coverage or make a payment here]
All new Postal Employees will have an
increase in premium of $1.00 per pay period if paying by Payroll Deduction because of substantial increases
in the trustees banking fees this does not effect any other premium mode. For Fusion PPO or
any of the Dental HMOs
American Marketing Administrators, Inc.
Administrator Since 1980
Billing questions, plan changes, you've moved & other concerns: info@fedvp.com
23901 Calabasas Road Suite 2014 Calabasas,
CA 91302-3307 Voice 818-223-9750 800-300-PLAN, FAX 818-223-8147