Enrollment for this plan has limits. You must live and work in Puerto Rico to enroll. If you’d like to know more about eligibility requirements for this plan, visit Benefeds at benefeds.gov
Employees are eligible for dental and vision coverage if they are eligible for the Federal Employees Health Benefits (FEHB) Program (they do not have to be enrolled).
Annuitants are eligible for dental and vision coverage.
For Postal Service members and annuitants, coverage under the Postal Service Health Benefits (PSHB) program will replace coverage under the Federal Employees Health Benefit (FEHB) program.
Oral exam for children under 3 years old covered at 100%.
$0 copay for Class A (Basic) services
Oral exams, routine cleanings, fluoride, x-rays, and sealants.
15% payment of the total cost for Class B (Intermediate) services
Restorative procedures, prefabricated stainless steel crowns, scaling and tooth flattening, denture adjustments, and extractions.
50% payment of the total cost for Class C (Major) services
Care for the inside of the teeth, gum care, and major restorative services (crowns, complete dentures, fixed and removable bridges). The 50% does not apply to some of the main restorative services and care for the inside of the teeth (root canal and replacements), in which case a 30% would apply.
50% coverage through reimbursement for Class D (Orthodontic) services
Orthodontic services (braces) up to a maximum of $2,000 per insured member, per lifetime, with NO WAITING PERIOD. No age restrictions.
Learn about all the benefits and services that Triple-S has for you
Enjoy these benefits with no annual limit for covered services: 100% coverage for preventive and diagnostic services, 15% coinsurance on restorative services, and 50% coinsurance on major restorative services. In addition, for orthodontic services (braces): No waiting period and up to $2,000 per insured member per lifetime, with a 50% coinsurance.
Enjoy these benefits with no annual limit for covered services: 100% coverage for preventive and diagnostic services, 15% coinsurance on restorative services, and 50% coinsurance on major restorative services. In addition, for orthodontic services (braces): No waiting period and up to $2,000 per insured member per lifetime, with a 55% coinsurance.
Triple-S Salud offers a supplementary plan under the Federal Employee Dental Program (FEDVIP), a different program from the Federal Employee Health Benefits (FEHB). This supplementary plan provides broad dental coverage for employees and retirees from the federal government and uniformed services retirees. The service area is Puerto Rico. Maximize your dental coverage with better benefits and lower copayments.
To find out if you can apply, visit: www.BENEFEDS.com. You can also call 1-877-888-FEDS (1-877-888-3337) or TTY 1-877-TTY-5680 (1-877-889-5680) Monday thru Friday from 8:00 a.m to 9:00 p.m. If you do not have a phone on hand, talk to your employing office or retirement system for guidance on how to sign up.
This dental health plan is not part of the FEHB Program.
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