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Your choice, your way
The Dental Expense Plan is offered exclusively to retired SEHBP members. This nationwide plan is great for members who like the freedom to go in and out of network.
Choose from our nationwide network of participating dentists. Visit our custom Provider Search to find a dentist by name or by ZIP code.- Visit any dentist in or out of network
- No referrals
- Preventive care is not subject to the deductible
- Annual maximum is combined for in and out of network
- Orthodontic services are not covered under the Retiree Dental Expense Plan
Aetna Retiree Dental Expense Plan (DEP/PPO)
- Visit any dentist in or out of network*
- No referrals are needed, and you don’t have to choose a primary care dentist (PCD)
- Preventive care is not subject to the deductible
- Child orthodontics are not covered under this plan
Table of plan details. Tier 1** Tier 2** Tier 3** In network Out of network In network Out of network In network Out of network Annual deductible*** (you pay) $50 per person ($150 max) $50 per person ($150 max) $50 per person ($150 max) Preventive care*** (plan pays) 80% 70% 90% 80% 100% 90% Basic restorative services (plan pays) 50% 50% 60% 50% 70% 50% Major restorative services (plan pays) 30% 40% 40% 30% 50% 40% Implant coverage
(plan pays)30% 20% 40% 30% 50% 40% Annual maximum
(plan pays)$3,000 per person $2,000 per person $3,000 per person $2,000 per person $3,000 per person $2,000 per person *If you go out of network, you’re responsible for the amount the dentist charges above the reasonable and customary allowance.
**See your SEHBP Retiree Dental Plans Member Handbook for more information on specific tiers.
***Deductible is waived for preventive care.
Aetna Retiree Dental Expense Plus Plan (DEPP/PPO)
- Visit any dentist in or out of network*
- No referrals are needed, and you don’t have to choose a primary care dentist (PCD)
Table of plan details. Tier 1** Tier 2** Tier 3** Tier 4* In network Out of network In network Out of network In network Out of network In network Out of network Annual deductible*** (you pay) $50 per person
($150 max)$50 per person
($150 max)$50 per person
($150 max)$50 per person
($150 max)Preventive care*** (plan pays) 80% 70% 90% 80% 100% 90% 100% 90% Basic restorative services (plan pays) 50% 50% 60% 50% 70% 50% 80% 70% Major restorative services (plan pays) 30% 20% 40% 30% 50% 40% 65% 55% Periodontics and prosthodontic
(plan pays)30% 20% 40% 30% 50% 40% 50% 40% Implant coverage 30% 20% 40% 30% 50% 40% 65% 55% Annual maximum
(plan pays)$3,000 per person $2,000 per person $3,000 per person $2,000 per person $3,000 per person $2,000 per person $3,000 per person $2,000 per person Child orthodontic services****
(plan pays)50% / $1,000 40% / $750 50% / $1,000 40% / $750 50% / $1,000 40% / $750 50% / $1,000 40% / $750 *If you go out of network, you’re responsible for the amount the dentist charges above the reasonable and customary allowance.
**See your SEHBP Retiree Dental Plans Member Handbook for more information on specific tiers.
***Deductible is waived for preventive care.
****For covered members aged 19 and younger. Deductible is waived for orthodontic services.
Understand your benefit tier
- Tier 1 — If you didn't have dental coverage, this is the lowest benefit tier. This applies if you didn't have prior group dental coverage for at least 12 months within 60 days before you signed up for the Retiree Dental Expense Plan. Then you'll be put in Tier 1. After a year in Tier 1, then you'll be put in Tier 2. Then after the year in Tier 2, you'll move to Tier 3, the highest benefit.
- Tier 3 — If you have prior group dental coverage, this is the highest benefit tier. This applies if you were covered by another group dental plan for at least 12 months within 60 days before you signed up for the Retiree Dental Expense Plan. Then you'll enroll in Tier 3.* Effective 1/1/25: Tier 3 now includes coverage for implants.
- Tier 4 — Optional buy-up plan which covers same benefits as tier 3, with addition of child orthodontic services.
What types of benefits are covered under the DEP?
Download the SHBP\SEHBP Employee Dental Plans Fact Sheet
Plan documents
SEHBP Retiree DEP at a Glance (PDF) -
Your choice, your way
The Dental Expense Plan is offered exclusively to retired SHBP members. This nationwide plan is great for members who like the freedom to go in and out of network.
Choose from our nationwide network of participating dentists. Visit our custom Provider Search to find a dentist by name or by ZIP code.- Visit any dentist in or out of network
- No referrals
- Preventive care is not subject to the deductible
- Annual maximum is combined for in and out of network
- Orthodontic services are not covered under the Retiree Dental Expense Plan
How the Aetna® Retiree DEP works:
Table of plan details. Tier 1 Tier 2 Tier 3 In network Out of network In network Out of network In network Out of network Deductible $50 Single, $150 Family $50 Single, $150 Family $50 Single, $150 Family $50 Single, $150 Family $50 Single, $150 Family $50 Single, $150 Family Preventive 80% 70% 90% 80% 100% 90% Basic services 50% 50% 60% 50% 70% 50% Major services 30% 20% 40% 30% 50% 40% Annual maximum $1500 $1500 $1500 If you go out of network, you're responsible for the amount the dentist charges above the reasonable and customary allowance.
Understand your benefit tier
- Tier 1 — If you didn't have dental coverage, this is the lowest benefit tier. This applies if you didn't have prior group dental coverage for at least 12 months within 60 days before you signed up for the Retiree Dental Expense Plan. Then you'll be put in Tier 1. After a year in Tier 1, then you'll be put in Tier 2. Then after the year in Tier 2, you'll move to Tier 3, the highest benefit.
- Tier 3 — If you have prior group dental coverage, this is the highest benefit tier. This applies if you were covered by another group dental plan for at least 12 months within 60 days before you signed up for the Retiree Dental Expense Plan. Then you'll enroll in Tier 3.
What types of benefits are covered under the DEP?
Download the SHBP\SEHBP Employee Dental Plans Fact Sheet
Plan documents
SHBP Employee DEP at a Glance (PDF) -
Easy-to-use coverage that fits your budget
The Dental Plan Organization is an in-network dental plan only. It is available to SHBP and SEHBP retired members.
- In-network dental plan only
- Choose a primary care dentist from our directory
- Each family member can pick a different dentist
- You need referrals to see specialty dentists
- Orthodontic services are not covered under the Retiree DPO dental plan
Table of plan details. Tier 1 Tier 2 Tier 3 In network In network In network Deductible $0 $0 $0 Copays Diagnostic and preventive care only Diagnostic, preventive care and restorative services only Diagnostic, preventive care, endodontics, periodontics and restorative services Annual maximum $0 $0 $0 You can find a full list of copayments within the Retiree Dental Guidebook.
Understand your benefit tier.
- Tier 1 — If you did not have dental coverage, this is the lowest benefit tier. This applies if you did not have prior group dental coverage for at least 12 months within 60 days before you signed up for the Retiree Dental Plan Organization. Then you'll be put in Tier 1. After a year in Tier 1, then you'll move to Tier 2. Then after the year in Tier 2, you'll move to Tier 3, the highest benefit.
- Tier 3 — If you have prior group dental coverage, this is the highest benefit tier. This applies if you were covered by another group dental plan for at least 12 months within 60 days before you signed up for the Retiree Dental Plan Organization. Then you'll enroll in Tier 3.
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