WASHINGTON — Federal employees will be able to buy more comprehensive dental and vision benefits later this year, but the new coverage might force them to change dentists, personnel officials announced Wednesday.
The
new dental and vision benefits, also available to employees’ dependents
and federal retirees, were mandated by Congress after complaints that
the current offerings packaged with general health insurance were too
meager.
Linda Springer, director of the Office of Personnel
Management (OPM), said the Federal Employees Health Benefit Program
will have nine new dental insurance plans, six of which will be
available to government workers anywhere overseas. Six vision plans
will be offered as well, open to everyone.
Under the new
plans, employees will get the entire cost of routine teeth and eye
exams covered — minus a $10 co-pay, under some of the offerings — as
well as more money for contact lenses and at least half the cost of
routine procedures such as fillings or crown work.
Combined
dental and vision plans range in price from $22.52 a month ($270.24 a
year) for the cheapest single-person plan to $135.60 a month ($1,627.20
a year) for the most expensive full-family coverage.
Springer
said federal employees will be able to sign up for the plans between
Nov. 13 and Dec. 11, this year’s open enrollment window for government
benefits. Actual coverage under the new plans will begin in January.
Anyone
who signs up will be eligible for all dental and vision coverage
immediately, with the exception of certain orthodontics work. Often,
employees switching coverage must wait several months before they are
covered for many procedures.
But all of the plans require
employees to use “in-network” dentists to receive full compensation for
their work, meaning anyone looking into the new coverage should check
to see if their dentist and dental plan are compatible, OPM officials
said. Using dentists outside the insurance carrier’s list might still
leave patients paying the whole bill.
How that will affect
federal employees overseas is unclear. Officials could not say whether
the insurance companies would consider foreign dentists “in network,”
but said those details will be available when the various programs’
overviews are made available on their Web site prior to the start of
open enrollment.
The office is projecting a 1.8 percent
average increase in health premiums next year, with employees in HMO
plans seeing an average 6.3 percent increase in their prices. But
Springer said more than 63 percent of the approximately 4 million
federal employees receiving benefits will see no raise whatsoever.
About 8 million people worldwide receive health care coverage through the federal health care offerings.
Used with permission from the Stars and Stripes. Copyright 2006 Stars and Stripes
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