NYS Dental Benefits - What's New
Click on your group to find benefits:
New York State Employees and Their Covered Dependents Represented by Council 82 (C-82) (Contract Affected; GHI category 98D)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
New York State Employees and Their Covered Dependents Represented by Council 82 (C-82) (Arbitration Affected; GHI category 91A)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per
covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
New York State Employees and Their Covered Dependents Represented by Correctional Officers & Police Benevolent Association (NYSCOPBA) (Contract Affected; GHI category 97F)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum is $2300 per covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
- The dental coverage waiting period is 56 days.
New York State Employees and Their Covered Dependents Represented by Correctional Officers & Police Benevolent Association (NYSCOPBA) (Arbitration Affected GHI Category 96G)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
- The dental coverage waiting period is 56 days.
New York State Employees and Their Covered Dependents Represented by Police Benevolent Association Supervisors (PBA - S)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per covered member.
- Dental coverage waiting period has changed from 6 months to 56 days.
New York State Employees and Their Covered Dependents Represented by Police Benevolent Association Troopers (PBA - T)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per covered member.
- Dental coverage waiting period has changed from 6 months to 56 days.
New York State Employees and Their Covered Dependents Represented by Public Employees' Federation (PEF)
- Annual maximum has been increased to $2300 per covered member.
- Sealants, a proven and effective preventive measure against cavities, are covered on permanent teeth for dependents under the age of 14.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
- Lifetime Orthodontia Maximum is $1998.
- Dental coverage waiting period has changed from 6 months to 56 days for those employees hired on or after 10/1/2000.
New York State Employees and Their Covered Dependents Represented by Police Investigators Association (PIA)
- Annual maximum has been increased to $2300 per covered member.
- Lifetime Orthodontia Maximum has been increased to $2300 per covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
New York State Management/Confidential and Unrepresented Employees and Their Covered Dependents (M/C).
- Annual maximum has been increased to $2000 per covered member.
- Intravenous Sedation is covered when administered according to American Dental Association guidelines.
- Lifetime Orthodontia Maximum is $1998.
Graduate student employees and their enrolled dependents in the Student Employee Health Plan (SEHP) are now eligible for dental benefits through Group Health, Incorporated (GHI)
When a participating provider in the GHI GSEU Dental Program is selected, the following dental services are covered twice per year: There is a $20 copayment per visit.
- Examination
- Cleaning
- Bitewing x-rays (limit of 4 per year)
- 2 fillings per year at a copayment of $10 per filling. $10 copayment is charged once per tooth (the $20.00 per visit co-payment is waived)
Enrollees may also use the GHI Discounted Access Program for discounts on other non-covered dental services. Contact GHI's Dedicated Customer Service Center at 1-800-947-0101 for more information or to locate a participating provider. Contact your Health Benefits Administrator to enroll in the SEHP.
Please Note: For all benefits listed above, the benefits have been added to the Dental Services Program with GHI. The benefits described here are only brief highlights of the coverage available. The terms, limitations, conditions, and exclusions of the insurance contract and certificate will govern.