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Essential Dental Solutions Plan covers the services your family needs for good oral health! It is affordable since it focuses on providing the benefits that you and your family need to maintain good oral health!
Everyone is accepted. There are no deductibles or benefit waiting periods, so you and your family can start using the dental benefits right away.
The Dental Plan provides access to 85,000 credentialed dentists nationwide.
Get a Dental Plan Quote Today!
Get a Dental Plan Quote Today!
No. You can select the dentist of your choice. However, you will receive the highest level of benefits available by choosing an in-network provider.
When you visit a participating dentist, you can maximize your benefit plan with access to negotiated network fees, resulting in lower out-of-pocket expenses.
A negotiated network fee refers to a discounted schedule that providers participating in the network agree to accept as payment in full for services rendered. Typical discounts range from approximately 20%-35%.
Depending on the service rendered, your plan may cover all or part of the discounted fee.
Nationwide there are over 85,000 participating in-network dentists, including over 15,000 specialists. So, you should be able to find a participating provider in your area, while traveling, if emergency care is needed, or for your eligible dependents away at college.
All in-network dentists meet strict credentialing standards and have agreed to accept negotiated discounts as payment-in-full (no balance billing) for covered services rendered.
You can conduct online provider searches on our website at www.gacquote.com, or call our member service department at 1-866-910-0849.
No, you and your dependent have the freedom to choose any dentist, and can switch as many times as you would like during the policy year.
Enrolled members that meet the definition of Family are covered. Family means the Eligible Person, spouse and/or domestic partner and Child(ren). Child includes natural child, stepchild, foster child, legally adopted child, a child pending finalization of adoption proceedings, and an individual placed in the custody of an Eligible Person as a result of a guardianship or primary care.
Primary care means that the Eligible Person provides food, clothing, and shelter, on a regular and continuous basis, for the minor grandchild, niece or nephew during the time that schools are in regular session. Eligible Child means any unmarried Child(ren) of the Eligible Person until the end of the calendar month which he or she reaches age 21; or until the end of the calendar month which he or she reaches age 23 if a full-time student (written proof is required).
If you visit a dentist out-of-network, you are responsible for paying the entire amount of the dentist’s usual and customary charge (non-discounted rate) at the time of service. You must then submit a claim form so that we may process your claim, determine the Maximum Allowable Charge and determine if any reimbursement is payable for the claim.
There are many valuable benefits as a VBA member that you will receive in your fulfillment packet or can preview on this web site.
In-network provides have contractually agreed to file claims for you. If your dentist does not participate in the network (out-of-network), you may have to file the claim yourself. A claim form is included in your welcome kit, it is also available from your benefits administrator, or it can be printed from the website at: www.essentialdentalsolutions.com/claimform .
Remember to bring a claim form with you to your appointment so your dentist can help you fill it out. For each claim submission, GDS will expeditiously mail you a concise explanation of benefits and reimbursement according to your plan guidelines.
GDS – Claims Department PO Box 10949 Rockville, MD 20849
Get a Dental Plan Quote Today!