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Q1 2026 Newsletter

Sunday, February 1, 2026 | Posted in GEHA Connection Dental Network Provider Newsletter

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G.E.H.A Connection Dental Network Provider Newsletter

Welcome to the G.E.H.A Connection Dental Network provider digital newsletter. Explore timely updates and access helpful resources below.

What’s new

Be sure to check out the What’s New References category in the Resources section of the Resource Center at connectiondental.com to keep up to date on new and revised payor notices, provider manuals and state-specific policies and procedures. We encourage you to check out the Resource Center on a regular basis to see updates as they occur.

Here is a recap of the new or updated documents important to you as a G.E.H.A Connection Dental Network provider:

• Humana 2026 Medicare Flyer — 9/29/2025 (Updated document)
• Humana Medicare Flyer - Florida — 9/29/2025 (Updated document)
• Humana Medicare Advantage Plans 2026 — 9/29/2025 (Updated document)
• Humana Medicare Advantage Plans 2026 – Florida — 9/29/2025 (Updated document)
• Humana Gold Plus 2026 — 10/3/2025 (Added document)
• Humana Gold Plus – Florida 2026 — 10/3/2025 (Added document)
• 2026 G.E.H.A Plan Manual for Dental Providers — January 2026 (Updated document)

Stay informed with News & Views

News & Views is the place to find the latest news and information in the world of dentistry. Check out these recent articles:

• The importance of oral systemic health includes the link between cancer and oral health
• Physical activity and oral health article summary

For these stories and more, visit connectiondental.com/News

2026 Connection Dental Fee Schedule

The 2026 G.E.H.A Connection Dental Fee Schedules are now available. You can access your fee schedule via the IVR by fax, on connectiondental.com by logging into your provider portal, or you can call 1-800-505-8880 and select option 3 and request a fax or email from one of our representatives.

2026 CDT Code Changes

Please begin using the 2026 CDT codes on claims for treatment provided on and after January 1, 2026. Please be sure to go to the 2026 American Dental Association CDT Manual for updated procedure codes.

Added CDT codes include: D0461, D1720, D5877, D5878, D6049, D6280, D9224, D9225, D9936, D0364, D0365, D0366, D0367, D0368

Deleted CDT codes include: D1352, D1705, D1706, D1707, D1712, D9248

Benefit changes to G.E.H.A FEDVIP plan for 2026

The following procedure codes have been added to both the High and Standard plan options:

• D2989: Excavation of a tooth resulting in the determination of non-restorability (Class B) – limited to once per tooth, per lifetime
• D9224: Administration of general anesthesia with advanced airway – first 15-minute increment, or any portion thereof (Class C)
• D9225: Administration of general anesthesia with advanced airway – each subsequent 15-minute increment, or any portion thereof (Class C)

Sedation/Anesthesia/Analgesia will be limited to a maximum of 12 total units per date of service, regardless of the combination of sedation and anesthesia codes used.

Orthodontic payments will now be made monthly instead of a quarterly basis.

Locum Tenens credentialing requirement

If your practice utilizes Locum Tenens, please be advised that all providers must be credentialed in order to be considered in-network with Connection Dental. There is no carve-out or exception for Locum Tenens providers under Connection Dental policies. While some plans may honor Locum Tenens arrangements, this is strictly at the plans' discretion and does not override the networks' credentialing requirements.

Changes to G.E.H.A dental member ID cards for 2026

Effective January 1, 2026, certain G.E.H.A dental members will receive new ID cards featuring an updated logo, while others will continue to use their existing cards with the previous G.E.H.A logo. These updates are part of our ongoing efforts to enhance the member experience and streamline branding across all plans.

New ID cards will be issued to new G.E.H.A dental members, members who request a replacement card and members with reinstated coverage. Existing G.E.H.A logo cards will remain valid for members with no changes to their dental plan or coverage.

To avoid any delays, please ensure that your systems and staff are prepared to accept both versions of the ID card. Updated FAQs and support materials will be available on the G.E.H.A provider portal and welcome site to assist you.

If you have any questions or need help verifying member eligibility or benefits, please contact our Provider Services team at 1-877-434-2336 or visit geha.com.

DenteMax Gold Kidney Health Plan

Effective January 1, 2026, your office will gain access to Gold Kidney Health Plan through the DenteMax Medicare Plus Network, which uses both the DenteMax and G.E.H.A Connection Dental networks to service these members. Claims will be processed according to your G.E.H.A Connection Dental Network fee schedule, unless you are also contracted with DenteMax, as they serve as the primary network in this arrangement.

This partnership spans select counties in Arizona and Florida, and members may see providers within the state and the following bordering counties.

Arizona: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pinal and Pima

Florida: Baker, Broward, Clay, Miami-Dade, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, St. Lucie, Sarasota, Seminole and Sumter

Claims can be submitted in the four ways:

• Mail: FCL Dental (Attention: Claims Department) 101 Parklane Boulevard, Suite 301 Sugar Land, Texas 77478
• Fax: 1-281-313-7153
• Electronically: fcldental.com
• Third-party clearinghouse: Change HealthCare (Payor ID# - CX090)

Questions? For current benefits and plan designs, please contact FCL Dental’s Customer Service number dedicated to Gold Kidney Health Plan members at 1-833-622-5890. For questions about your participation with G.E.H.A Connection Dental, contact 1-800-505-8880, option 3.

2026 Resource Center update

We’ve refreshed our Resource Center to make navigation easier. G.E.H.A now has its own dedicated tab. All other payors are grouped under the new Payor Resource Center tab. Visit the Resource Center today to explore the updated layout and access the latest resources.

Features of the IVR (Interactive Voice Response) system

Our automated IVR system is designed to make verifying your provider information seamless and efficient. Simply follow the phone prompts to access the following features:

• Fee schedule fax back
• Location effective date
• Initial application status

Access the IVR system anytime — Our IVR system is available 24/7 for your convenience. Call 1-800-505-8880 and follow the provider validation prompts.

Join the Key Influencer Panel and put your ideas into action

You are invited to participate in a unique opportunity to directly influence the evolution of policy, procedures and interactions for the G.E.H.A Connection Dental Network. We hope you recognize how important you are to us and consider joining this elite group of highly qualified professionals who will help shape how we can work together to improve the G.E.H.A Connection Dental Network provider experience. Visit geha.com/Panel

G.E.H.A Connection Dental payor list

Not all employer groups associated with payors use the G.E.H.A Connection Dental Network. Providers should always verify benefits and eligibility directly with the payor.

For payor contact information, call Provider Relations at 1-800-505-8880, option 3.

Medicare Advantage plan benefits

Under the G.E.H.A Connection Dental Network Payor List, all Medicare Advantage Plans are processed as PPO for dental benefits.

This means you can treat these members as you would any PPO patient — no need to worry about HMO dental restrictions!

Code of Conduct

As part of our G.E.H.A Compliance Program, all contracted entities that perform administrative or health care services must review the G.E.H.A Code of Ethical Business Conduct. This review is mandatory and must be completed when the partnership with G.E.H.A starts during the initial application process — and annually thereafter. If you have any questions, contact G.E.H.A Connection Dental Network at 1-800-505-8880, option 4.

Mandatory general compliance and fraud, waste and abuse (FWA) training

All offices must complete the general compliance and fraud, waste and abuse (FWA) training found on the Connection Dental Network Provider Portal. Training is quick and easy — go to connectiondental.com and select Log In.

Good news: While the annual review is mandatory, the new attestation form only needs to be completed once.

For questions, contact G.E.H.A Connection Dental Network at1-800-505-8880, option 4.