Discount Plan Application
GEHA CONNECTION DENTAL DISCOUNT PLAN
PRODUCTS INCLUDED: DENTAL, VISION
Espanol
Step 1: Billing Options

Select a billing option:
 
Member Only
/Month
/Year
Member Plus One
/Month
/Year
Member Plus Family
/Month
/Year

*Plus a one-time non-refundable processing fee of $10.00

Coupon/Promo Code:
 (optional)



 
$8.95 billed monthly + $10.00 one time non-refundable processing fee


Total = $18.95 will be charged for your first month, $8.95 will be charged monthly thereafter



When would you like your membership plan to start?


GEHADVP ONLINE APP


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