GDA Medical Plan

GDA members and their full-time dental staff members are eligible for coverage under the GDA Group Medical Plan underwritten by Blue Cross Blue Shield of Georgia. The GDA offers a variety of Preferred Provider Organization (PPO), Point of Service (POS), and Health Savings Account (HSA) plans. This site provides you with plan details, rate information, and other information you need in order to help you decide that the GDIS medical plan is the right one for you, your family, and your staff.


Plans Options for Every Situation

The GDA Group Medical Plan offers seven benefit options that can suit a variety of individuals. Read the flyers below that describe the plan rates and other plan details for 2014. (You will need Adobe Acrobat Reader to open these PDF files.)

 

Plan Summary Documents (NEW)

New this year: You can reference a summary of benefits for each plan. These detailed and informative guides are very useful and can guide you as you are choosing a plan and help you maximize the benefits offered by your plan.


Applications & Enrollment Forms

Both of these documents are PDFs and will require the free Adobe Acrobat program to open.


Prescription Drug Benefits

An annual pharmacy deductible of $200 per individual is part of all plans. The pharmacy deductible applies only to Tier 2 and Tier 3 drugs (not to Tier 1 generic drugs). Enrollees are responsible for the entire cost of a Tier 2 or Tier 3 drug until the deductible has been satisfied. Once the deductible has been satisfied, applicable co-pays will apply. The GDA Group Medical Plan also has a Tier 4 drug plan with specific payment requirements. This tier consists primarily of specialty medications. A list of specialty medications within Tier 4 may be found at www.bcbsga.com.


COBRA Eligibility

All current and future GDA Group Medical Plan enrollees are eligible for COBRA benefits. Click this link to read the COBRA What You Need to Know form. You may also click here to read the COBRA General Notice letter. The documents are in PDF format. You will need Adobe Acrobat Reader to open the files.


GDA Health & Welfare Plan Document

This document must be provided to each employee in the dental office once they become eligible for the GDA Group Medical Plan, or already are eligible. If you need to reference the document online, click here to obtain a GDA Health and Welfare Plan Document. Note: The PDF file is large and may take time to download.


Included Life Insurance Coverage

All primary medical plan subscribers who are under age 70, actively at work, and not retired, have life insurance coverage. If you need to update or change your life insurance beneficiary information, contact GDIS to obtain a beneficiary change form, or you may click here to open a PDF Life Insurance Beneficiary Update Form.


Health Care Reform & Your Medical Plan

The Patient Protection and Affordable Care Act (PPACA) will have significant impacts on all plans that offer medical coverage in 2013 and beyond. All plan participants received a GDIS document via mail in November that discussed these changes. You may also click here to read the GDIS Affordable Care Act FAQ sheet in a PDF format.


Other Federal Plan Requirements

There are a number of notifications that GDIS must make to enrollees and potential enrollees about federally mandated coverages. All plan participants received a GDIS document via mail in November that discussed these changes. You may also click here to read the GDIS Federally Mandated Coverage sheet in a PDF format.