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Dental & Vision Plan Information

2018 Federal Employees Dental Vision Program (FEDVIP) Rating Areas

StateState/ZIP
(first 3)		AetnaDelta
Std		Delta
High		FEP
Blue-
Dental
Std		FEP
Blue-
Dental
High		GEHA
Std		GEHA
High		Met-
Life
STD		Met-
Life
High		United
Concordia		Dominion
Std*		Dominion
High*		Humana*Emblem*Triple S
Salud*
AKentire state 5 5 5 5 5 5 5 5 5 5 N/A N/A N/A N/A N/A
AL356-358 1 1 1 1 1 1 1 1 1 1 N/A N/A 3 N/A N/A
ALrest of state 2 1 1 1 1 1 1 1 1 1 N/A N/A 2 N/A N/A
ARentire state 2 2 2 1 1 1 1 1 1 1 N/A N/A 3 N/A N/A
AZ850-853 3 5 5 2 2 2 2 1 1 1 N/A N/A 4 N/A N/A
AZrest of state 3 5 5 3 3 2 2 1 1 1 N/A N/A 3 N/A N/A
CA900-908,
910-918,
922-931		 3 5 5 4 4 4 4 5 5 3 N/A N/A 5 N/A N/A
CA919-921 3 5 5 5 5 4 4 4 4 4 N/A N/A 5 N/A N/A
CA939-941,
943-952,
954		 4 5 5 5 5 5 5 5 5 5 N/A N/A 5 N/A N/A
CA942, 956-958 4 5 5 5 5 4 4 4 4 4 N/A N/A 5 N/A N/A
CArest of state 4 5 5 3 3 4 4 5 5 4 N/A N/A 4 N/A N/A
CO800-806 3 4 4 3 3 4 4 4 4 3 N/A N/A 5 N/A N/A
COrest of state 3 4 4 3 3 4 4 4 4 3 N/A N/A 5 N/A N/A
CT060-063 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
CT064-069 3 5 5 5 5 5 5 5 5 5 N/A N/A N/A 1 N/A
DCentire area 2 5 5 3 3 4 4 4 4 4 4 4 3 N/A N/A
DEentire state 2 4 4 3 3 3 3 3 3 2 5 5 N/A N/A N/A
FL330-334 2 4 4 3 3 3 3 3 3 3 N/A N/A 2 N/A N/A
FLrest of state 3 4 4 1 1 2 2 1 1 1 N/A N/A 2 N/A N/A
GA300-303, 305,
311, 399		 3 2 2 2 2 3 3 2 2 1 N/A N/A 2 N/A N/A
GArest of state 4 2 2 1 1 2 2 1 1 1 N/A N/A 2 N/A N/A
GUentire area 5 5 5 5 5 1 1 1 1 5 N/A N/A N/A N/A N/A
HIentire state 4 5 5 5 5 3 3 4 4 4 N/A N/A N/A N/A N/A
IAentire state 3 4 4 2 2 1 1 1 1 1 N/A N/A N/A N/A N/A
IDentire state 4 5 5 3 3 2 2 1 1 2 N/A N/A N/A N/A N/A
IL600-608 2 2 2 3 3 3 3 4 4 3 N/A N/A 2 N/A N/A
ILrest of state 3 2 2 1 1 1 1 1 1 1 N/A N/A 1 N/A N/A
IN460-462, 472 2 1 1 1 1 2 2 1 1 1 N/A N/A 3 N/A N/A
IN463-464 2 2 2 3 3 3 3 4 4 3 N/A N/A 2 N/A N/A
IN470 2 1 1 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
INrest of state 3 1 1 1 1 1 1 1 1 1 N/A N/A 2 N/A N/A
KSentire state 3 4 4 1 1 2 2 1 1 2 N/A N/A 1 N/A N/A
KY410, 452, 459 2 1 1 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
KYrest of state 1 1 1 1 1 1 1 1 1 1 N/A N/A 1 N/A N/A
LAentire state 2 1 1 1 1 2 2 1 1 1 N/A N/A 3 N/A N/A
MA010-011, 013 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
MA014-027, 055 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
MArest of state 5 5 5 3 3 4 4 5 5 5 N/A N/A N/A N/A N/A
MD200,202-212,
214, 217		 2 5 5 3 3 4 4 4 4 4 4 4 3 N/A N/A
MD219 2 4 4 3 3 3 3 3 3 2 5 5 N/A N/A N/A
MDrest of state 2 5 5 2 2 2 2 4 4 4 2 2 3 N/A N/A
ME038 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
MErest of state 5 5 5 3 3 3 3 2 2 3 N/A N/A N/A N/A N/A
MI480-485 3 4 4 3 3 3 3 3 3 2 N/A N/A N/A N/A N/A
MIrest of state 3 4 4 2 2 2 2 2 2 2 N/A N/A N/A N/A N/A
MN550-555, 563 2 4 4 4 4 3 3 4 4 3 N/A N/A N/A N/A N/A
MNrest of state 3 4 4 2 2 2 2 2 2 2 N/A N/A N/A N/A N/A
MOentire state 3 4 4 1 1 2 2 1 1 1 N/A N/A 2 N/A N/A
MSentire state 2 1 1 1 1 1 1 1 1 1 N/A N/A 3 N/A N/A
MTentire state 4 1 1 1 1 2 2 1 1 1 N/A N/A N/A N/A N/A
NC275-277, 283 4 2 2 2 2 2 2 1 1 2 N/A N/A 5 N/A N/A
NCrest of state 4 2 2 1 1 2 2 1 1 2 N/A N/A 4 N/A N/A
NDentire state 3 1 1 4 4 1 1 1 1 1 N/A N/A N/A N/A N/A
NEentire state 1 1 1 1 1 1 1 1 1 1 N/A N/A N/A N/A N/A
NH030-033, 038 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
NHrest of state 5 5 5 4 4 4 4 5 5 5 N/A N/A N/A N/A N/A
NJ070,072-075,
077-079,
085-089		 3 5 5 5 5 5 5 5 5 5 N/A N/A N/A 1 N/A
NJ080-084 2 4 4 3 3 3 3 3 3 2 5 5 N/A N/A N/A
NJrest of state 3 5 5 4 4 5 5 5 5 5 N/A N/A N/A 1 N/A
NMentire state 3 4 4 1 1 3 3 1 1 2 N/A N/A N/A N/A N/A
NVentire state 2 5 5 1 1 3 3 2 2 4 N/A N/A N/A N/A N/A
NY005, 100-119, 124-126 3 5 5 5 5 5 5 5 5 5 N/A N/A N/A 1 N/A
NY063 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A 1 N/A
NY140-143 4 5 5 3 3 2 2 2 2 3 N/A N/A N/A 1 N/A
NYrest of state 4 5 5 3 3 2 2 2 2 3 N/A N/A N/A 1 N/A
OH430-432 2 1 1 1 1 2 2 1 1 2 N/A N/A 2 N/A N/A
OH440-443 2 1 1 1 1 2 2 1 1 3 N/A N/A 2 N/A N/A
OH450-452 2 1 1 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
OH453-455, 459 2 1 1 1 1 2 2 1 1 2 N/A N/A 1 N/A N/A
OHrest of state 3 1 1 1 1 1 1 1 1 1 N/A N/A 1 N/A N/A
OKentire state 2 3 3 1 1 2 2 1 1 1 N/A N/A 3 N/A N/A
OR970-973 4 5 5 3 3 3 3 4 4 5 N/A N/A N/A N/A N/A
ORrest of state 5 5 5 2 2 3 3 3 3 4 N/A N/A N/A N/A N/A
PA153-154, 156, 160-162 1 2 2 1 1 1 1 1 1 1 1 1 N/A N/A N/A
PA173-174 2 5 5 3 3 4 4 4 4 4 4 4 N/A N/A N/A
PA183 3 5 5 5 5 5 5 5 5 5 1 1 N/A 1 N/A
PA189-196 2 4 4 3 3 3 3 3 3 2 5 5 N/A N/A N/A
PArest of state 3 2 2 1 1 1 1 1 1 1 1 1 N/A N/A N/A
PRentire area 3 1 1 1 1 1 1 1 1 1 N/A N/A N/A N/A 1
RIentire state 5 5 5 5 5 4 4 5 5 5 N/A N/A N/A N/A N/A
SCentire state 4 5 5 1 1 2 2 1 1 1 N/A N/A 4 N/A N/A
SDentire state 3 5 5 1 1 1 1 1 1 1 N/A N/A N/A N/A N/A
TN422 1 1 1 1 1 1 1 1 1 1 N/A N/A 1 N/A N/A
TNrest of state 1 1 1 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
TX739 2 3 3 1 1 2 2 1 1 1 N/A N/A 3 N/A N/A
TX750-754, 760-762 2 2 2 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
TX770, 772-775 2 2 2 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
TXrest of state 2 2 2 1 1 2 2 1 1 1 N/A N/A 1 N/A N/A
UTentire state 2 5 5 1 1 1 1 1 1 3 N/A N/A 3 N/A N/A
VA200-205, 220-227 2 5 5 3 3 4 4 4 4 4 4 4 3 N/A N/A
VA231-232, 238 3 3 3 2 2 2 2 1 1 2 3 3 3 N/A N/A
VArest of state 3 3 3 1 1 2 2 1 1 1 4 4 4 N/A N/A
VIentire state 2 5 5 5 5 1 1 1 1 5 N/A N/A N/A N/A N/A
VTentire state 5 5 5 4 4 2 2 2 2 3 N/A N/A N/A N/A N/A
WA980-985 5 5 5 5 5 5 5 5 5 5 N/A N/A N/A N/A N/A
WA986 4 5 5 3 3 3 3 4 4 5 N/A N/A N/A N/A N/A
WArest of state 5 5 5 4 4 4 4 4 4 4 N/A N/A N/A N/A N/A
WI530-532, 534 3 5 5 3 3 2 2 2 2 3 N/A N/A N/A N/A N/A
WI540 2 4 4 4 4 3 3 4 4 3 N/A N/A N/A N/A N/A
WIrest of state 3 5 5 3 3 2 2 2 2 2 N/A N/A N/A N/A N/A
WV254 2 5 5 3 3 4 4 4 4 4 N/A N/A 3 N/A N/A
WVrest of state 4 2 2 1 1 2 2 1 1 1 N/A N/A 2 N/A N/A
WY834 4 5 5 3 3 2 2 1 1 2 N/A N/A N/A N/A N/A
WYrest of state 4 5 5 1 1 1 1 1 1 2 N/A N/A N/A N/A N/A
Inter-
national		INTER 2 5 5 5 5 1 1 5 5 5 N/A N/A N/A N/A N/A

*Please note that regional plans may not cover the entirety of the State/Zip shown in Appendix J. For further detail regarding service area, see plan specific brochures.

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