Tricare dental program

Tricare dental program DEFAULT

TRICARE Dental Programs

Non-Service Members

www.uccitdp.com

Contintental U.S.: 1-844-653-4061

Overseas: 1-844-653-4060/1-717-888-7400

TDY: 711

The TRICARE Dental Program (TDP) is offered to:

  • active duty family members 
  • family members of Selected Reserve service members 
  • family members of Individual Ready Reserve (IRR) service members 
  • Selected Reserve and IRR service members who are not on active duty

The TDP is administered by United Concordia Companies, Inc.


Active Duty

1-866-984-2337

www.addp-ucci.com

The TRICARE Active Duty Dental Program is offered through United Concordia Companies, Inc.


Retirees

1-877-888-3337 (TTY 1-877-889-5690)

www.benefeds.com

Certain TRICARE beneficiaries have the option to enroll in the Federal Employees Dental and Vision Insurance Program (FEDVIP), offered by the U.S. Office of Personnel Management. (The TRDP, provided by Delta Dental of California, ended on Dec. 31, 2018.)

If you’re eligible for FEDVIP dental or vision coverage, you may enroll during the annual Federal Benefits Open Season or after you experience a FEDVIP QLE.


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Sours: https://www.tricare-west.com/content/hnfs/home/tw/common/contact_us/dental.html

2021 Tricare Dental Plan Costs

The Tricare Dental Plan (TDP) is a voluntary dental insurance program. The dental benefit is administered by United Concordia and is available to eligible active duty family members, eligible National Guard and Reserve members and their family members. It is available both in the continental United States (CONUS) and overseas (OCONUS).

Eligibility

To be eligible to enroll in the TDP, your sponsor must have at least 12 months remaining on their military commitment at the time of enrollment. Eligible family members include spouses and children until age 21 (or age 23 if full time students). You enroll for a 12 month period. 

Costs

Their are 2 costs associated with the TDP, monthly premiums and cost shares. Monthly premiums are based on the sponsor's military status and number of people covered under the plan (one person vs. family). Cost shares are based on the service performed, the sponsor's paygrade, and the location (CONUS/OCONUS) where treatment is received).

Premium

The premium is a "pay ahead" program, that means you pay the premium for this month to get coverage for next month. If you are on active duty you can set up an allotment to cover the premiums, you can also set up a recurring payment from a checking account or credit/debit card.

If you fail to make a monthly premium payment, your coverage will end and you won't be able to enroll again for another 12 months.

Sponsor's Military StatusType of Enrollment
Active Duty
  • Single: $11.65
  • Family: $30.28
Selected Reserve and IRR (Mobilized Only)
  • Sponsor Only: $11.65
  • Single: $29.12
  • Family: $75.71
  • Sponsor & Family: $87.36
IRR (Non-mobilized)
  • Sponsor Only: $29.12
  • Single: $29.12
  • Family: $75.71
  • Sponsor & Family: $104.83

Cost share

Cost share is what you pay out-of-pocket for specific services. Your cost share is determined by your pay grade and whether you are stationed CONUS or OCONUS. The following table reflects the cost share percentages.

Type of Service

Pay Grades E-1 - E-4 (CONUS)

All Other Pay Grades (CONUS)

OCONUS

Diagnostic

0%

0%

0%

Preventative (except sealants)

0%

0%

0%

Office Visit

20%

20%

0%

Basic Restorative

20%

20%

0%

Endodontic

30%

40%

0%

Periodontic

30%

40%

0%

Oral Surgery

30%

40%

0%

Other Restorative

50%

50%

50%

Implant Services

50%

50%

50%

Prosthodontic

50%

50%

50%

Orthodontics

50%

50%

50%

Miscellaneous Services (occlusal guard, athletic mouthguard, bleaching)

50%

50%

0%

Plan Maximum Payments

The TDP's contract year runs from May 1 through April 30.  The annual maximum payment is $1,500 per person per contract year, for non-orthodontic services. Payment for certain diagnostic and preventive services is not applied against the annual maximum.

There is a lifetime maximum of $1,750 per person for orthodontic treatment. If a member receives orthodontic services, payments for these services will not exceed $1,750 during the member's eligibility lifetime.

There is an annual maximum payment of $1,200 per person per contract year for accident care.

Outside the Continental U.S. (OCONUS) Payments

In the OCONUS service area, the government pays for any costs in excess of the allowable charge up to the billed charge. This applies to all enrollees except Selected Reserve and IRR family members and IRR (other than Special Mobilization Category) members.

See our Tricare Dental Program Overseas page for more information.

Enrollment

To enroll in the Tricare Dental Program visit the Tricare enrollment page and enroll online. If you are OCONUS you cannot enroll online, see the instructions on the enrollment page for more information.

If there is an existing family plan in effect, children will be automatically enrolled on the first day before they are age 1. If the existing plan is for a single family member only, the premium will change from the single plan rate to the family plan rate. 

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Sours: https://www.military.com/benefits/tricare/dental/tricare-dental-plan-benefits-and-coverage.html
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Have a question about TRICARE Dental program?

CONUS

Claim Submissions

United Concordia
TRICARE Dental Program
P.O. Box 69451
Harrisburg, PA 17106

Customer Service

TDP Customer Service/Appeals Unit

PO Box 69450 Harrisburg, PA 17106

OCONUS

Claim Submissions

United Concordia
TRICARE Dental Program
P.O. Box 69452
Harrisburg, PA 17106
Fax: 844-827-9926 (toll-free)
717-635-4520 (toll)

Quality of Care/Grievance

Inquiries

United Concordia
TRICARE Dental Program - Grievances
1800 Center Street 2AL4
Camp Hill, PA 17089
Fax: 717-260-7168

Enrollment Applications

Enrollment/Change Form and Initial Payment

United Concordia
TRICARE Dental Program
P.O. Box 645547
Pittsburgh, PA 15264-5253

Recurring Payments

United Concordia
TRICARE Dental Program
P.O. Box 645534
Pittsburgh, PA 15264-5253

Fraud and Abuse Issues

Inquiries

United Concordia
Special Investigations Unit—TDP
1800 Center Street 2AL4
Camp Hill, PA 17089

Government Relations Liaisons (GRLs)

GRLs are responsible for promoting and educating beneficiaries about TDP benefits.

Consult the GRL map to locate your liaison and request a briefing at your unit.

Other TRICARE-Related Listings

Defense Manpower Data Center Support Office

Defense Manpower Data Center Support Office
400 Gigling Road
Seaside, CA 93955-6771

Sours: https://www.uccitdp.com/dtwdws/member/article.xhtml?content=member-contact-us

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