Tricare Dental Coverage For Retirees – Presenter Alert: To ensure that TRICARE beneficiaries have the most up-to-date information about their health benefits, you should visit an updated version of all summaries before each presentation. The summary is constantly updated as feature changes occur. Presenter Tips: Review the outline and notes before your presentation. Make sure the slideshow is set. Remove any slides that don’t serve your audience. Estimated meeting time: 20 minutes TRICARE Resources: Visit to view, print or download copies of TRICARE educational resources. Recommended resources include: Taxpayer Program Handbook, Dental Options Fact Sheet, Costs and Fees Sheet, and Overview of TRICARE Programs. Informational Objectives: Increase awareness and understanding of TRICARE Dental benefits. Discuss how to enroll in TRICARE dental options and get dental care. Provides additional resources for more information. Optional Presenter Comment: Welcome to the TRICARE Dental Options Summary. The goal of today’s presentation is to give you a general understanding of TRICARE dental benefits.

Today we will discuss how to update your information in the Defense Enrollment Eligibility Reporting System, or DEERS, and how to get dental benefits through the Dental Tax Program, TRICARE Dental and the Federal Employees Dental and Vision Insurance Program. We will review your dental options abroad. Finally, we will discuss the differences between medical and non-medical services and provide contact information if you have any additional questions.

Tricare Dental Coverage For Retirees

Once you and your family are enrolled in DEERS, be sure to update addresses and other contact information for all family members. Keeping your DEERS information up-to-date, especially your address, is important to ensure uninterrupted TRICARE coverage for you and your family. Although only the sponsor can add family members to DEERS, both the sponsor and family members age 18 and older can update contact information. Every time there is a change in family status (marriage, birth, adoption, divorce, death, etc.), the sponsor must update DEERS. Update your information immediately when anything changes, regardless of whether you are on duty at the time. You can update your DEERS information online, by phone, email, or fax. Update your information online through the visible milConnect website. MilConnect is the Defense Personnel Data Center website that allows you to access DEERS information. For more information on how to access milConnect, visit If you prefer to update your information in person, you can visit the credentialing center. To get one, visit the link on the screen. For more information, go to NOTE: Be sure to enroll newborns or newly adopted children in DEERS within 60 days of birth or adoption. Enrolling children quickly in DEERS can reduce delays or problems in claims handling and processing.

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Active duty members, including National Guard and Reserve members who are called or ordered to work for more than 30 days on a pre-planned government mission or to support an emergency operation, automatically receive TRICARE dental benefits. If you live or work within 50 miles of a military dental installation or DTF, you should seek care from a military dentist. Visit their main website or check with your local dental clinic to find a dental clinic. The Active Duty Dental Program, or ADDP, provides civilian dental care to service members who cannot get the care they need from a military dental clinic. ADDP is available in the United States and US territories (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and US Virgin Islands). ADDP is managed by United Concordia Companies, Inc. (United Concordia), which is available to service members who: receive referrals from military DTFs or live and work more than 50 miles from a facility with a military DTF. It is your responsibility to ensure that it is correctly coded as “rural” in DEERS, if necessary. You must work with your department to make changes to DEERS. NOTE: If you live or work within 50 miles of a military DTF and seek civilian dental care without a referral, you may be responsible for the entire bill. Also, if you live far away, you must have an appointment control number, or ACN, to schedule an appointment. Next we will talk about ACN.

To receive services through ADDP, you will need a United Concordia ACN. If the military dentist is referring to the ADDP, they must provide ACN with proof of your referral request. The number only applies to the service specified in the referral confirmation, so be sure to get another referral if you need additional services. Remember, no matter where you live, dental care in the private sector is not accredited until United Concordia issues an ACN. If you live far away, you can fill out the Appointment Control Number Request Form to get an appointment control number. The form is available on the ADDP website. Once you have an ACN, there are three ways to schedule an appointment through ADDP: If you have a military dentist, you can ask them to schedule an appointment for you. You can contact an ADDP Dental Care Finder to schedule your appointment. Or you can make an appointment yourself. To schedule your appointment, enter your network dentist on the Appointment Control Number Request Form. You must choose an in-network dentist, which is a dentist who has a contract with United Concordia to provide services at the specified rates. You can find a list of dentists on the ADDP website. Note: Active Reserve members who are in early enrollment and live within 50 miles of DTF can still get dental care from a dentist who has an ACN. No need to go to DTF first.

Eligible beneficiaries can enroll in the TRICARE Dental Program, or TDP, a voluntary award program of the Department of Defense. This feature is hosted by United Concordia. The program is available to: working family members, selected family members, willing employees and their families. The TDP CONUS service area includes the 50 United States, the District of Columbia, Puerto Rico, Guam, and the US Virgin Islands. The TDP OCONUS Service Area includes areas not located in the CONUS Service Area and covered services provided aboard a ship or vessel outside the waters of the CONUS Service Area. Driving financing is not required for OCONUS coverage, but the cost is higher for OCONUS enrollees who do not receive driving financing.

You can enroll in TRICARE Dental online, by mail, or by phone. To get the registration form, visit the Beneficiary Registration Web Site or BWE. Your insurance premium payment is required at the time of registration. You can use a credit card to pay your insurance premium. Or, if you sign up by mail, you can send your first month’s fee by personal check, cashier’s check, traveler’s check, money order or credit card. The monthly payment covers dental care for the following month. There is a minimum enrollment period of 12 months for most beneficiaries. Exceptions include: beneficiaries who have lost eligibility, enrollees who have moved to OCONUS or an area where care is available at a military dental facility, and National Guard and Reserve members who have been called up or ordered to serve in excess of 30 federal days. responsibility A pre-arranged mission or to support an emergency operation. NOTE: National Guard or Reserve members enrolled will be exempt from TDP if they are called or ordered to active duty for more than 30 days for a pre-planned federal mission or in support of an emergency operation. If you opt out, you will be automatically re-registered. Family members will continue to be registered and pay a reduced fee while the sponsor is at work.

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The chart shows some of your cost allocations for the services you received with TDP coverage. Cost sharing is a percentage of the allowable fees you will pay for premium services. For example, if United Concordia’s allowance for a basic US package is $100, it will be responsible for 20 percent of that amount, or $20. Note: Cost sharing is not determined by the dentist’s fees, but by the amount approved by United Concordia. If you use an in-network dentist, TDP will pay the full amount for preventive and diagnostic services, which generally include two checkups and cleanings in a 12-month period. You can find a dentist on the United Concordia website. Your contact information is at the end of this summary. If you use an out-of-network dentist, you will be responsible for the difference between the United Concordia grant and the dentist’s fee plus any applicable cost-sharing. Our network dentists are located in the CONUS service area of ​​the 50 United States, the District of Columbia, Puerto Rico, Guam and the US Virgin Islands. Note: We will discuss dental options at OCONUS later in the overview. Some services are cost-shared based on the sponsor’s pay grade. Maximum annual payment and

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