And unused maximums don’t carry over to the next plan year. Keep in mind, TDP maximums are per beneficiary. Accidental yearly maximum benefit: the most the TDP will pay for any dental care you get because of an accident per plan year.Lifetime maximum benefit for orthodontic treatment: the most the TDP will pay for orthodontic care during your lifetime.The TDP plan year is a 12-month period that runs from May 1 to April 30. Yearly maximum benefit: the most TDP will pay for your dental care per plan year.A maximum is the most the TDP will pay for your care within a certain amount of time. The TDP recommends that you ask your dentist for a predetermination for all proposed dental treatments that may be over an amount you’re comfortable paying.Īnother important step to getting affordable dental care is getting to know your maximum. This lets you and your dentist know what services are covered, how much your plan will pay, and how much you can expect to pay. In this case, you can ask your dentist to submit a payment review-also known as a predetermination of payment-to United Concordia. If you need a major dental procedure, such as oral surgery, a cost-share (the percentage of the total cost of a covered service you pay) applies. The TDP fully covers basic dental care, like routine cleanings, fluoride treatments, and oral exams, when you see a network dentist.
Tricare dental office toolkit download#
You can also download the TRICARE Dental Program Benefit Brochure to learn more about network and non-network dentists. To find a network dentist near you, use the Find a Dentist Tool on the TDP website. You may also have to pay for services before you get care. The same is true if you live in the OCONUS region and see a dentist that isn’t a TRICARE OCONUS Preferred Dentist, or TOPD. You can see non-network dentists, but you could pay more out of pocket and may have to file your own claims for reimbursement.
“You won’t have to pay more than your regular cost-share when you receive a covered service.”ĭentists who haven’t signed a contract with United Concordia are non-network dentists. “Visiting a network dentist can save you money,” said Doug Elsesser with the TRICARE Dental Program at the Defense Health Agency.
However, choosing a network dentist is the most cost-effective option. Here are some key things you need to know to help you and your family get optimal dental care.Īs a TDP enrollee, you may visit any dentist of your choice. It provides comprehensive dental coverage to beneficiaries worldwide. The TDP is a voluntary dental plan administered by United Concordia Companies, Inc. That’s where the TRICARE Dental Program (TDP) can help. And part of that involves making sure they have dental coverage. Did you know that February is National Children’s Dental Health Month? But anytime is the perfect time to emphasize the importance of good oral health with your child.
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