Provider Handbook

    

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Dental Programs Offered by TRICARE
TRICARE Dental Program
TRICARE Retiree Dental Program

Dental Programs Offered by TRICARE

The TRICARE medical health care benefit covers only adjunctive dental care. For detailed information on adjunctive dental care coverage, see the Medical Coverage section.

The TRICARE health care benefit does not cover non-adjunctive dental care, which refers to any routine, diagnostic, preventive, restorative, prosthodontic, periodontic, endodontic, orthodontic, oral surgery, or emergency dental care that is not related to a medical condition. TRICARE beneficiaries may receive these dental services through MTFs and through one of two TRICARE dental programs—the TRICARE Dental Program (TDP) or the TRICARE Retiree Dental Program (TRDP)—if enrolled. For detailed information on non-adjunctive dental care coverage, see the Medical Coverage section.

Note: There are some services covered for beneficiaries with developmental, mental, or physical disabilities and children 5 years old and under. See the Medicare Coverage section for more details.


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TRICARE Dental Program
The TRICARE Dental Program is a voluntary dental insurance program, administered and underwritten by United Concordia Companies, Inc., (United Concordia) that is available to eligible ADFMs and to National Guard and Reserve and Individual Ready Reserve (IRR) members and their eligible family members. Active duty personnel (and National Guard and Reserve members called to active duty for a period of more than 30 consecutive days or eligible for the preactivation benefit up to 90 days prior to their report date) are not eligible for the TDP. They receive dental care from military dental treatment facilities. Former spouses, parents, parents-in-law, disabled veterans, foreign military personnel, and uniformed services retirees and their families are not eligible for the TDP. Other details of TDP benefits, requirements, and restrictions can be found at the TDP Web site.


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TRICARE Retiree Dental Program
The TRICARE Retiree Dental Program is a voluntary dental insurance program administered and underwritten by the Federal Services division of Delta Dental Plan of California. The TRDP offers comprehensive, cost-effective dental coverage for uniformed services retirees and their eligible family members, as well as certain surviving family members of deceased active duty sponsors, and Medal of Honor recipients and their immediate family members and survivors. Other details of TRDP benefits, requirements, and restrictions can be found at the Delta Dental TRDP Web site.


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Last Update: July, 2007