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TRICARE Dental Program
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The TRICARE Dental Program (TDP) is available to ADFMs, National Guard and Reserve members, and National Guard and Reserve family members. Note: This section only highlights costs for the CONUS program. Limitations apply to certain services based on your beneficiary category. For more information about the TDP, contact United Concordia Companies, Inc., (see “TRICARE Dental Options” in the More Information section).
TDP Monthly Premiums
Monthly premium amounts are based on your beneficiary category and type of plan (single or family). Note: If National Guard, Reserve, or Individual Ready Reserve (IRR) sponsors and family members sign up together, the amounts listed are added together to determine the total premium amount.
|
Beneficiary
Category
|
Type
of Plan
|
Enrollment Year
|
| February 1, 2007-January 31, 2008 |
February 1, 2008 - January 31, 2009 |
|
ADFM
|
Single |
$11.05
|
$11.58
|
|
ADFM
|
Family |
$27.63
|
$28.95
|
|
National Guard or Reserve Member1
|
Single
(sponsor only) |
$11.05
|
$11.58
|
|
National Guard or Reserve Family Member1
|
Single |
$27.63
|
$28.95
|
|
National Guard or Reserve Family Member1
|
Family
(not including sponsor) |
$69.07
|
$72.37
|
|
IRR Member1
|
Single
(sponsor only) |
$27.63
|
$28.95
|
|
IRR Family Member1
|
Single |
$27.63
|
$28.95
|
|
IRR Family Member1
|
Family
(not including sponsor) |
$69.07
|
$72.37
|
1These amounts are only applicable when the sponsor is not on active duty orders.
|
Type of Service
|
Your Cost-Share (Amount you pay)
|
|
Sponsor Pay Grade
E-1 to E-4
|
All Other
Pay Grades
|
|
Diagnostic
|
0%
|
0%
|
|
Preventive (except sealants)
|
0%
|
0%
|
|
Emergency Services
|
0%
|
0%
|
|
Sealants
|
20%
|
20%
|
|
Basic Restorative
|
20%
|
20%
|
|
Consultation/Office Visit
|
20%
|
20%
|
|
Post-Surgical Services
|
20%
|
20%
|
|
Endodontic
|
30%
|
40%
|
|
Periodontic
|
30%
|
40%
|
|
Oral Surgery
|
30%
|
40%
|
|
General Anesthesia
|
40%
|
40%
|
|
Intravenous Sedation
|
50%
|
50%
|
|
Implant Services
|
50%
|
50%
|
|
Miscellaneous
(occlusal guard, athletic mouthguard, bleaching)
|
50%
|
50%
|
|
Orthodontic
|
50%
|
50%
|
|
Other Restorative
|
50%
|
50%
|
|
Prosthodontic
|
50%
|
50%
|
|
TDP Maximums
|
Annual Maximum
|
Lifetime Maximum
|
| The TDP limits how much it will pay in dental benefits per enrollee. |
$1,200 per enrollee per enrollment year for non-orthodontic services. Many diagnostic and preventive services are not applied to the annual maximum. |
$1,500 per enrollee during your lifetime for orthodontic services. Orthodontic diagnostic services are applied to the $1,200 annual maximum. |
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