Tricare Medical and Tricare Dental are 2 different coverages
Make sure YOU and/or YOUR
Family Members are signed up for DENTAL COVERAGE!
TRICARE PROGRAMS
TRICARE Medical Programs: Entitlement
TRICARE Prime
TRICARE Standard
TRICARE Extra
TRICARE Dental Program: Voluntary
Not Automatic with TRICARE Enrollment
Not Autimatic with DEERS Enrollment
-
Family Members NOT entitled to Dental Care on Base
-
Voluntary/Pre-paid Dental Program
-
Single Contractor for all CONUS & OCONUS
-
No Regional Constraints
Eligibility
Active Duty Family Members (Spouse &
Kids Only)
Selected Reserves (SELRES)
Individual Ready Reserves (IRR)
Family Members of SELRES & IRR Sponsors
Enrollment Requirements for Sponsor
-
12 months of service remaining
-
12 month “lock–in” from date of eligibility
-
UCCI can verify intent
-
DEERS/DOES is sole source for verifying
eligibility
-
All Family Members must be
enrolled at time of purchase
-
Exceptions include children under
4 years of age (enrollment not required but recommended) and remotely-located family members
Did you know?
Three ways to enroll
in TRICARE Dental Program
Online:
www.ucci.com
Mail Enrollment Form to UCCI.
Address is on theback of form!
Fax
Enrollment Form (Toll Free) to: (888) 734-1994
You must
send first
premium
payment with application.
Questions? Call (888) 622-2256
Know the Difference!
TDP “Contract” Dentist versus
Dentist who “Accepts” TDP Patients
“CONTRACTED” Dentist
-
Agrees to Contracted Fees: Big Savings
for YOU!
-
Agrees to Utilization Review & Quality Assurance:
Protects You!
-
Agrees to File Claims for Your Family Members
-
Cannot “Balance Bill,” “Line Item Bill” or “Un-bundle”
Treatment
-
Cannot Collect “Up Front” for Covered Services
-
Trained by UCCI
-
Offers FREE Pre-Determinations
-
Worldwide Providers
“ACCEPTING” Dentist
-
Collects Full Fee & YOUR Out of Pocket MUCH Higher
-
No Utilization Review or QA Protection
-
You May Have to File Your Own Claims
-
May “Balance Bill” or Charge for Related Services Separately
-
Can & Often Demands Payment At Time of Service
No Contest! Use Contracted Dentists!
TRICARE Dental Program: Costs
2004 Your Cost
Single Premium $9.07/ Per Mo
2004
DOD Cost
Single Premium
$13.59/ Per Mo
Total: Single
Premium AUG 2004
$22.66/ Per Mo
2004 Your Cost
Family Premium $22.66/ Per Mo
2004 DOD Cost
Family Premium
$34.00 / Per Mo
Total: Family Premium AUG 2004
$56.66/ Per Mo
Maximums
-
Annual Maximum = $1200
-
Per Eligible/Enrolled Member
-
Does Not Accrue or Rollover
-
No Transfer Between Family Members
-
Benefit Year Runs From 1 FEB - 31 JAN
-
Lifetime Orthodontic Max = $1500
- Age limit 21/23 (Spouse or Fulltime Student)
- Cost Share 50% up to $1500
- Ceph, Study Models, Surgery Utilize Annual Benefits
OH NO !!. This dentist bill is outrageous!
Compare identical services provided by TDP network dentist:
Enrolled Sponsor: $43.20
Non Enrolled Sponsor: $356.00
ENROLL TODAY!!
