The TRICARE Retiree Dental Program - Cincinnati COA

The TRICARE Retiree Dental Program - Cincinnati COA

TRICARE Retiree Dental Program TRICARE Retiree Dental Program TRICARE Retiree Dental Program Introduction TRDP established 2/1/1998 Over 1.4 million TRDP enrollees

Nearly 63 million smiles entrusted to Delta Dental New TRDP contract 1/1/2014 Increase in annual and dental accident maximums Increase in lifetime orthodontic maximum A third cleaning covered for children and adults with diagnosed type 1 or type 2 diabetes No change to Basic Program 2 TRICARE Retiree Dental Program Service Area TRDP coverage is offered worldwide: Enhanced Program The 50 United States & District of Columbia, Puerto Rico, Guam, U.S. Virgin Islands, American Samoa, Commonwealth

of the Northern Mariana Islands, and Canada, plus coverage for emergency services overseas Enhanced Program for those living overseas Coverage available worldwide 3 TRICARE Retiree Dental Program Eligibility Members of the Uniformed Services who are entitled to retired pay, including those age 65 and over Members of the National Guard/Reserve who are in Retired

Reserve status, regardless of age Current spouses and eligible children of enrolled members 4 TRICARE Retiree Dental Program Eligibility (Continued) Unremarried surviving spouses & eligible children of deceased members who died while in retired or active duty status Current spouses and eligible children of non-enrolled members, under limited circumstances Medal of Honor recipients and their eligible immediate family members Verified through the Defense Enrollment Eligibility Reporting

System (DEERS) 5 TRICARE Retiree Dental Program Updating Your Information Keep your contact information up to date Online: By fax: 831-655-8317 Visit an ID card-issuing office: More information:

Important: Visit your local ID card office (RAPIDS site) or ( to update your DEERS record to reflect your retirement date Remember to register/update DEERS whenever there is a change in family status/address 6 TRICARE Retiree Dental Program Enrollment Two convenient ways to enroll: Online through the TRICARE Beneficiary Web Enrollment (BWE) website. Access from, DMDC MilConnect or DFAS myPay Acct, Common Access Card (CAC) or DS Logon Print application at and mail it to Delta Dental Retiree submits application and premium prepayment two week

before official retirement date is effective. Applications can be submitted sooner; but retiree eligibility must be shown in DEERS to accept enrollment otherwise the application may be returned. Enroll within four months after retiring for waiver Submit an Online Customer Service Inquiry (OCSI) 7 TRICARE Retiree Dental Program Enrollment (Continued) Enrollment Commitment Initial 12-month commitment Continuing month-to-month 30-day grace period

Delta Dental processes application Coverage begins the first day of the month following acceptance of the enrollment application and eligibility verification Access benefits booklet online at Enrollment cards requested via the BWE, available in MilConnect eCorrespondence 8 TRICARE Retiree Dental Program Premiums Premiums vary by region

5 premium regions based on ZIP code Monthly premium ranges for 1/1/15 12/31/15 Enhanced Program Single: $26.56 - 42.11 Two Person: $53.28 - 82.88 Family (3 or more): $94.39 - 146.39 9 TRICARE Retiree Dental Program Premiums Billing

Mandatory allotment from retired pay EFT or recurring credit card required when allotment cannot be established. Forms located at or register and log in the Consumer Toolkit Premium prepayment Two-month prepayment required upon enrollment Once allotment is established, we refund any remaining prepayment premium in the third month of enrollment 10 TRICARE Retiree Dental Program Dollars & Sense Its a simple equation: TRDP Avg Annual Premium $407, Get $492 in Services =

Net Gain! Average premium you pay for a year of TRDP is $407 Average cost for routine exams, x-rays and cleanings is close to $492 Pay zero for these services when you see a network dentist TRDP coverage for basic services helps keep your money in your pocket 11 TRICARE Retiree Dental Program Program Features Large TRDP network with dentists locations nationwide Annual maximum

Enhanced Program: $1,300 Basic Program: $1,000 Deductible: $50 ($150 family cap) Dental accident coverage: $1,200 Enhanced Program only Coordination of Benefits 12 TRICARE Retiree Dental Program Covered Services

Preventive & diagnostic 100% Basic restorative 80% Endodontic, periodontic oral surgery & anesthesia 60% 13 TRICARE Retiree Dental Program Additional Covered Services* Dental implants, cast crowns & onlays

50% Bridges & partial/full denture 50% Orthodontics 50% *After 12 months of continuous coverage, unless enrolling within 4 months of retirement from active duty 14 TRICARE Retiree Dental Program Orthodontics* Subject to a 12-month waiting period Not subject to annual deductible

Separate $1,750 lifetime maximum Coverage for both children and adults Coverage for treatment in progress * Enhanced Program only 15 TRICARE Retiree Dental Program TRDP Network Dentists More cost savings, best value, 22% savings puts money back in your pocket Accept the TRDP allowed fee as the maximum billing fee for covered services Charge only the applicable estimated cost share at the time of service Submit your claim to Delta Dental at no charge Two cleanings, two exams and one set of bitewing

x-rays in a 12-month period with no cost share. Third cleaning covered for Type I and II Diabetic patients (Enhanced Program only) 16 TRICARE Retiree Dental Program TRDP Network Dentists Finding a TRDP network dentist Search from a large TRDP network with dentist locations nationwide via our online dentist directory Call the Interactive Voice Response (IVR) system to request a list 888-838-8737 Ask your dentist to join the network 17 TRICARE Retiree Dental Program Out-of-Network Dentists Other Licensed Dentists: Delta Dental Premier You pay any difference between the allowed amount and the Delta Dental Premier dentists fee on file Non Delta Providers Bill you their normal fees and you pay the difference Fees are likely to be higher than TRDP allowed amount May not submit paperwork for you

You may be responsible for full payment at the time of service 18 TRICARE Retiree Dental Program Visit Self Service Tools at Your Fingertips Enroll at your convenience via online or print application Find a TRDP Network Dentist Learn how to save even more with the TRDP Read program benefits booklet, newsletter, & other resources Sign up with your email to receive program newsletter/updates Contact us at: You can submit an OCSI or Contact your regional representative Socialize with us on:[email protected] Everything you need to know about TRDP is online! 19 TRICARE Retiree Dental Program Consumer Toolkit Your Program Information at Your Convenience Located on the website Once enrolled register to use our Consumer Toolkit View benefit breakdown, processed claims and annual maximum used to date Go paperless and sign up for an email notification when your claim is processed

Sign up EFT if you are not receiving retired pay 20 TRICARE Retiree Dental Program Dental Care: Your Gateway to Good Health! Many medical conditions (incl. heart disease, diabetes, cancer) can be detected in early stages by dentists Swollen or bleeding gums, ulcers, dry mouth, bad breath, metallic tastes can be indicators Dental care is prevention!

Regular dental exams and cleanings Treat dental infections immediately Good hygiene brushing 2x per day for 2-3 mins; flossing daily Healthy, nutritious diet low in sugar and starch Cleanings for diabetics 3x per year under Enhanced SmileWay Wellness site Includes a Just for kids section with games, health tips and more * Connect with us on Facebook and Twitter for wellness and dental health tips! 21 TRICARE Retiree Dental Program


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