R 201109Z FEB 01
FM CMC WASHINGTON DC//MRH//
TO MARADMIN
BT
UNCLAS //N00123//
MARADMIN 093/01
MSGID/GENADMIN/CMC MR//
SUBJ/TRICARE DENTAL PLAN (TDP) TRANSITION GUIDANCE//
REF/A/MSG/CMC MR/YMD:000621//
REF/B/MSG/CMC MR/YMD:001010//
REF/C/MSG/CMC MR/YMD:001117//
REF/D/MSG/DFAS KCITY/YMD:010124//
NARR/REF A, MARADMIN 306/00, ANNOUNCED THE NEW TDP AND PROVIDED
INFORMATION REGARDING THE NUMEROUS ADMINISTRATIVE CHANGES AND
SOME OF THE NEW BENEFITS. REF B, MARADMIN 496/00, MANDATED A
MARINE CORPS-WIDE DEERS/RAPIDS/MCTFS AUDIT. REF C, MARADMIN
566/00, PROVIDED TDP ELIGIBILITY, ENROLLMENT, DISENROLLMENT, AND
PREMIUM INFORMATION. REF D, PAAN 08-01, DESCRIBED HOW PREMIUMS
WOULD BE DEDUCTED FROM A MARINE'S PAY ACCOUNT.
POC/S.M. SMITH/CAPT/MR/TEL:DSN 278-9522/TEL:COML 703-784-9522//
RMKS/1. BACKGROUND. REF B MANDATED A MCTFS/DEERS AUDIT REGARDING
DENTAL COVERAGE. THE INTENT OF THIS AUDIT WAS TO PREVENT
TRANSITION PROBLEMS FROM THE TRICARE FAMILY MEMBER DENTAL PLAN
(TFMDP) TO THE NEW TDP. IT IS PROJECTED THAT THE MARINE CORPS WILL
CONTINUE TO HANDLE DENTAL COVERAGE PROBLEMS WITH MARINES DURING THE
TRANSITION PERIOD, JANUARY - APRIL 2001.
2. THE PURPOSE OF THIS MARADMIN IS TO PROVIDE GUIDANCE TO THOSE
MARINES ENROLLED IN THE TFMDP PRIOR TO 1 JANUARY 2001, AND TO
PERSONNEL OFFICES ASSISTING THESE MARINES WITH DENTAL COVERAGE
PROBLEMS DURING THIS TRANSITION PERIOD.
3. WHEN A PROBLEM WITH DENTAL COVERAGE IS INITIALLY IDENTIFIED, THE
FOLLOWING PROCEDURES APPLY:
A. MARINES WHO ENROLLED IN THE TFMDP PRIOR TO 1 JANUARY 2001 SHOULD:
(1) CONTACT UCCI AT 1-800-866-8499 AND INQUIRE AS TO WHAT THE
PROBLEM MAY BE.
(2) IF THE PROBLEM IS IDENTIFIED AS A DEERS ELIGIBILITY PROBLEM,
CONTACT THE DEERS SUPPORT OFFICE BENEFICIARY TELEPHONE CENTER AT
1-800-538-9552 OR REPORT TO YOUR LOCAL DEERS/RAPIDS/MILITARY
IDENTIFICATION (ID) CARD ISSUANCE SITE.
(A) ENSURE THE ACCURACY OF THE INFORMATION REPORTED IN DEERS
REGARDING ELIGIBILITY FOR DENTAL COVERAGE, I.E., CURRENT
ADDRESS, NAMES OF ALL FAMILY MEMBERS LISTED AS ELIGIBLE AND/OR
ENROLLED IN DENTAL COVERAGE, THE DATE DENTAL COVERAGE COMMENCED,
MILITARY ID CARDS ARE CURRENT/HAVE NOT EXPIRED, DATES OF BIRTH OF
FAMILY MEMBERS, AND THE SPELLING OF FAMILY MEMBER'S NAMES.
(B) IF DEERS CORRECTIONS ARE NEEDED, THE MARINE MUST PROVIDE THE
NECESSARY DOCUMENTATION OR INFORMATION REQUIRED TO MAKE THE
APPROPRIATE CHANGES.
B. PERSONNEL OFFICES WILL:
(1) ENSURE THE MARINE HAS CONTACTED UCCI AS REQUIRED IN PARA 3.A.(1)
OF THIS MARADMIN.
(2) ENSURE THE MARINE HAS VERIFIED THE ACCURACY OF HIS/HER FAMILY
MEMBERS INFORMATION IN DEERS. IF THE INFORMATION IS INACCURATE,
ENSURE THE MARINE HAS DONE HIS/HER PART IN MAKING THE APPROPRIATE
CHANGES/CORRECTIONS.
(3) REVIEW THE FOLLOWING MCTFS DATA WITHIN THE CICS APPLICATION FOR
DENTAL INFORMATION:
(A) D932 OR S932: DENTAL INSURANCE DEDUCTION REMARKS (DETAILED AND
SUMMARY INFORMATION). NOTE: MARINES WHO WERE ENROLLED IN THE TFMDP
PRIOR TO 1 JANUARY 2001, AND WHO SHOULD HAVE AUTOMATICALLY CONVERTED,
WILL HAVE A STOP/TERMINATION DATE IN THEIR DENTAL DEDUCTION REMARK
OF "20001231" AS THE RESULT OF THE NEW TDP. PAYMENT FOR THE TDP IS
NOW REFLECTED AS A "Z" ALLOTMENT AS OF 20010101.
(B) BOND AND ALLOTMENT SYSTEM/OPTION A (ALLOTMENT SUMMARY LISTING)/Z
ALLOTMENTS OR BOND ALLOTMENT SYSTEM/OPTION C (INDIVIDUAL ALLOTMENT
REPORT).
(4) IF THERE IS A BREAK IN COVERAGE, AND THERE ARE NO OUTSTANDING
CLAIMS FOR THAT PERIOD, AND UCCI REPORTS THAT THE FAMILY HAD DENTAL
COVERAGE, NO ACTION IS REQUIRED.
(5) IF THERE IS A BREAK IN COVERAGE AND THERE ARE OUTSTANDING DENTAL
CLAIMS FOR CARE PROVIDED DURING THAT PERIOD, PROVIDE THE FOLLOWING
INFORMATION TO CAPT S. M. SMITH, CMC (MRH), AT EMAIL ADDRESS
SMITHSM@MANPOWER.USMC.MIL:
(A) NAME, SOCIAL SECURITY NUMBER, AND PHONE NUMBER OF THE MARINE.
(B) RUC, UNIT, NAME AND PHONE NUMBER OF THE UNIT POC.
(C) DATES OF THE BREAK IN COVERAGE PERIOD.
(D) REASON FOR THE BREAK IN COVERAGE.
(E) DATE AND COST OF DENTAL CARE PROVIDED DURING THE BREAK IN
COVERAGE PERIOD.
(F) NAME OF THE FAMILY MEMBER WHO RECEIVED THE DENTAL CARE DURING
THE BREAK IN COVERAGE PERIOD.
(G) INDICATE WHETHER THE INFORMATION IN DEERS REGARDING DENTAL
COVERAGE/ELIGIBILITY HAS BEEN VERIFIED AS ACCURATE BY THE MARINE.
(H) INDICATE WHAT UCCI STATED TO THE MARINE REGARDING THE DENTAL
COVERAGE PROBLEM.
C. CMC (MRH) WILL CONTINUE TO ASSIST IN ADJUDICATING DENTAL
COVERAGE PROBLEMS RESULTING FROM THE TRANSITION FROM THE TFMDP TO
THE NEW TDP UNTIL 6 APRIL 2001.//
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