R 211300Z JUN 00 ZYW
FM CMC WASHINGTON DC//MR//
TO MARADMIN
BT
UNCLAS
MARADMIN 306/00
MSGID/GENADMIN/CMC MR//
SUBJ/TRICARE DENTAL PLAN//
POC/S.M. SMITH/CAPT/TEL:DSN 278-9522/TEL:COML (703)784-9522//
RMKS/1. THIS MARADMIN IS THE FIRST IN A THREE PART SERIES REGARDING
THE NEW TRICARE DENTAL PLAN (TDP) THAT WILL BE IMPLEMENTED 1 FEB
2001.
2. THE NEW TDP COMBINES THE CURRENT TRICARE FAMILY MEMBER DENTAL
PROGRAM (TFMDP) AND THE TRICARE SELECTED RESERVE DENTAL PROGRAM
(TSRDP). UNITED CONCORDIA COMPANIES, INC. (UCCI), THE CURRENT TFMDP
CONTACTOR, WAS AWARDED THE TDP CONTRACT.
3. WITH THE NEW TDP, THERE WILL BE NUMEROUS ADMINISTRATIVE CHANGES
AND IMPROVED BENEFITS, SUCH AS THE FOLLOWING:
A. PERSONNEL OFFICES WILL NO LONGER BE RESPONSIBLE FOR ENROLLMENT
AND DISENROLLMENT. UCCI WILL HAVE THAT RESPONSIBILITY. UCCI WILL
HAVE 'REAL-TIME' ONLINE ACCESS TO DEERS TO VALIDATE ELIGIBILITY FOR
THE TDP.
B. THE MANDATORY 24 MONTHS ENROLLMENT PERIOD HAS BEEN REDUCED TO 12
MONTHS.
C. THE TDP REQUIRES THE SERVICE MEMBER TO HAVE 12 MONTHS OF SERVICE REMAINING AT THE TIME OF ENROLLMENT.
D. THE TDP WILL HAVE LOWER PREMIUMS FOR THE FIRST TWO OPTION
YEARS.
1) THE MONTHLY SINGLE PREMIUM RATE WILL BE $7.63 FOR THE FIRST
YEAR AND $7.86 FOR THE SECOND YEAR.
2) THE MONTHLY FAMILY PREMIUM RATE WILL BE $19.08 FOR THE FIRST
YEAR AND $19.66 FOR THE SECOND YEAR.
E. THE MAXIMUM ALLOWANCE FOR ANNUAL GENERAL DENTISTRY PER PATIENT
HAS BEEN INCREASED FROM $1,000 TO $1,200.
F. THE COVERAGE FOR LIFETIME ORTHODONTICS PER PATIENT HAS BEEN
INCREASED FROM $1,200 TO $1,500.
G. THE AGE FOR ORTHODONTIC CARE HAS BEEN EXTENDED FROM 18 YEARS TO
21 YEARS, OR 23 IF A FULL TIME STUDENT.
H. COVERAGE FOR GENERAL ANESTHESIA AND ADDITIONAL SEALANTS IS
PROVIDED IN THE NEW TDP.
I. COST SHARES FOR E-1 TO E-4 HAVE BEEN REDUCED FOR CERTAIN DENTAL
PROCEDURES.
J. RESERVISTS AND THEIR FAMILY MEMBERS MAY ENROLL IN THE TDP IF THE
RESERVIST IS CALLED TO ACTIVE DUTY IN SUPPORT OF A CONTINGENCY
OPERATION FOR MORE THAN 30 DAYS BUT LESS THAN 12 MONTHS.
K. RESERVISTS HAVE THE OPTION OF ENROLLING FAMILY MEMBERS IN THE
TDP AND NOT THEMSELVES.
L. FAMILY MEMBERS OF INCARCERATED SERVICE MEMBERS WILL BE ABLE TO
ENROLL IN THE TDP AND WILL BE DIRECTLY BILLED BY THE CONTRACTOR,
UCCI.
4. FURTHER INFORMATION AND GUIDANCE WILL BE PROVIDED VIA MARADMIN.//
BT