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TRICARE Retiree Dental Program


To participate, you'll pay monthly premiums and cost shares for certain services.

Monthly Premiums
Premium rates will change slightly on October 1 of each benefit year and vary based on where you live. >>Find your current premium amount.

Cost Shares
Below is an overview of benefits and cost shares provided under the Enhanced TRICARE Retiree Dental Program. For additional information, view the Benefits Booklet.

Benefits available during the first 12 months of enrollment

Delta Dental pays:

Diagnostic services (such as exams)

100%

Preventive services (such as cleanings)

80% -100%

Basic Restorative services (such as fillings, including tooth-colored fillings on back teeth)

80%

Endodontics (such as root canals)

60%

Periodontics (such as gum treatments)

60%

Oral Surgery (such as extractions)

60%

Emergency (such as treatment for minor pain)

80% - 100%

Dental Accident Coverage

100%

Additional benefits available after 12 months of continuous enrollment or if enrolled within four months after retirement

Delta Dental pays:

Cast Crowns, Onlays & Bridges

50%

Partial/Full Dentures

50%

Orthodontics

50%

Dental Implant services

50%


Deductibles and Maximums

  • Annual deductible (per person, $150 cap per family, per benefit year): $50
  • Annual maximum (per enrollee, per benefit year): $1200
  • Orthodontic maximum (per person, per lifetime): $1500
  • Dental Accident Maximum (per person, per benefit year): $1000

Last Modified:February 22, 2012

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Contact

TRICARE Retiree Dental Program
Delta Dental
1-888-838-8737
www.trdp.org