Coverage and Costs
To participate, you'll pay monthly premiums and cost shares for certain services. Premium rates will change slightly on October 1 of each benefit year. To find out your current premium rate, please use the premium search available on the TRICARE Retiree Dental Program web site.
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 & 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
For more information, visit the TRICARE Retiree Dental Program Web site.
Last Modified:February 18, 2010
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TRICARE Retiree Dental Program
Delta Dental
1-888-838-8737
www.trdp.org
