Kathy RoskoskyCentral TRICARE Service Center(CTSC) .ppt

 Kathy RoskoskyCentral TRICARE Service Center(CTSC) TRICARE Dental Program (TDP) TRICARE Dental Program (TDP) United Concordia Companies Inc. (UCCI) is the contractor Multiple Initiatives occurring –Verification Process and TRDP coming OCONUS OCONUS Non-Availability and Referral Forms (NARF)s Host Nation Provider Designations TRICARE Global Remote Overseas (TGRO) TRICARE Dental Program (TDP) New Contract began 1 Feb 2006 -Implants were a new benefit Non-availability and Referral Forms (NARF)s are needed for orthodontics and implants in both remote and non-remote countries NARFs for both comprehensive orthodontic treatment and for dental implants are given to beneficiaries after a review and approval of the treatment plan by the TAO-Europe Dental Office TRICARE Dental Program (TDP) TDP came overseas in 1999 Currently we are seeing increased usage of the TDP due to more demand for family member dental care, and less capacity in the military clinics to meet those treatment needs TDP Overseas benefits are better than the stateside benefits – patient cost shares are paid, amount over the maximum allowable charges are paid, 50% versus $1500 paid for orthodontic benefit TRICARE TDP OCONUS Sponsors must be enrolled in the TDP for family members to utilize the dental insurance program Premiums - Single family members - $12.12 per month, multiple family members - $30.29 per month The TDP CONUS and OCONUS administered by United Concordia Companies Inc. (UCCI) TDP enrollees are eligible for care worldwide: - At OCONUS Dental Treatment Facilities and with listed OCONUS civilian providers - Civilian providers in the United States Must be command sponsored for OCONUS benefit TDP OCONUS Cost Shares $1200 annual maximum benefit for non-orthodontic care per enrollee per contract year (1 Feb- 31 Jan) $1500 maximum lifetime orthodontic benefit - Eligibility for orthodontic benefits are for