PART 1
TDP
TRICARE DENTAL PROGRAM
Family members can keep TDP coverage when their sponsor changes status. Also, TDP coverage for family members stays in place as National Guard and Reserve sponsors move in and out of active duty. If you ever need to reenroll to keep your TDP coverage, it’s easy to do online.
FLEXIBLE
If United Concordia receives them by the 20th of the month, your enrollment will start on
THE FIRST DAY OF THE NEXT MONTH
One active duty family member
• One National Guard or Reserve sponsor (separate from family)
• One National Guard or Reserve family member (separate from
SINGLE PLAN
Accidental Annual Maximum Benefit: $XXXX per enrollee per plan year for non-orthodontic dental treatment you get due to an accident
$1,200
TDP IS A DOD PROGRAM MANAGED BY
UNITED CONCORDIA COMPANIES
You can choose any licensed and authorized dentist. However, you’ll save time and money by seeing a TDP network dentist.
EASILY ACCESSIBLE
The TDP CONUS service area includes the
U.S., Guam, Puerto Rico, and the U.S. Virgin Islands.
Two or more eligible family members. A National Guard or Reserve sponsor can’t be included in a family plan.*
FAMILY PLAN
For children under age X, you can choose whether or not to enroll them in the TDP at any time without penalty. If you have a TDP plan, your child will be enrolled automatically on the first day of the month following the month in which your child reaches age X.
AGE 1
BESIDES ACTIVE DUTY MBRS, WHO ELSE IS ELIGIBLE FOR TDP
NATIONAL GUARD OR RESERVE MBR
NATIONAL GUARD OR RESERVE FAMILY MBR
The TDP provides uninterrupted coverage to National Guard and Reserve members and their families, even when the sponsor changes status.
National Guard and Reserve sponsors who aren’t activated can enroll in the TDP. (Sponsors on active duty for 30 days or more aren’t eligible for the TDP; they get active duty benefits. Reenrollment in the TDP is automatic when the sponsor deactivates.)
National Guard and Reserve family members can enroll
CONTINUOUS COVERAGE
The dentist follows the TDP rules and costs for care.
You won’t have to pay more than your regular cost-share for covered services (maximums, limitations, and exclusions apply).
Your dentist files your claims for you.
Non-network dentists haven’t agreed to use the TDP rules and costs for care.
TDP network dentist
PREMIUM AMOUNTS CHANGE WHAT DAY AND MONTH
MAY 1
The TDP offers single and family plans. For you to enroll, your sponsor must have at least XX months of service left.
12 MONTHS
The TDP minimizes your out-of-pocket costs for dental care. Using a TDP network dentist will lower your cost even more. Most TDP members get government-supported premiums.
COST EFFECTIVE
COST SHARE FOR BASIC RESTORATIVE
20%
You may be billed the full fee for your care.
You pay the cost-share plus the difference between the TDP’s maximum allowance and what the dentist charges.
You may have to file your own claims.
If you use a non-network dentist
Annual Maximum Benefit: $XXXX per enrollee per plan year (May 1–April 30) for non-orthodontic dental services.
$1,500
THREE WAYS TO ENROLL
ONLINE
PHONE
You don’t have to change your dental plan when you move because your TDP coverage is available
WORLDWIDE
COST SHARE FOR OTHER RESTORATIVE, IMPLANT SERVICES, PROSTHODONTICS AND ORTHODONTICS
50%
File claims for you
Charge you only the cost-share at the time of service
Complete and submit predeterminations for you before you get complex or costly treatment
OCONUS DENTIST
Orthodontic Lifetime Maximum Benefit: $XXXX per enrollee for orthodontic treatment
$1,750
WHAT MONTH AND DAY DOES THE ENROLLMENT COVER?
MAY 1 TO APRIL 30