TRICARE Retiree Dental Program. www.trdp.org Introduction TRDP established: February 1, 1998 –Basic Program TRDP Enhanced: October 1, 2000 –Enhanced Program.

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Presentation transcript:

TRICARE Retiree Dental Program

Introduction TRDP established: February 1, 1998 –Basic Program TRDP Enhanced: October 1, 2000 –Enhanced Program TRDP contract renewed: May 1, 2003 –Improved features New TRDP contract: Oct 1, 2008 –Added benefits –Enhanced-Overseas Program

TRICARE Retiree Dental Programwww.trdp.org Service Area TRDP coverage is offered worldwide: –Basic Program The 50 United States & District of Columbia, Puerto Rico, Guam, U.S. Virgin Islands, American Samoa, Commonwealth of the Northern Mariana Islands, and Canada –Enhanced Program All the above, plus coverage for emergency services overseas –Enhanced-Overseas Program Coverage available worldwide

TRICARE Retiree Dental Programwww.trdp.org Eligibility Those eligible to enroll in the TRDP are: –Members of the Uniformed Services who are entitled to retired pay, including those age 65 and over –Members of the National Guard/Reserve who are in Retired Reserve status, regardless of age –Current spouses and eligible children of enrolled members

TRICARE Retiree Dental Programwww.trdp.org Eligibility Those eligible to enroll in the TRDP are: –Unremarried surviving spouses & eligible children of deceased members who died while in retired or active duty status –Current spouses and eligible children of non- enrolled members, under limited circumstances –Medal of Honor recipients and their eligible immediate family members

TRICARE Retiree Dental Programwww.trdp.org Enrollment Enhanced program enrollment classifications: –New enrollee 12-month waiting period for major services –New retiree (4 months) no waiting period for major services –Medal of Honor recipients no waiting period for major services

TRICARE Retiree Dental Programwww.trdp.org Enrollment TRDP enrollment process –Three ways to enroll: Online, phone or mail –Retiree submits application and premium prepayment New retirees must submit documentation for credit toward the 12-month waiting period

TRICARE Retiree Dental Programwww.trdp.org Enrollment TRDP enrollment process (continued): –Enrollment commitment Initial 12-month commitment Continuing month-to-month 30-day grace period –Delta Dental processes application Coverage begins the first day of the month following acceptance of the enrollment application –Welcome packet (e-packet available)

TRICARE Retiree Dental Programwww.trdp.org Premiums Premiums vary by region –5 premium regions based on ZIP code Monthly premiums for 10/1/10 - 9/30/11 –Enhanced Program Single: $ $48.25 Two Person: $ $93.04 Family (3 or more): $ $156.25

TRICARE Retiree Dental Programwww.trdp.org Premiums Billing –Mandatory automatic deduction from retired pay –Direct billing Premium prepayment –Two-month prepayment required upon enrollment –Refund

TRICARE Retiree Dental Programwww.trdp.org Program Features Benefit year - Oct 1 through Sep 30 Annual maximum –Enhanced Programs: $1,200 –Basic Program: $1,000 Deductible: –$50 ($150 family cap) Dental accident coverage –Enhanced Programs only Coordination of Benefits

TRICARE Retiree Dental Programwww.trdp.org Covered Services Preventive & diagnostic –100% Basic restorative –80% Endodontic, periodontic & oral surgery –60%

TRICARE Retiree Dental Programwww.trdp.org Additional Covered Services Additional Covered Services After 12 Months Dental implants, cast crowns & onlays –50% Bridges & partial/full dentures –50% Orthodontics –50%

TRICARE Retiree Dental Programwww.trdp.org Orthodontics –Subject to a 12-month waiting period –Not subject to annual deductible –Separate $1,500 lifetime maximum –Coverage for both children and adults –Coverage for treatment in progress –Enhanced programs only

TRICARE Retiree Dental Programwww.trdp.org Dentists Participating network dentists –Over 100,000 dentist locations nationwide –Finding a participating network dentist Search the online dentist directory Call Customer Service Ask your dentist Non-participating network dentists –Delta Dental Premier ® –Non-Delta Dental dentists

TRICARE Retiree Dental Programwww.trdp.org Dentists Finding a participating network dentist –Search the online dentist directory –Call Customer Service –Ask your dentist

TRICARE Retiree Dental Programwww.trdp.org TRDP Resources Website – Customer Service – Marketing representatives

TRICARE Retiree Dental Programwww.trdp.org Questions?