1. The National Guard – Always Ready Always There MAJ Mary-Frances McBain Health Services Officer, ARNG NGB-ARS Active Duty Dental Program 29 Jun 09

2. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Agenda Purpose What is Active Duty Dental Program (ADDP)? Geographical Areas of Service Claims Steps to Accessing Care Appealing a Bill Tutorial Summary Conclusion 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 2

3. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Purpose To familiarize Leaders and Soldiers with the new process to access dental care under the Active Duty Dental Program 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 3

4. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… What is ADDP? (1 of 2) Beginning 1 Aug 09, the ADDP will provide authorized private sector dental benefits under two distinct components for ARNG Soldiers ADDP is available to Soldiers who are either –referred from a Dental Treatment Facility (DTF), –or reside and work outside the catchment area duty location > 50 miles from a military DTF under the Remote Active Duty Dental Program (Remote ADDP) Line of Duty (LOD) care will also fall under this program 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 4

5. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… The ADDP is designed to augment, not replace, dental care provided in military DTFs United Concordia pays dentists for authorized dental care –Treatment must be provided by a United Concordia network dentist in order to be eligible for payment, unless otherwise designated by the Department of Defense (DoD) –Replaces Military Medical Support Organization (MMSO) Dental Program, effective 1 Aug 09 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 5 What is ADDP? (2 of 2)

6. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Geographical Areas of Service Dental care under the ADDP will be available in the United States, U.S. Virgin Islands, Guam, Puerto Rico, America Samoa, and the Northern Mariana Islands United Concordia offers an extensive dental provider network of more than 59,000 dentists nation-wide 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 6

7. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Claims United Concordia’s network of over 59,000 dentists will submit ADDP claims to United Concordia for payment All ARNG Soldiers eligible for the ADDP program must receive dental care from a United Concordia network dentist to be eligible for payment –Claims will be paid for those areas where there are no available network dentists as determined by United Concordia 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 7

8. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Steps to Accessing Care (1 of 4) Remote ADSMs may personally coordinate their routine covered dental procedure as long as the dental treatment is less than $500 per procedure or appointment or the cumulative total is less than $1,500 for treatment plans completed within a consecutive 12-month period To coordinate their routine dental care, remote Soldiers must get an Appointment Control Number (ACN) by completing an Appointment Request Form, prior to seeking care 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 8

9. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Soldiers go to the following website to access the appointment request form: –www.addp-ucci.com There are two options for Soldiers wishing to schedule appointments –United Concordia Dental Care Finders can make the appointment for Soldiers if they select United Concordia in the “who will be responsible for scheduling this appointment” field on the form –Soldiers can personally make an appointment with a United Concordia network dentist by selecting the ADSM option in the “who will be responsible for scheduling the appointment” field on the form 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 9 Steps to Accessing Care (2 of 4)

10. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… It is important for Soldiers to remember they must wait until they receive the ACN from United Concordia before they can make their own appointments Additionally, making their own appointment requires a Soldier to Contact United Concordia with the dentist’s name, date and time of the appointment so their records may be updated –Soldiers can do so by e-mailing United Concordia at addpdct@ucci.com or calling 1-866-984-ADDP (2337) If a Soldier has difficulty getting an appointment within 21 days of request they need to contact United Concordia at 1-866-984-ADDP (2337) Soldiers can choose to wait more than 21-days for a specific provider and waive their right to an appointment within the required 21-days, if they choose 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 10 Steps to Accessing Care (3 of 4)

11. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Specialty and other Private Sector Dental Care –To receive treatment for specialty care or care over $500 or $1,500/12 consecutive months, Soldiers MUST have their provider: Go to the ADDP website Fill out the Authorization Request Form in the Civilian Dentist portal for electronic completion and submission by the dentist Upon authorization both the dentist and Soldier will be notified and an appointment can then be scheduled The determination of the authorization request can take from three to five business days 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 11 Steps to Accessing Care (4 of 4)

12. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… What to do if a Soldier Receives a Bill? If a Soldier receives a bill for failure to go to a United Concordia Network Provider: –The Soldier may appeal the bill at: Appeals United Concordia Companies, Inc. ADDP Unit – Appeals P.O. Box 69430 Harrisburg, PA 17106-9430 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 12

13. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… United Concordia United Concordia set-up web based tutorials available for Soldiers, units, and other POCs to become familiar with the new processes –https://secure.addp- ucci.com/ddpddw/adsm/tutorials.xhtml 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 13

14. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Summary As of 1 Aug 09, the MMSO is no longer coordinating remote dental care Soldiers with LOD needs or in Remote Service Areas must use a United Concordia network provider for their dental needs as of 1 Aug 09 Leaders, units and TRICARE POCs can go to www. addp.ucci.com to obtain training on this new program 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 14

15. The National Guard – Always Ready Always There Office of the Chief Surgeon …to Conserve Fighting Strength Individual Medical Readiness is a Team Effort… Conclusion This is a new program, and with any new program, there will be growing pains Please be patient with United Concordia as they grow with the Army National Guard as our newest team member 29 Jun 09 MAJ McBain / NGB-ARS / 703-607-9066 / mary.mcbain@ng.army.mil 15

16. The National Guard – Always Ready Always There MAJ Mary-Frances McBain Health Services Officer, ARNG NGB-ARS 29 Jun 09 Active Duty Dental Program