Before Seeing the Dentist, Learn What TRICARE Dental Program Covers > TRICARE Newsroom > Articles


Whether you’re seeing the dentist for a plan checkup or finding emergency dental treatment, the TRICARE Dental System (TDP) covers a large wide range of dental providers for active responsibility family members associates, as well as National Guard and Reserve users and their relatives users. If you see a community dentist, you will only have to fork out a cost-share, or a percentage of the complete price tag of these products and services.
 
“Who you are, the place you are living, and the variety of provider you need establishes your cost-share for included products and services with a network dentist,” explained Doug Elsesser, program analyst with the Defense Wellness Agency’s TRICARE Dental Plan. “If you see a non-network dentist for solutions TDP addresses, you might pay far more out of pocket and need to have to file a assert for reimbursement.”
 
It is important to know which expert services TDP handles in advance of your subsequent dental check out. Here’s a glimpse at some of them.
 
Diagnostic solutions
These are solutions to keep track of you for oral wellbeing challenges. TDP handles:

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  • Two examinations in a consecutive 12-thirty day period time period by the same supplier and a single supplemental examination by a diverse supplier
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  • One particular periodontal analysis in a consecutive 12-thirty day period period of time per office pay a visit to
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  • Annual X-rays in a consecutive 12-month period per business office go to
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There’s no charge-share for diagnostic providers from your normal dentist. If you get a diagnostic consultation by an more dentist or go to a dental office environment following typical hrs, you could have a cost-share of 20{fc1509ea675b3874d16a3203a98b9a1bd8da61315181db431b4a7ea1394b614e}.
 
Preventive products and services
These are providers that defend your tooth and gums from decay and infection. The TDP handles two plan dental cleanings in a consecutive 12-thirty day period period for just about every enrollee. It also addresses a third dental cleaning for pregnant enrollees and these diagnosed with sure chronic professional medical conditions. To get this gain, you have to sign up in My Account. Other schedule preventive expert services include:

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  • Fluoride therapies
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  • Area maintainers (fully lined for children less than the age 19)
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  • Area maintainer care
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  • Sealants (thoroughly included for permanent molars, or back enamel, via age 18)
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There’s no price-share for preventive dental care when you see a network dentist.
 
Restorative expert services
TDP addresses lots of restorative solutions to fix broken or cracked tooth and to defend teeth towards cavities. As noted in the TRICARE Dental Method Handbook, you can get protection for restorative companies required since of tooth decay, tooth fracture, attrition, erosion, abrasion, or congenital or developmental flaws. Cosmetic good reasons are excluded.
Lined companies involve:

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  • Amalgam (silver) fillings
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  • Resin-based mostly composite (tooth-colored) fillings
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  • Crowns
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  • Veneers (in some scenarios)
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There’s no restorative value-share for command-sponsored enrollees in the TDP OCONUS support region. All other TDP enrollees have a charge-share of 20{fc1509ea675b3874d16a3203a98b9a1bd8da61315181db431b4a7ea1394b614e}.
 
Other companies
Other TDP coated products and services involve:

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  • Periodontal providers
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  • Orthodontic services
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  • Endodontic solutions (like root canals)
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  • Oral operation
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  • Implants
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There are some companies TDP doesn’t deal with. Usually discuss to your dentist ahead of acquiring any major dental strategies to make guaranteed you fully grasp no matter whether suggested techniques are protected, and in what amounts.
 
To learn a lot more about solutions TDP handles, refer to the TRICARE Dental Method Handbook. You can also go to Gains or log in to My Account to see a record of what is covered.
 
Seeking for additional TDP details, like recommendations for oral wellbeing care? Test out the latest TRICARE Dental Plan Health and fitness Matters Publication
 
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