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Tricare Dental
Tricare Dental Program Benefit Booklet
Question | Answer |
---|---|
HOW LONG MUST YOU REMAIN ENROLLED FOR | 12 MONTHS |
HOW LONG WILL FAMILY MEMBERS RECIVE BENEFITS FOR FOLLOWING SPONSORS DEATH | 3 YEARS |
DD 2813 | DOD FORCES DENTAL EXAM |
ANNUAL MAXIMUM BENEFITS | $1200 PER ENROLLE |
LIFE TIME MAX FOR ORTHODONTIIC | $1500 PER LIFETIME |
HOW LONG DO YOU HAVE TO SUBMIT A CLAIM | 60 DAYS |
WHAT IS NEEDED FOR A CLAIMS PROCESS | CLAIMS FORM BILL/ STATEMENT OF CHARGES NARF |
BIRTHDAY RULE | DETERMINES THE FIRST PLAN TO PAY BENEFITS BASED ON WHOCH PARENTS BIRTHDAY FALLS EARLIER |
GENDER RULE | MALE PARENTS DENTAL PLAN CONSIDERED PRIMARY |
REPORT REQUIRED | PAID ONLY IN UNUSAL CIRCUMSTANCES |
PERIODONTAL CHARTING REQUIRED | CHARTING SUBMITTED FOR REVIEW |
WHAT IS COVERED IN A CONSECUTIVE 12 MONTH PERIOD | D0120 PERIODIC EXAM D0150 COMPREHENSIVE EVAL D0180 |
APPEALS LEVEL 1 | RECONSIDERATION FORMAL REQUEST TO SEEK SEPERATE REVIEW |
APPEALS LEVEL 2 | FORMAL REVIEW REVIEW FROM TMA |
APPEALS LEVEL 3 | HEARING: HEARING WITH TMA OVER $300 REMAINDER |