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Tricare Dental

Tricare Dental Program Benefit Booklet

QuestionAnswer
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
Created by: RabbittDK10
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