The TRICARE Dental Plan is a group insurance plan for active duty military personnel and their family members. Participating beneficiaries have access to dental care at a fraction of the cost of private dental care. The TRICARE Dental Plan is also an attractive way to save on dental insurance premiums. Beneficiaries can choose from either a managed care or a fee-for-service plan. If you are a:
Active duty – This means you have served your country in some capacity. You may have retired from the military, joined a reserve component or are currently in the Coast Guard. Participating beneficiaries can be a family member or another service member. You must enroll in the Tricare Dental Plan prior to receiving benefits.
Dependent – A dependent is someone who is not an active duty member of the armed forces, but has dependents, such as a spouse or child. The primary care provider, or primary care provider (PCP) will decide the level of coverage they want their beneficiary to have. Beneficiaries can choose from either a preferred provider organization (PPO) or a network provider. Your beneficiaries can also choose from a plan where they will have a primary health insurance policy, or a group insurance plan.
Dependent who is an employee – The TRICARE Program helps eligible beneficiaries, such as employees of certain organizations, by offering special health benefits. The Program also provides coverage for children who are a member of the program or their families. The program is also designed to provide services to the dependents of members of the armed forces who are retired or missing in action. The benefits cover routine preventive care, emergency dental care, and treatment for dental injuries, as well as treatment for vision problems that may arise due to service-related vision loss.
Managed care plan – With a managed care plan, your beneficiaries will be enrolled in a plan that has a predetermined payment amount, typically through the Health Maintenance Organization (HMO) system. Benefits will include routine dental care, vision care, prescription drug coverage, lab work, medical diagnostic imaging, and some emergency care. Your beneficiaries will receive the benefits at the same rate they pay for regular health care. In addition, if they need specialized services, such as surgery or hospital treatment, they will be reimbursed at a rate set by the network.
No matter what type of plan your beneficiaries choose, you can help them obtain the coverage they need by making sure they understand what the TRICARE Dental Plan is and the benefits it offers. You can also help them make the best choice about how to meet the costs by providing referrals to providers that best suit their needs.
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