The Tricare Retiree Dental Program (TRDP) is run like any other insurance program, you make monthly premium payments which authorizes you certain types of care at a discounted or free rate. If you go to a dentist that participates in the program (known as an in-network provider) you will usually pay a lower copay than if you go to an out-of-network provider (the copay is that amount that you have to pay out-of-pocket when getting treatment). It is always best to go to an in-network provider whenever possible, because if you go to an out-of-network provider you may end up stuck with a very large bill. The program also has limitations on how much it will pay per calendar year for certain services.
Premiums differ based on your geographic location and how many people you wish to insure. Premiums change every January 1. To determine your premium visit the TRDP premium page. Premiums must be collected automatically through retired pay allotment. However, if you aren't collecting retirement pay, or the amount of your retirement is insufficient to allow the allotment, you'll need to setup Electronic Funds Transfer (EFT) from a bank account or a recurring payment from a credit or debit card . If you don't establish an EFT or credit card payment before your first monthly premium is due, you may lose coverage.
|Dental Benefits||What TRDP Pays||What You Pay (co-pay)|
|Beginning First 12 Months|
|Diagnostic and Preventive Services such as Exams, X-rays, cleanings, flouride treatments.||100%||0%|
|Other Preventative Services such as sealants, space mainters||80%||20%|
|Basic Restorative Services (cast crowns, overlays)||80%||20%|
|Drugs, endodontic, periodontic, oral surgery and anesthesia services||60%||40%|
|Dental accident coverage||100%||0%|
|Added after 12 months of continuous service|
|Cast, crowns, and onlays||50%||50%|
|Partial/full bridges and dentures||50%||50%|
The annual deductible is $50 per person or $150 per family, that means that you must pay $50 out-of-pocket before TRICARE will begin making any payments. The annual maximum that TRICARE will pay is: