tricare dental program

[Mrs.Jones]

so i just enrolled and i need some help....
the copays are confusing me

i know theres a max allowence but my questions is do i have to pay before i reach the allowence? or is that just after i reach the max?


please help....my wisdom teeth are in and i need them out asap but i cant pay an arm and a leg to get them out


any help will be wonderful

[*skittles*]

Originally Posted by Mrs.Jones so i just enrolled and i need some help.... the copays are confusing me i know theres a max allowence but my questions is do i have to pay before i reach the allowence? or is that just after i reach the max? please help....my wisdom teeth are in and i need them out asap but i cant pay an arm and a leg to get them out any help will be wonderful

yes you have to pay a certain percentage. Your best bet is to call concordia and get the information from them. There are certain percentages for certain procedures. I think they cap payments at $1200 a year, but you may be liable for 50% of the cost of wisdom teeth extraction (just throwing out a number...not necessarily accurate). I know for cavities I'm liable for 20% of the cost while concordia covers 80%. Preventative maintenance is 100%

[toothfairy03]

Your percentage of coverage depends on the service members pay grade. Its best to not wait on big procedures like extractions or if you need a crown/root canal. Also try to Max out your benefits because United Concordia DOES NOT renew January 1st like most dental insurance's. They go from February 1st - January 31st.

[LoveDisappears]

I'm going through the same thing. I just got quoted $1900 for 4 wisdom teeth & to be put under. We should be getting our final price in a couple days after the insurance covers it.

It depends on rank as well, they have a list for how much they cover for certain procedures too.

tricaredentalprogram.com

[Amberlyn]

If you make a dentist appointment for your normal check up (covered at 100%), they can quote you what the next procedure will cost you...

[aliciamarie]

Wow. I was just about to call the dentist for my wisdom teeth (they are coming in and hurt really bad) but i KNOW we don't have that much money to cover it

[LoveDisappears]

Originally Posted by aliciamarie Wow. I was just about to call the dentist for my wisdom teeth (they are coming in and hurt really bad) but i KNOW we don't have that much money to cover it

I'd go in and get an exam anyways, they are covered 100%, at least mine was.

[JackieM]

I know for a root canal I had to pay a certain percent and I was able to get a quote when I made appt. since I had the tooth # and procedure code and x-ray. I had to pay day of service. I know cleanings and routine check ups are covered 100% but specialist procedures are not. They depend on rank. You will have to see the dentist first for a check up and get referred to a specialist (at least in my case). Some procedures have to be sent in for pre-certification first.

[J.Ski]

Originally Posted by Mrs.Jones so i just enrolled and i need some help.... the copays are confusing me i know theres a max allowence but my questions is do i have to pay before i reach the allowence? or is that just after i reach the max? please help....my wisdom teeth are in and i need them out asap but i cant pay an arm and a leg to get them out any help will be wonderful

You have to pay the percentage but UC will only pay $1200 per year. After that you have to pay everything.

Originally Posted by LoveDisappears I'm going through the same thing. I just got quoted $1900 for 4 wisdom teeth & to be put under. We should be getting our final price in a couple days after the insurance covers it. It depends on rank as well, they have a list for how much they cover for certain procedures too. tricaredentalprogram.com

I got my 4 wisdom teeth out last year and was put under and the quote wasn't any where near $1900. It was like $800 and 2 of mine were impacted.

[JudyB]

The UC/tricare site has the list of covered benefits and how it is broken down by paygrade.

http://www.tricaredentalprogram.com/...s_overview.jsp

FOr oral surgery (including extractions): E1 to E4 pays 30% of the cost. All other paygrades pay 40% of the cost.

Be aware that when you have a consult with an OS that it MAY NOT be covered by your insurance and you will have to pay out of pocket for that. This is not to say that they won't cover the consult but with working with a specialist right now it appears that UC does not alway pay for the consult.