FALLS CHURCH, Va. –
Are you seeking for a dentist in the continental United States (CONUS)? As a TRICARE Dental System (TDP) enrollee, you can decide on to go to any accredited and approved dentist in the CONUS assistance area (50 United States, District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands). But it’s crucial to know the positive aspects of looking at a United Concordia TDP community dentist vs . a non-community dentist.
“Staying in United Concordia’s TDP community can help save you income on dental services,” reported Doug Elsesser, system analyst with the Protection Overall health Agency’s TRICARE Dental Program. “Network dentists have a signed settlement with United Concordia to comply with TDP principles for providing treatment and accepting payments.”
Below are the positive aspects of choosing a network dentist.
- The amount you pay out is based mostly on United Concordia’s negotiated charge for protected companies. The fee is frequently decrease than the provider’s normal demand.
- You will not have to pay much more than the applicable charge-share for coated services. Nevertheless, this depends on if you have reached your annual utmost or if restrictions or exclusions apply. You can assessment this and a lot more by logging in to My Account.
- You never have to fork out the dentist for the total price tag of treatment and wait around for reimbursement. Network dentists work with United Concordia to get their aspect of the payment.
- Your dentist data files your statements for you.
Regardless of whether you prepare to go to your frequent dentist or glimpse for a new dentist, you can validate the TDP community standing of any dentist.
Deciding upon a dentist outside the continental United States
Are you living outdoors the CONUS support location? The TDP OCONUS (outside the continental United States) services place incorporates all places exterior the CONUS provider spot and coated companies supplied on a ship or vessel exterior the territorial waters of the CONUS provider area. This is regardless of the dentist’s office environment address.
Like in the CONUS assistance location, you can get care from any licensed and approved dentist. Nevertheless, there are advantages to seeing a TRICARE OCONUS Most well-liked Dentist (TOPD). As famous in the TRICARE Dental Method Handbook, TOPDs will not need you to spend their whole demand at the time of support, only your applicable charge-share, if any. TOPDs will also finish and submit your claim submission files to United Concordia.
If you’re in the OCONUS support spot and require a dentist, you can lookup TOPDs close to you.
If your dentist is interested in becoming a member of the TDP community, check with them to contact United Concordia or full the on the internet software.
Seeking for extra TDP facts, like guidelines for oral health care? Examine out the latest TRICARE Dental Plan Overall health Issues Newsletter.
Would you like the newest TRICARE news despatched to you by electronic mail? Pay a visit to the TRICARE Subscriptions page currently, and create your individualized profile to get gain updates, information, and much more.
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