Benefits Overview - for dates of service through April 30, 2012

What's Covered?
The following chart provides an overview of the TDP covered services and their respective cost-shares. TDP benefits are the same for the CONUS service area as they are for the OCONUS service area.

For more information about seeking dental care OCONUS, please visit the Overseas Dental Care section.

Please note: The TDP provides selected services including endodontic, periodontic, and oral surgery at a reduced cost-share for members who are grades E-1 to E-4. For more detailed information about the TDP covered services, see the TRICARE Dental Program Benefit Booklet.

COVERED SERVICES
Type of Service CONUSOCONUS**
E1–E4 All Other Pay Grades All Pay Grades
Diagnostic 0% 0% 0%
Preventive* 0% 0% 0%
Emergency Services 0% 0% 0%
Sealants 20% 20% 0%
Basic Restorative 20% 20% 0%
Endodontic 30% 40% 0%
Periodontic 30% 40% 0%
Oral Surgery 30% 40% 0%
Other Restorative 50% 50% 50%
Implant Services 50% 50% 50%
Prosthodontic 50% 50% 50%
Orthodontic *** 50% 50% 50%
General Anesthesia 40% 40% 0%
Intravenous Sedation 50% 50% 0%
Consultation / Office Visit 20% 20% 0%
Post Surgical Services 20% 20% 0%
Miscellaneous Services (occlusal guard, athletic mouthguard) 50% 50% 0%


*Space maintainers are fully covered for patients under age 19 when involving posterior teeth. They are covered at a 20% cost-share for patients under age 19 when replacing anterior teeth only. Sealants are covered at 20% as noted above.

** Selected Reserve and IRR family members and IRR (other than Special Mobilization Category) members are responsible for the applicable cost-share portion regardless of where the treatment is received.

***Orthodontic treatment is available for enrolled family members (non-spouse) up to, but not including, 21 years of age. A member who is enrolled as a full-time student at an accredited college or university is eligible up to, but not including, 23 years of age. In all cases, coverage is effective until the end of the month in which the member reaches the applicable age limit.

Orthodontic treatment is also available for spouses and National Guard/Reserve members under the age of 23*. National Guard/Reserve members should check with their unit commanders to ensure compliance with service policies prior to receiving orthodontic treatment.

In all cases, coverage is effective until the end of the month in which the member reaches the applicable age limit.
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