How does dental coverage work for Mark? Is it still covered 100% for spouses? Also what about elective procedures. My teeth are just about falling out of my head and I want to get them all replaced with implants. I know this is a major procedure but I would give just about anything at this point to be done with all my dental problems. Brian and I are talking marriage (yay!) and if Tri-care will pay for this then I will try to wait until we get hitched. If not I will try to get my current health care provider to pay for as much as possible.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an alternative browser.
You should upgrade or use an alternative browser.
Julie
- Thread starter anonymous
- Start date
If teeth are falling out, decaying, it's not considered an elective procedure...
Dental coverage isn't though Tricare, it's through a company called United Concordia. To be honest, I'm not even sure what their coverage is (I know Mark gets 2 dental cleanings a year covered, more if he goes to my base-it's free there). Everett is a small base and they usually have availability for dependents, of course, dental it's active duty as the priority and then dependents (medical is the opposite because people are suppose to get their tx on the ship...). The dental insurance does cost, but it's only $10.51 a month.
I'll look into the options for implants and what the coverage rate is (I take it you probably have cavities and gum problems??) and get back to you. I know I don't have a book for them, but I'll see if they have anything posted on their website and/or if I call them what info. they'll give me.
Dental coverage isn't though Tricare, it's through a company called United Concordia. To be honest, I'm not even sure what their coverage is (I know Mark gets 2 dental cleanings a year covered, more if he goes to my base-it's free there). Everett is a small base and they usually have availability for dependents, of course, dental it's active duty as the priority and then dependents (medical is the opposite because people are suppose to get their tx on the ship...). The dental insurance does cost, but it's only $10.51 a month.
I'll look into the options for implants and what the coverage rate is (I take it you probably have cavities and gum problems??) and get back to you. I know I don't have a book for them, but I'll see if they have anything posted on their website and/or if I call them what info. they'll give me.
It would depend on the insurance company.
Ok, wouldnt' you know, I had an appt. at the Navy Marine corps relief society today and guess what popped out at me from the wall...A SMALL tricare dental program booklet.
Here's united concordia's #, they are pretty helpful people. 1-888-622-2256.
Here's the general coverage info, it's not much
Preventive (cleanings)-100% covered
Basic restorative-80% coverage
Endodontic 70% coverage
Periodontic-70% coverage
oral surgery-70% coverage
prosthodontic-50% coverage
IV sedation-50% coverage
Consultation/Office visit (other than cleaning)-80%
Medication-50% coverage (you can get around this by getting pain/inflammatories scripted by a military doctor and filled at the military pharmacy)
The annual maximum is $1,200 per enrolle... So, it's definately not the best coverage I've ever seen.
2 things to keep in mind though, If after you two get married (congrats on that talk by the way <img src="i/expressions/face-icon-small-smile.gif" border="0">) you can get into the dental clinic at everett (which is a likely story because it's such a small command), and they have a surgeon on site (you can call 425-304-4142 and ask to be transfered/given the number to dental) to do implants, It will all be covered. OR If you go out in town to have it done, consider keeping your dental too. That way yours will pay Primary, United concordia pays secondary and you are likely to have no out of pocket expense for portions of it.
Good luck, keep me posted!
Ok, wouldnt' you know, I had an appt. at the Navy Marine corps relief society today and guess what popped out at me from the wall...A SMALL tricare dental program booklet.
Here's united concordia's #, they are pretty helpful people. 1-888-622-2256.
Here's the general coverage info, it's not much
Preventive (cleanings)-100% covered
Basic restorative-80% coverage
Endodontic 70% coverage
Periodontic-70% coverage
oral surgery-70% coverage
prosthodontic-50% coverage
IV sedation-50% coverage
Consultation/Office visit (other than cleaning)-80%
Medication-50% coverage (you can get around this by getting pain/inflammatories scripted by a military doctor and filled at the military pharmacy)
The annual maximum is $1,200 per enrolle... So, it's definately not the best coverage I've ever seen.
2 things to keep in mind though, If after you two get married (congrats on that talk by the way <img src="i/expressions/face-icon-small-smile.gif" border="0">) you can get into the dental clinic at everett (which is a likely story because it's such a small command), and they have a surgeon on site (you can call 425-304-4142 and ask to be transfered/given the number to dental) to do implants, It will all be covered. OR If you go out in town to have it done, consider keeping your dental too. That way yours will pay Primary, United concordia pays secondary and you are likely to have no out of pocket expense for portions of it.
Good luck, keep me posted!
I think with military dental insurance, you can pay more and upgrade the coverage too.... I got a booklet in the mail on this recently, but threw it away. You could ask them when you call.
I know on all the bases we've been stationed at, the on-base dental facilities have been strictly for active duty, so I couldn't use them. Julie, that's awesome that you can get care on-base!
Oh, and I've had a root canal, filling, and cap put on one tooth and it cost me about $300 WITH United Concordia insurance... they are not good at all. It was mostly because all my dental work went over the $1200.00 cap, which I assume implants and/dentures would as well. Good luck with it all though!
I know on all the bases we've been stationed at, the on-base dental facilities have been strictly for active duty, so I couldn't use them. Julie, that's awesome that you can get care on-base!
Oh, and I've had a root canal, filling, and cap put on one tooth and it cost me about $300 WITH United Concordia insurance... they are not good at all. It was mostly because all my dental work went over the $1200.00 cap, which I assume implants and/dentures would as well. Good luck with it all though!
Hey thanks for all the info. We were jsut curious as to how it would work. We're not even officially engaged or anything. I will be keeping my insurance anyway because my company pays 100% of the premium. So if I could get both companies to pay on it that would be awesome. I will also be getting a few thousand dollars this summer so the plan is to use that money as well.
My teeth are horrific. None are exactly falling out YET, but I am already missing one that had to be removed after I broke it in half on a cracker. I have since broken one tooth on a french fry and another on chicken and pasta (I'm totally serious!). I lose fillings left and right and even if they do stay in they have to be replaced every few years because my teeth decay around them. Everytime they replace one I lose more of my natural tooth. I am tired of temporary solutions. I want this fixed. I have had so many fillings that my teeth don't fit together right anymore and I have TMJ because of it. I was also thinking of trying to get my medical to pay on it because I know that this is all due to malnurishment and meds. I can get the clinic doc to write a letter to the insurance company.
My teeth are horrific. None are exactly falling out YET, but I am already missing one that had to be removed after I broke it in half on a cracker. I have since broken one tooth on a french fry and another on chicken and pasta (I'm totally serious!). I lose fillings left and right and even if they do stay in they have to be replaced every few years because my teeth decay around them. Everytime they replace one I lose more of my natural tooth. I am tired of temporary solutions. I want this fixed. I have had so many fillings that my teeth don't fit together right anymore and I have TMJ because of it. I was also thinking of trying to get my medical to pay on it because I know that this is all due to malnurishment and meds. I can get the clinic doc to write a letter to the insurance company.
thefrogprincess
New member
Ok, didn't realize I wasn't logged in. That was me!!!
I had a bridge done, which was considered cosmetic, of course. United Concorida paid 1,200 and I paid the rest. This type of stuff is really expensive. The bridge, which included three teeth, two were capped and the one in the middle was extracted. It cost 1,700 in total and I was required to pay the 500 up front before they started. So trying to do several teeth can get costly, once the insurance has paid out the allowable amount you are responsible for the rest, unless of course you wait until the next year, then you will have the 1,200 again.
BTW: It made me feel so much better about myself, nothing is worse than not feeling comfortable when you smile. It really improved my self esteem.
I hope that helps.
BTW: It made me feel so much better about myself, nothing is worse than not feeling comfortable when you smile. It really improved my self esteem.
I hope that helps.
thefrogprincess
New member
I may have to get it done in stages because of the cost and magnitude of what I want to do. If I have to so be it. But I have really good insurance so I could get about $3000 paid for with insurance if I was double covered. I am also going to get about $3000 this summer that I will put toward it. Based on the research I've done that should by at least half of my teeth.