[ The Real McCoy Online Home ]                                                                                                                         July 10, 2009
Health

Soldier providers for TRICARE 
Dental Care to change Aug. 1

A new TRICARE active-duty dental program (ADDP) for Soldiers goes into effect Aug. 1. The ADDP provides private sector dental care to ensure dental health and deployment readiness for active-duty servicemembers.

Pam Redmann, Beneficiary Counseling and Assistance Coordinator (TRICARE) for Fort McCoy, said, effective Aug. 1, the program will be administered by United Concordia, the same company that handles the family dental program.

The new ADDP requires Soldiers to get an Appointment Control Number (ACN) for routine care (exams, routine cleanings, fillings, X-rays). Soldiers will be required to use a United Concordia preferred provider for routine care under the new program.

Preferred providers are listed at http://www.tricaredentalprogram.com, and include several in the immediate Fort McCoy area. Preferred providers will submit claims on behalf of Soldiers, who will have no out-of-pocket expenses on covered items.

Soldiers personally can coordinate care for routine covered dental care, such as examinations, cleanings and fillings.

The same $500 cap on these routine services per visit as in the current program, the Military Medical Support Office (MMSO), still will be in effect.

Soldiers who use a non-network dentist for routine care without prior approval, effective Aug. 1, will be responsible for payment of this care. This is a change from the MMSO, where Soldiers can receive their care from any dentist.

Soldiers who have specialty work started for pre-authorized procedures must have that work completed by July 31 for the cost to be covered at prescribed rates under the MMSO. Soldiers due for an exam/cleaning also can do it through the MMSO program through July 31, and these claims still will be handled through the MMSO program.

Effective Aug. 1, specialty care is no longer pre-authorized through the Troop Dental Clinic.

Dentists can submit the pre-authorization request directly to United Concordia.

Any procedures that are performed without an authorization approval will not be covered by the ADDP and payment for these services will be the Soldier’s responsibility.

Authorized emergency dental care can be sought through a non-network provider and re-imbursement will be paid.

Follow-up treatment, however, must be scheduled through a network dentist for coverage to apply.

The preferred/network dentists in the area all have been trained on this program by United Concordia to handle the specialty care requests and claims, Redmann said.

The new ADDP requires Soldiers to get an ACN from United Concordia before scheduling appointments for routine care (exams, routine cleanings, fillings, X-rays).

For more information about the ACN, Soldiers should visit the Web site http://www.addp-ucci.com and access the Appointment Request Form and click on the ADSM portal. Personnel who do not have Internet access can call United Concordia at 1-866-984-ADDP (1-866-984-2337).

More information and assistance also is available by visiting the Web site http://www.tricaredentalprogram.com or by e-mailing addpdcf@ucci.com.

For more information about the dental programs in the Fort McCoy community, call 608-388-2246.

(Compiled from TRICARE information.)

 

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