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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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