1

Question 1

What are the premium rates for TDP?

Answer 1

Family, Single, gov’t offset (60/40) and no gov’t offset .

Question 2

What are the stipulations for each rate of TDP?

Answer 2

Single (only one qualifying family member), Family (2 or more eligible family members). Any family mbr upon reaching age 4 will automatically be enrolled (this may increase rate from single to family). When a depn turns 21 (or 23 if in college) will automatically be disenrolled (this may decrease rate from family to single).

Question 3

What does TDP coverage begin?

Answer 3

The first of the month following month deduction appears on LES. Form may however have been entered in time for TDP but not in time to get on LES.

Question 4

What are the requirements for enrollment?

Answer 4

All beneficiaries must be enrolled in DEERS, mbr must remain enrolled for 24 months if enrolled prior to 1Jan01 and 12 months if enrolled 1Jan01 or later.

Question 5

Is enrollment in TDP automatic?

Answer 5

No, it requires positive enrollment by the mbr

Question 6

What are the conditions for dis-enrollment?

Answer 6

Enrolled for two yrs, Transferred outside TDP eligible area, PCS transfer more than 50 miles away fm previous PDS when depn space available care is available.

Question 7

How long does a mbr have to disenroll fm TDP after reporting PCS

Answer 7

90 dys.

Question 8

What would cause a mbr to be automatically disenrolled?

Answer 8

Mbr separates/dies, divorce (status change), or entering into a bad pay status.

Question 9

Who is eligible for TDP coverage

Answer 9

All TRICARE eligible depns

Question 10

What must a mbr do to enroll with less than 2 yrs (1 yr after 1Jan01) of obligated service remaining?

Answer 10

Indicate on enrollment form that mbr intends to stay on active duty for longer than 1 or 2 yrs respectively.

Question 11

What percentage of the TDP premium do qualifying reservists pay for themselves?

Answer 11

Same as active duty single rate, 40% of the premium amount.

Question 12

What dental entitlement does a mbrs depns have upon a mbrs death?

Answer 12

1 yr of coverage commencing the date of death for all mbrs completing 30 dys of active duty

Question 13

What countries can you live in and be eligible for TDP?

Answer 13

U.S., Puerto Rico, Guam, Virgin Isl, and Canada

Question 14

Which areas are considered in the conus service area for dental?

Answer 14

U.S., Guam, Canada, Virgin Isl, & Puerto Rico. All others are OCONUS.

Question 15

What is done when a mbr notices he/she is being charged to wrong TDP rate?

Answer 15

Requests correction through SPO to PSC (MAS/CST). Request should include Name, SSN, Phone #, statement fm mbr, statement fm SPO, and SPO contact info.

Question 16

If the deduction for TDP premium does not appear on a mbrs LES the month after the forms have been submitted what advice should be given to the mbr?

Answer 16

They can see a dentist, but their claim may be denied until the mbrs status is updated by TDP

Question 17

Are there any direct access entries associated with the Tricare Dental Plan (TDP)?

Answer 17

No

Question 18

Are reservists qualifying for TDP required to enroll their whole family (depns age 4 and older)?

Answer 18

No, they may purchase single coverage for just 1 family mbr or family coverage for all family mbrs.

Question 19

How are premiums incurred for a reservists family

Answer 19

By direct billing only

Question 20

When are TDP premiums subject to change?

Answer 20

Annually on February 1st

Question 21

How can a member ensure their family members have been enrolled prior to obtaining treatment?

Answer 21

They should wait until their insurance cards arrive in the mail.

Question 22

Who currently has the TDP contract?

Answer 22

United Concordia

Question 23

How is TDP enrollment completed?

Answer 23

By submitting an enrollment form to United Concordia and paying an amount equal to the members portion of 1 months payment for each new depn enrolled

Question 24

Dentist recommend a child be how old upon receiving their first dental exam?

Answer 24

1 yr old.

Question 25

What happens after the minimum 12 month enrollment period is completed?

Answer 25

Enrollment continues on a month to month basis

Question 26

If an enrollee fails to pay their premiums, how long will they be excluded from enrolling for?

Answer 26

12 months

Question 27

What are the three ways a mbr can submit their disenrollment request?

Answer 27

Fax, Mail, or online

Question 28

If a valid disenrollment request is received by which day of the month, it will be effective starting the first of the following month?

Answer 28

By the 20th of the month.

Question 29

What are the enrollment categories for reserve mbrs?

Answer 29

Service mbr enrolls under single plan and must purchase an additional single or family plan for depns.

Question 30

How are reservists enrolled in TDP treated when they are activated for periods of more than 30 days?

Answer 30

They are automatically disenroled and reenrolled.

Question 31

How are reservist family members enrolled in TDP treated when mbr is activated for periods of more than 30 days?

Answer 31

The premium rate they are charged is reduced to 40% of the rate the gov’t is charged automatically for the period of activation.

Question 32

Do SELRES mbrs have to be enrolled in TDP for their survivors to receive the 1 yr survivor dental benefit?

Answer 32

No