***2019***TRICARE DENTAL

Question 1

HOW LONG MUST YOU REMAIN ENROLLED FOR

Answer 1

12 MONTHS

Question 2

HOW LONG WILL FAMILY MEMBERS RECIVE BENEFITS FOR FOLLOWING SPONSORS DEATH

Answer 2

3 YEARS

Question 3

DD 2813

Answer 3

DOD FORCES DENTAL EXAM

Question 4

ANNUAL MAXIMUM BENEFITS

Answer 4

$1200 PER ENROLLE

Question 5

LIFE TIME MAX FOR ORTHODONTIIC

Answer 5

$1500 PER LIFETIME

Question 6

HOW LONG DO YOU HAVE TO SUBMIT A CLAIM

Answer 6

60 DAYS

Question 7

WHAT IS NEEDED FOR A CLAIMS PROCESS

Answer 7

CLAIMS FORM
BILL/ STATEMENT OF CHARGES
NARF

Question 8

BIRTHDAY RULE

Answer 8

DETERMINES THE FIRST PLAN TO PAY BENEFITS BASED ON WHOCH PARENTS BIRTHDAY FALLS EARLIER

Question 9

GENDER RULE

Answer 9

MALE PARENTS DENTAL PLAN CONSIDERED PRIMARY

Question 10

REPORT REQUIRED

Answer 10

PAID ONLY IN UNUSAL CIRCUMSTANCES

Question 11

PERIODONTAL CHARTING REQUIRED

Answer 11

CHARTING SUBMITTED FOR REVIEW

Question 12

WHAT IS COVERED IN A CONSECUTIVE 12 MONTH PERIOD

Answer 12

D0120 PERIODIC EXAM
D0150 COMPREHENSIVE EVAL
D0180

Question 13

APPEALS LEVEL 1

Answer 13

RECONSIDERATION

FORMAL REQUEST TO SEEK SEPERATE REVIEW

Question 14

APPEALS LEVEL 2

Answer 14

FORMAL REVIEW

REVIEW FROM TMA

Question 15

APPEALS LEVEL 3

Answer 15

HEARING

HEARING WITH TMA OVER $300 REMAINDER