Section 6 Orthodontics Tricare Dental Prgram Handbook Flashcards

1
Q

Which section of the tricare dental
Programs provides information for orthodontic

A

Section 6

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2
Q

Section 6 of tricare dental program provides information on what

A

Orthodontic services

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3
Q

National guard and reserve sponsors under which age are covered for orthodontic care under tricare dental program

A

Age 23

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4
Q

Max age for orthodontic care for national guard and reserve sponsors

A

23

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5
Q

Spouses of active duty or national Baird and reserve sponsors who are under what age are are covered for orthodontic care

A

23

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6
Q

A national guard and reserve member must check with which authority before getting orthodontic care

A

Unit commander

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7
Q

A member tricare dental program orthodontic services coverage lasts up until which day upon turning 23

A

The last day of the month

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8
Q

If a beneficiary reaches the age limit for orthodontic care coverage during their treatment the tricare dental program will cover reimburse them for which time period

A

Only for the months covered

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9
Q

United Concordia will pay for the orthodontic care until the beneficiary reaches what limit

A

Orthodontic lifetime maximum

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10
Q

United Concordia pays which percent of the CONUS cost-share for orthodontic care

A

50%

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11
Q

If the orthodontic treatment will be less than 6 month .Payment will be in what increments

A

One lump sum

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12
Q

United Concordia totalmpayekmts won’t exceed which amount for orthodontic lifetime max

A

1,750

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13
Q

To get orthodontic services OCONUS the member must have what forms

A

Non-availability and federal form

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14
Q

Which dentist may require a service member to pay for covered services upfront

A

OCONUS

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15
Q

The service meme we will pay which part of the dentist actual charge or tricare allowed fee

A

Cost-share

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16
Q

Who shall file a claim if the service member changes to a new orthodontics

A

The new orthodontics

17
Q

United Concordia pays for orthodontic care upfront in one lump sum if it’s

A

OCONUS

18
Q

How many steps for orthodontic care

A

6

19
Q

Step 1 orthodontic care

A

Get an initial non-availability form and referral form

20
Q

Step 2 orthodontic care

A

Find orthodontic provider

21
Q

Step 3 orthodontic care

A

Go to initial exam

22
Q

Step 4 orthodontic care

A

Send required document to United concordia and ask for a predetermination

23
Q

Step 5 orthodontic care

A

Make sure you have approved NARF (referral from )

24
Q

Step 6 orthodontic care

A

Get treatment