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AFAP Issue Summary

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Army Family Action Plan - AFAP Issue Search


AFAP Search > Search Results > TRICARE Dental Benefit Enhancement
Issue Summary

TRICARE Dental Benefit Enhancement

Issue Number 509
Status Unattainable
Issue Title TRICARE Dental Benefit Enhancement
Scope Current coverage for TRICARE Retiree Dental Program (TRDP) and TRICARE Dental Program (TDP) beneficiaries result in excessive out-of-pocket expenses. Beneficiary cost share percentages are too high, and annual individual limits are reached too quickly. Despite recent dental plan improvements, Soldiers and their Families often have to choose between essential dental care and other necessities of life. These choices cause Families to neglect needed dental care resulting in deterioration of oral health and decreased quality of life, which will eventually impact retention.
Issue Recommendation Reduce member cost share to 20% for dental services not already covered at 100% in the TRICARE Dental Program (TDP) and TRICARE Retiree Dental Program (TRDP). Increase maximum annual benefit for TDP and TRDP to $1500.
Military Component Active Component
Demographic Group Family Members, Retirees
Subject Area Dental
Geographic Area Continental U.S.
Entered AFAP Mar 2002
Final Action Date Jun 2008
Accomplishments Issue was declared unattainable by the Jun 08 GOSC because reducing co-pays was not supported by TMA and less than 1% of beneficiaries reach the annual maximum dental cap. The current TDP and TRDP co-pays (2008) are consistent with large dental insurance plans: 0% co-pay for basic diagnostic/preventive services; 20% for basic restorative services; and 40-50% for advanced services. E-1 to E-4 co-pays are already discounted. The TDP and TRDP maximum annual benefit is $1200, and less than 1% of enrollees reach the annual maximum.
Outstanding Requirement
Submitting Command US Army Material Command, US Army Forces Command
For any questions regarding this issue, please alert the point of contact via email.

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