Plan Maximums

The TRICARE Dental Program has a plan maximum.  This limits how much it will pay per person.  These limits apply:

  • Only the allowed fee or your dentist's actual charge, if lower
  • Doesn’t include your cost share
  • Some dental services don’t apply to your maximum
  • You can download the TRICARE Dental Program Benefit Booklet for a complete list

Annual Maximum for Non-Orthodontic Services

  • $1,300 per person, per contract year (May 1-April 30)
  • Payments for certain services don’t apply
  • We pay for any valid costs overseas in excess of the allowed amount up to the billed charge. This is for all enrollees except Selected Reserve and IRR family members, IRR (other than special mobilization category) members, and those who aren’t command sponsored

Lifetime Maximum for Orthodontic Treatment

  • $1,750 per person
  • Orthodontic diagnostic services apply to the annual maximum, not the lifetime maximum

Annual Maximum for Accident Care

  • $1,200 per person
  • After you meet your accident care maximum, additional costs apply to the annual maximum

Last Updated 4/10/2014

contact Your Contacts
MetLife

CONUS: 1-855-638-8371
OCONUS: 1-855-638-8372
TDD/TTY: 1-855-638-8373

mybenefits.metlife.com/tricare


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