Costs

Along with your monthly premiums, you'll pay cost shares for your dental care. Cost shares will vary depending on your sponsor's pay grade and your service area.

Covered Services CONUS Service Area OCONUS Service Area
Pay Grades
E-1 - E-4
Pay Grades
E-5 and above
Command-Sponsored Beneficiaries1
Diagnostic 0% 0% 0%
Preventive2 0% 0% 0%
Sealants 20% 20% 0%
Consultation/Office Visit 20% 20% 0%
Post-Surgical Services 20% 20% 0%
Basic Restorative 20% 20% 0%
Endodontic 30% 40% 0%
Periodontic 30% 40% 0%
Oral Surgery 30% 40% 0%
General Anesthesia 40% 40% 0%
Intravenous Sedation 50% 50% 0%
Miscellaneous Services(occlusal guard, athletic mouth guard) 50% 50% 0%
Other Restorative 50% 50% 50%
Implant Services 50% 50% 50%
Prosthodontic 50% 50% 50%
Orthodontic3 50% 50% 50%
  1. Doesn’t apply to Selected Reserve and Individual Ready Reserve members (other than Special Mobilization Category) and their families. They will pay CONUS cost shares.
  2. We fully cover space maintainers for posterior teeth for patients under age 19. We cover them at a 20% cost share for patients under age 19 when replacing anterior teeth only. We cover sealants at 20% as noted above.
  3. Orthodontic treatment is available for enrolled family members.  We cover:
    • Children up to age 21 or 23.  (Based on student status, learn more)
    • Spouses up to age 23
    • National Guard/Reserve sponsors up to age 23

Dental coverage has specific limits and exclusions. You can download the TRICARE Dental Program Benefit Booklet for details.

Last Updated 2/4/2014