TRICARE Dental Program

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TRICARE Dental Program Costs

In addition to monthly premiums, you'll pay cost shares for covered dental services. Cost shares will vary depending on the sponsor's pay grade and your service area: CONUS or OCONUS.

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. The cost shares for OCONUS command-sponsored beneficiaries do not apply to Selected Reserve and IRR family members and IRR (other than Special Mobilization Category) members. Beneficiaries in this category are subject to CONUS cost share arrangement as noted in the two middle columns.
  2. Space maintainers are fully covered for patients under age 19 when involving posterior teeth. They are covered at a 20% cost share for patients under age 19 when replacing anterior teeth only. Sealants are covered at 20% as noted above.
  3. Orthodontic treatment is available for enrolled family members:
    • Children are covered up to age 21 or 23 (based on student status, learn more)
    • Spouses are covered up to age 23
    • National Guard/Reserve sponsors are covered up to age 23

Dental coverage is subject to specific limitations and exclusions. Please refer to the TRICARE Dental Program Benefit Booklet for a description of covered services, schedule of benefits payable, limitations and exclusions.

Last Updated 2/14/2013