FALLS CHURCH, Va. –
Most energetic responsibility provider customers (ADSMs) get dental care at navy dental clinics, also recognised as army dental therapy services (DTFs). Having said that, some care cannot be accomplished at a DTF. In these scenarios, you get treatment from civilian dentists by the Lively Duty Dental Software (ADDP).
To get civilian dental care, you should 1st get an appointment control variety (ACN). If you see a dentist devoid of an ACN, you may well be accountable for the complete cost of your dental treatment.
“ACNs are a way for the army to track civilian dental treatment and make sure support members’ dental overall health and deployment readiness,” mentioned Doug Elsesser, plan analyst with the Protection Health and fitness Agency’s TRICARE Dental Program part. “The Lively Responsibility Dental Application won’t cover your dental care with no an ACN.”
Having an ACN is straightforward. Choose a moment to study how to get an ACN before you schedule dental care.
Q: Am I qualified for the ADDP?
A: Yes, if you are an ADSM remotely positioned in one particular of two company parts:
- CONUS: The United States, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands
- OCONUS: All other nations, island masses, and territorial waters
In CONUS destinations:
- You are remotely located if you stay and do the job far more than 50 miles absent from a DTF.
- If you are a non-distant ADSM, you can see a civilian dentist as a result of the ADDP if you get a referral from your DTF.
In OCONUS spots, you must be enrolled in TRICARE Prime Remote Abroad to use the ADDP.
Recall to hold your Defense Enrollment Eligibility Reporting Method (DEERS) record up to date. DEERS demonstrates if you’re eligible for ADDP benefits.
Q: When do I need an ACN?
A: You will need an ACN just before you get any care from a civilian dentist in CONUS and OCONUS spots.
Nonetheless, you never want an ACN for crisis dental care, as described in the Energetic Responsibility Dental Program Handbook.
Q: I have an authorization or referral. Where can I uncover my ACN?
A: Approved authorizations and referrals incorporate your ACN. You can find it on your authorization or referral letter, offered in your ADDP My Account.
Q: How do I get an ACN devoid of an authorization or referral?
A: You can get an ACN you for regime dental care that is:
- A included advantage
- Much less than $750 (U.S. bucks) for every process or appointment
- Not more than a whole of ($1,500 U.S. dollars) for remedy designs accomplished in just 12 consecutive months
- Scheduled with a community dentist (CONUS)
If you need to have specialty dental treatment or care that exceeds the costs higher than, you need authorization from your civilian dentist.
There are two ways to request an ACN:
- Post an ACN Request Sort on line (CONUS only). This is the fastest way to get an ACN.
- Get in touch with the ADDP contractor, United Concordia, at 866-984-2337 (CONUS) or 844-653-4058 (OCONUS).
Q: I have an ACN. How do I make an appointment with a civilian dentist?
A: In CONUS places, you can timetable an appointment with a network dentist or United Concordia can make one for you. If you have a DTF referral, your DTF can plan your appointment.
In OCONUS spots, phone United Concordia for enable finding a TRICARE OCONUS Most well-liked Dentist (TOPD). A TOPD will:
- File promises for you
- Demand you only the price tag-share at the time of company
- Submit predeterminations ahead of you get elaborate or costly treatment method
You really don’t have to see a TOPD, but if you really do not, you could have to fork out for solutions up entrance and post your have claims.
Have concerns or want aid getting care? Get to out to United Concordia. To discover much more about the ADDP, see the Active Obligation Dental Plan Handbook and Active Duty Dental Plan Brochure. For a total list of ADDP coated companies, obtain the Gain Aspects Doc.
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