1. VA & Tricare
Newsletter
MAY 17, 2012 VOLUME 1, NUMBER 67
A LOOK AT ACTIVE DUTY DENTAL PROGRAM
The Active Duty Dental Program (ADDP) is program that
does dental claims processing. Its purpose is to
augment-not replace- dental care that is provided by
Military Dental Treatment Facilities (DTF’s). There are
two distinct components one is DTF referred and Remote
Active Duty Dental Program (RADDP). Authorized users
will be required to use a United Concordia network
dentist, unless otherwise designated by United
Concordia.
Websites: Who is eligible?
ADDP Website: Active Duty Personnel of 5 uniformed services
who live and work within 50 miles of a military
www.addp-ucci.com
DTF
Customer Service: Guardsmen and Reservists on orders >30 days
1-866-984-2337 Foreign military personnel stationed in the U.S.
Early Activators/delayed effective date active
orders
Line of Duty Personnel
Service members on TAMP that came off orders
in support contingency operation (ex. OEF/OIF,
Operation Dawn)
Program Components
DTF referred care – provides private sector
dental care for ADSMs referred for private sector
dental care from a military DTF. Included are
ADSMs who have a duty location or residence
with 50 miles of a DTF.
Remote ADDP – provides private sector dental
care for ADSMs with a duty location and
residence greater than 50 miles from a military
2. DTF.
Referrals/Authorizations
United Concordia is required to track all referrals and
authorizations for the ADDP. Referrals are made by a
military DTF for care not available in that DTF. Remote
ADSMs may personally coordinate their own routine care
if all guidelines are followed. Authorizations are
submitted from a civilian provider for remote ADSM
specialty and other care.
DTF Referral – When an ADSM requires dental
care that cannot be provided by the DTF, the DTF
will prescribe a referral (that the ADSM will bring
to the civilian network dentist appointment). The
DTF referral should be accepted as a treatment
plan, which is indicated on the referral form.
However, if the civilian dentist finds clinical
reasoning for alternative treatment, a modified
referral is required. Referral modifications are
obtained by contacting the DTF.
Remote ADDP Self-Referrals – Remote ADSMs
self-refer for routine covered benefits (non-
specialty dental care such as examinations,
cleanings, fillings), unless that care is over $500
per appointment or cumulative total of $1500 or
more for treatment plans completed within a
consecutive 12 month period. Remote ADSMs
cannot self-refer for any specialty procedures,
regardless of cost. Remote ADSMs must use a
United Concordia network dentist and obtain an
Appointment Control Number (ACN) from United
Concordia prior to scheduling any private sector
dental appointment. To coordinate routine dental
care, remote ADSMs must complete an
Appointment Request Form (available at
www.addp-ucci.com). United Concordia will
provide the remote ADSM with a CAN after form
submission.
Remote ADDP Authorization – Authorizations
are required for all care for which the remote
ADSM cannot self-refer. A civilian dentist will
request an authorization for a remote ADSM
using the Authorization Request Form (available
at www.addp-ucci.com). This form must indicate
the procedures desired in order to initiate the
authorization request. Upon authorization
approval, the remote ADSM and civilian dentist
will be notified and an appointment can be
3. scheduled to initiate care. The determination of
the authorization request can take from to three
to five business days.
If you are requiring more information on this program
please go to the website: www.addp-ucci.com .
To Contact United Concordia ADDP, you can contact by
email, mail or phone. It is as follows:
United Concordia Companies, Inc.
ADDP Unit
PO Box 69430
Harrisburg, PA 17106-9430
Email: addpdcf@ucci.com
Phone: 1-866-984-2337
Source: Tricare Active Duty Dental Program Website
4. VA Benefits
HEALTH BENEFITS ADVISOR
Traumatic Service member’s Group Life Insurance
Amador ―Rod‖ Rodriguez
678-569-7174 (TSGLI)
amador.rodriguezjr@us.army.mil
Traumatic Service member’s Group Life Insurance is a
Congressionally-mandated insurance program that
OR provides short-term financial support to traumatically
Transition Assistant Advisor
injured Soldiers and their families through a one-time
(TAAs) Marvin Thomas/Darrell payment effective December 1, 2005. TSGLI is bundled
Partee with SGLI- premium was increased by $1 to
accommodate traumatic coverage. TSGLI provides
The TAA is the TRICARE and
VA liaison for the state. payments of $25,000 up to $100,000 to members of the
uniformed services covered by SGLI who sustain certain
Assistance provided for: specified losses as a result of a traumatic injury. Like
TRICARE for Life SGLI, TSGLI covers a service member 24/7.
TRICARE Reserve How TSGLI helps injured Soldiers
Select
TSGLI is designed to assist with unanticipated expenses
TRICARE Retired and/or help with a head start on life after recovery.
Reserve Payment amount varies depending on the injury. Free
financial counseling is available for Soldiers from
TRICARE Dental,
Active Duty Dental Financial Point. TSGLI is a one-time financial
assistance—NOT income replacement. TSGLI does not
VA Services and replace any other VA benefits.
Benefits
Who Is Eligible For TSGLI
Filing assistance for
benefits with VA, DOD Soldiers who elect Service members Group Life
and Tricare
Insurance (SGLI) coverage and incur a qualifying
The TAA is available* traumatic injury after 1 December 2005, regardless of
to provide in-person their component (Active, Reserve or National Guard) or
briefings for TRICARE
and/or VA benefits. the location in which they incurred the injury. Survivors
(Available during drill of service members who died more than seven days
weekends) after their injuries are also eligible to receive TSGLI
payment if the member had a covered loss.
Retroactive TSGLI
As of October 1, 2011, the Service members’ Group Life
Insurance Traumatic Injury Protection Benefit will be
payable for all qualifying injuries incurred during the
period October 7, 2001 to November 30, 2005,
regardless of where they occurred and regardless of
whether the member has SGLI coverage at the time of
the injury. The Veterans’ Benefit Act of 2010 removes
the requirement that injuries during this period be
incurred in Operations Enduring or Iraqi Freedom.
Applications for the retroactive TSGLI can be accepted
5. by the Branch of Services TSGLI Offices, benefits will not
CONTACT:
be paid until October 1, 2011, the effective date of the
Mr RODRIQUEZ (address shown above) law.
OR A Qualifying Traumatic Injury is an injury or loss
caused by application of external force or violence (a
• MARVIN THOMAS
traumatic event) OR a condition whose cause can be
• OFFICE 678-569-8193 directly linked to a traumatic event. Examples would be
loss of hand or foot by severance at or above the wrist
• BB: 678-656-4115 or ankle; loss of speech, or paraplegia.
• marvin.w.thomas@us.army.mil Claim Process
• www.facebook.com/MarvinThomasTAA Obtain a TSGLI Claim form by downloading a claim form
with complete information packet from this website
• CONTRACTOR
www.insurance.va.gov, or
• SKYLINE-Ultd http://www.insurance.va./gov/sgliSite/TSGLI/TSGLI.htm
then submit to your branch of service point of contacts:
• DARRELL PARTEE
Army (All Components) – Phone (800) 237-1336, Fax
• OFFICE 478-803-3149
(502) 613-4513, email: tsgli.calims@conus.arm
• BB: 404-840-5792
Navy (All Components) – Phone (800) 368-3202, Fax
• darrell.partee@us.army.mil (901) 874-2265 , email: MILL_TSGLI@navy.mil
• www.facebook.com/DarrellParteeTAA Air Force – Phone (800) 433-0048, Fax (210) 565-2348,
email: afpc.casualty@randolph.af.mil
• CONTRACTOR
Air Reserve – Phone (800) 525-0102, Fax (303) 676-
SKYLINE-Ultd 6255, email: afpc.dppedl@arpc.denver.af.mil
Air National Guard - Phone (703) 607-5093, Fax (703)
607-0033, email: ngb.a1ps@ang.af.mil
Marine Corps (All Components) – Phone (877) 216-0825
or (703) 432-9277, Fax (888)858-2315, email: t-
sgil@usmc.mil
Coast Guard – Phone (202) 493-1931, Fax (202) 493-
1939, email: ARL-PF-CGPSC-PSDFS-
COMPENSATION@uscg.mil
Public Health Service - Phone (301) 594-2963, Fax
(301)594-2973, email:
compensationbranch@psc.hhs.gov
NOAA Corps – Phone (301) 713-3444, Fax (301) 713-
4140, email: Director.cpc@noaa.gov
Source: VA website and VA news release
6. SERVING WOUNDED WARRIORS AND THE SURVIVORS
OF OUR FALLEN HEROES
BY Gina Ramer, Regional Communications Director,
Social Security Administration
It’s an American tradition to pay tribute to the men and
women of the Armed Forces each Memorial Day —
especially honoring those who have made the ultimate
sacrifice while serving our country.
If you are a military service member who was wounded
and needs to apply for Social Security disability benefits,
it’s important to know that you will receive expedited
processing. Our wounded warrior’s initiative is for
military service members who become disabled while on
active duty on or after October 1, 2001, regardless of
where the disability occurs. Depending on the situation,
some family members of military personnel, including
dependent children and, in some cases, spouses, may be
able to receive benefits. Learn more about it at
www.socialsecurity.gov/woundedwarriors.
Did you know that May also is National Military
Appreciation Month? Even more reason to let members
of our military know how much we value what you do for
us and our nation. To learn more about the Social
Security benefits for those who have served in the
military, read our publication, Military Service and Social
Security. You can find it online at
www.socialsecurity.gov/pubs/10017.html, or send us an
email at OPI.Net.Post@ssa.gov, or call us at 1-800-772-
1213 (TTY 1-800-325-0778) to ask for a free copy to be
mailed to you.
Memorial Day also is a good time to remind families of
fallen military heroes that we may also be able to pay
Social Security survivors benefits. If the person you
depended on for income has died, you should apply for
survivors benefits. Learn more about Social Security
survivors benefits at
www.socialsecurity.gov/pgm/survivors.htm .
7. The men and women of the Armed Forces serve us each
and every day. At Social Security, we’re here to serve
you too.
Watch out for the June newsletter which will contain
information about Line of Duty and Guide and Service
Dogs. The newsletter can be found on the TAA face book
page www.facebook.com/USATAA
If there is any material on Tricare, VA or DoD program
you would like to see me address in my next newsletter
please feel free to contact us using our email address
listed above.
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