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TRICARE Dental Program           ®


Teams with MetLife
Beginning May 1, 2012, MetLife will administer the TRICARE Dental Program




The TRICARE Dental Program (TDP) provides comprehensive                         CHANGES TO YOUR BENEFIT
dental care for more than 2 million enrollees worldwide including               The new contract provides some enhancements to your
active duty family members (ADFMs), members of the National                     benefit. Changes include the following:
Guard and Reserve, and their eligible family members. Beginning
May 1, 2012, MetLife will administer the TDP. As the TDP                        •	 Coverage of tooth-colored/white fillings on back teeth
contractor, MetLife will manage enrollment, claims processing,                  •	 An increased annual maximum benefit from $1,200 to
and customer service.                                                              $1,300 per enrollee
Current TDP enrollees will get a welcome package and new                        •	 An increase in the orthodontic lifetime maximum from
enrollment cards in the mail before the May 1 start date.                          $1,500 to $1,750 per enrollee
                                                                                •	 $1,200 per year for services related to dental treatment due
 Take Action to Continue Automatic Payments                                        to an accident
 with MetLife!
                                                                                •	 No cost-shares for scaling and root planing (deep cleaning)
 If you pay your premiums through a direct payment from                            for diabetics
 your checking account or credit card, you need to contact
                                                                                •	 The benefit year under MetLife will run from May 1 to
 MetLife to reauthorize this payment between March 21 and
                                                                                   April 30 (annual maximums)
 April 20, 2012. See the For Information and Assistance
 section for contact information. If you do not reauthorize
 with MetLife before April 20, please don’t worry. Your
 automatic payments will end, but MetLife will send you a
 paper bill so there will be no break in your coverage. If you
 pay premiums by automatic deduction from your military
 payroll account, you do not have to take any action.




                            This fact sheet is not all-inclusive. For additional information, please visit www.tricare.mil.


                                                                                                                                       March 2012
TRICARE DENTAL PREMIUM RATES REDUCED
Premium rates under the new MetLife contract are lower for each enrollee category. If your premiums are automatically
deducted from your military payroll account, you will see the new, lower deduction on your April leave-and-earnings statement.
The following tables list your TDP monthly premium rates for dental coverage effective May 1, 2012–January 31, 2013.
Note: Beginning February 1, 2013, the premium year will return to the February 1–January 31 cycle. Premium rates will reset
annually every February 1.

Active Duty Family Members
 Single Premium (one family member)                                             Family Premium (more than one family member)
 $10.30                                                                         $30.89


Selected Reserve of the Ready Reserve and Individual Ready Reserve (Special Mobilization Only)
 Sponsor-Only Premium                  Single Premium1                          Family Premium                      Sponsor and Family
                                       (one family member,                      (more than one family               Premium
                                       excluding sponsor)                       member, excluding
                                                                                sponsor)
 $10.30                                $25.74                                   $77.22                              $87.52
1.	If both the sponsor and a single family member are enrolled, the premium due is the total of the sponsor-only premium and the single premium.


Individual Ready Reserve (Non-Special Mobilization)
 Sponsor-Only Premium                  Single Premium1                          Family Premium                      Sponsor and Family
                                       (one family member,                      (more than one family               Premium
                                       excluding sponsor)                       member, excluding
                                                                                sponsor)
 $25.74                                $25.74                                   $77.22                              $102.96
1.	If both the sponsor and a single family member are enrolled, the premium due is the total of the sponsor-only premium and the single premium.


PAYING TDP PREMIUMS                                                               available online at https://mybenefits.metlife.com/tricare.
Paying TDP premiums is simple and convenient. If the                              To access this document, click on the “News and Updates”
sponsor has a military payroll account, and if sufficient funds                   link and then select “Credit Card/EFT Authorization”.
are available, the government will collect the sponsor’s share                    Upon completion, please submit to:
of the premium through a Uniformed Services Finance Center
and transmit it to MetLife. This method is only available to                        MetLife TRICARE Dental Program
sponsors of ADFMs and to National Guard and Reserve sponsors.                       Enrollment and Billing Services
                                                                                    P.O. Box 14185
If MetLife is unable to obtain the requested premium payment                        Lexington, KY 40512
from a military payroll account, the sponsor will be billed
directly. Direct billed payments can be made through electronic                   You may also contact MetLife Customer Service
funds transfer (EFT), which is an automatic deduction through                     at 1-855-MET-TDP1 (1-855-638-8371) (CONUS) or
your bank account or credit card. Other options are mailing                       1-855-MET-TDP2 (1-855-638-8372) (OCONUS) for assistance.
payments directly to MetLife, or submitting a payment over
the phone.                                                                        METLIFE’S DENTIST NETWORK
If you are enrolled in the TDP and you currently pay dental                       MetLife offers an extensive network of more than 164,000
insurance premium payments by credit card or by EFT from                          dentist locations available to you as part of your coverage.
your checking or savings account, you will need to set up a                       Remember, it is a good idea to check if your dentist is in the
new recurring payment with MetLife. To begin this process,                        network before receiving care.
please complete the Credit Card/EFT Authorization document




                                                                            2
CONUS Service Area                                                     •	 Access tools and resources
TDP enrollees residing in the CONUS service area (the 50               •	 Access the “Find a Dentist” feature
United States, the District of Columbia, Guam, Puerto Rico,            •	 File a grievance online
and the U.S. Virgin Islands) can receive dental care at civilian
dental offices and visit any licensed and authorized civilian          Once signed in, you can access frequently asked questions,
dentist. However, receiving treatment from a dentist who               oral health information, commonly used documents, and the
participates in the MetLife Preferred Dentist Program (PDP)            TDP Benefit Booklet and other materials.
will help you save time and money. A PDP dentist has signed
an agreement with MetLife to follow TDP rules for providing            DS Logon Required to Sign In
care and accepting payments. When using a PDP dentist, you             For the most secure and convenient authentication, MetLife
should never pay more than the applicable cost-share for               will require users to use a Department of Defense Self-Service
covered services.                                                      Logon (DS Logon) to access the Web site. You may visit a
Dentists who have not signed a contract with MetLife are               TRICARE Service Center (TSC) or a Veterans Affairs (VA)
considered non-network dentists. Non-network dentists may              Regional Office to complete the required in-person proofing
bill beneficiaries their full fee. You will be responsible for         process to request a DS Logon. For more information, go to
paying the difference between MetLife’s allowance and the              “Frequently Asked Questions” at www.dmdc.osd.mil/dsaccess.
amount charged by the non-network dentist in addition to the           If you need a new uniformed services identification (ID)
applicable cost-share. Also, non-network dentists are not              card, you can visit an ID card-issuing facility and request
required to submit claims on your behalf.                              a DS Logon at the same time. To locate a TSC, visit
                                                                       www.tricare.mil/contacts. To locate a VA Regional Office,
                                                                       visit http://www.vba.va.gov/vba/benefits/offices.asp. To
OCONUS Service Area
                                                                       locate an ID card-issuing facility, visit www.dmdc.mil/rsl.
If you are a TDP enrollee residing in the OCONUS service
area (Canada, all other countries, island masses, and
territorial waters; as well as civilian ships or vessels outside
                                                                       BILLING AND CLAIMS-FILING
the territorial waters of the CONUS service area, regardless           CONTACT INFORMATION
of the dentist’s office address), you may visit any OCONUS             The address where you should send your claims depends
dentist to receive dental care. However, it may be more                on whether you are a CONUS or OCONUS beneficiary.
convenient to visit a TRICARE OCONUS Preferred Dentist
(TOPD). TOPDs will not require you to pay their full charge            If you are a CONUS beneficiary, submit your claims to:
at the time of service and will only require the applicable              MetLife TRICARE Dental Program
cost-share, if any. Once services are performed, TOPDs will              P.O. Box 14181
complete and submit claims on your behalf.                               Lexington, KY 40512
TOPDs may not be available in all locations, but you are               If you are an OCONUS beneficiary, submit your claims to:
encouraged to use them for all care, including orthodontics,
where they are available. You are not required to use a TOPD,            MetLife TRICARE Dental Program
but if you see a non-TOPD, you may be required to pay up                 P.O. Box 14182
front for services before you receive care. You may also be              Lexington, KY 40512
required to submit your own claims and other required
documentation. To locate a CONUS or OCONUS dentist,                    Changes to Your Coverage
please visit https://mybenefits.metlife.com/tricare.                   If your family’s coverage needs change, you can log on to
                                                                       the Beneficiary Web Enrollment (BWE) portal, which can be
VISIT THE TDP WEB SITE                                                 accessed at www.tricare.mil/bwe, to update your information.
For general information, visit www.tricare.mil/tdp.                    The BWE allows you to:

MetLife’s Web site is at https://mybenefits.metlife.com/tricare.       •	 Enroll in the TDP
This site gives enrolled members the ability to:                       •	 Cancel enrollment

•	 View plan details                                                   •	 Add a dependent

•	 Check a claim                                                       •	 Remove a dependent

•	 View claims history
•	 View explanation of benefits




                                                                   3
FOR INFORMATION AND ASSISTANCE

   MetLife Online                                     MetLife by Phone                                  Beneficiary Web Enrollment
   https://mybenefits.metlife.com/tricare             1-855-MET-TDP1(1-855-638-8371) (CONUS)            www.tricare.mil/bwe
                                                      1-855-MET-TDP2 ( 1-855-638-8372) (OCONUS)
                                                      1-855-MET-TDP3 (1-855-638-8373) (TDD/TTY)




 An Important Note about TRICARE Program Information
 At the time of printing, this information is current. It is important to remember that TRICARE policies and benefits are governed by public law and
                                                                                                                                                         FS11111BET03123W




 federal regulations. Changes to TRICARE programs are continually made as public law and/or federal regulations are amended. Military treatment
 facility guidelines and policies may be different than those outlined in this product. For the most recent information, contact your TRICARE regional
 contractor, TRICARE Service Center, or local military treatment facility.
“TRICARE” is a registered trademark of the TRICARE Management Activity. All rights reserved.

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Tri-Care Dental Program Met-life Factsheet

  • 1. TRICARE Dental Program ® Teams with MetLife Beginning May 1, 2012, MetLife will administer the TRICARE Dental Program The TRICARE Dental Program (TDP) provides comprehensive CHANGES TO YOUR BENEFIT dental care for more than 2 million enrollees worldwide including The new contract provides some enhancements to your active duty family members (ADFMs), members of the National benefit. Changes include the following: Guard and Reserve, and their eligible family members. Beginning May 1, 2012, MetLife will administer the TDP. As the TDP • Coverage of tooth-colored/white fillings on back teeth contractor, MetLife will manage enrollment, claims processing, • An increased annual maximum benefit from $1,200 to and customer service. $1,300 per enrollee Current TDP enrollees will get a welcome package and new • An increase in the orthodontic lifetime maximum from enrollment cards in the mail before the May 1 start date. $1,500 to $1,750 per enrollee • $1,200 per year for services related to dental treatment due Take Action to Continue Automatic Payments to an accident with MetLife! • No cost-shares for scaling and root planing (deep cleaning) If you pay your premiums through a direct payment from for diabetics your checking account or credit card, you need to contact • The benefit year under MetLife will run from May 1 to MetLife to reauthorize this payment between March 21 and April 30 (annual maximums) April 20, 2012. See the For Information and Assistance section for contact information. If you do not reauthorize with MetLife before April 20, please don’t worry. Your automatic payments will end, but MetLife will send you a paper bill so there will be no break in your coverage. If you pay premiums by automatic deduction from your military payroll account, you do not have to take any action. This fact sheet is not all-inclusive. For additional information, please visit www.tricare.mil. March 2012
  • 2. TRICARE DENTAL PREMIUM RATES REDUCED Premium rates under the new MetLife contract are lower for each enrollee category. If your premiums are automatically deducted from your military payroll account, you will see the new, lower deduction on your April leave-and-earnings statement. The following tables list your TDP monthly premium rates for dental coverage effective May 1, 2012–January 31, 2013. Note: Beginning February 1, 2013, the premium year will return to the February 1–January 31 cycle. Premium rates will reset annually every February 1. Active Duty Family Members Single Premium (one family member) Family Premium (more than one family member) $10.30 $30.89 Selected Reserve of the Ready Reserve and Individual Ready Reserve (Special Mobilization Only) Sponsor-Only Premium Single Premium1 Family Premium Sponsor and Family (one family member, (more than one family Premium excluding sponsor) member, excluding sponsor) $10.30 $25.74 $77.22 $87.52 1. If both the sponsor and a single family member are enrolled, the premium due is the total of the sponsor-only premium and the single premium. Individual Ready Reserve (Non-Special Mobilization) Sponsor-Only Premium Single Premium1 Family Premium Sponsor and Family (one family member, (more than one family Premium excluding sponsor) member, excluding sponsor) $25.74 $25.74 $77.22 $102.96 1. If both the sponsor and a single family member are enrolled, the premium due is the total of the sponsor-only premium and the single premium. PAYING TDP PREMIUMS available online at https://mybenefits.metlife.com/tricare. Paying TDP premiums is simple and convenient. If the To access this document, click on the “News and Updates” sponsor has a military payroll account, and if sufficient funds link and then select “Credit Card/EFT Authorization”. are available, the government will collect the sponsor’s share Upon completion, please submit to: of the premium through a Uniformed Services Finance Center and transmit it to MetLife. This method is only available to MetLife TRICARE Dental Program sponsors of ADFMs and to National Guard and Reserve sponsors. Enrollment and Billing Services P.O. Box 14185 If MetLife is unable to obtain the requested premium payment Lexington, KY 40512 from a military payroll account, the sponsor will be billed directly. Direct billed payments can be made through electronic You may also contact MetLife Customer Service funds transfer (EFT), which is an automatic deduction through at 1-855-MET-TDP1 (1-855-638-8371) (CONUS) or your bank account or credit card. Other options are mailing 1-855-MET-TDP2 (1-855-638-8372) (OCONUS) for assistance. payments directly to MetLife, or submitting a payment over the phone. METLIFE’S DENTIST NETWORK If you are enrolled in the TDP and you currently pay dental MetLife offers an extensive network of more than 164,000 insurance premium payments by credit card or by EFT from dentist locations available to you as part of your coverage. your checking or savings account, you will need to set up a Remember, it is a good idea to check if your dentist is in the new recurring payment with MetLife. To begin this process, network before receiving care. please complete the Credit Card/EFT Authorization document 2
  • 3. CONUS Service Area • Access tools and resources TDP enrollees residing in the CONUS service area (the 50 • Access the “Find a Dentist” feature United States, the District of Columbia, Guam, Puerto Rico, • File a grievance online and the U.S. Virgin Islands) can receive dental care at civilian dental offices and visit any licensed and authorized civilian Once signed in, you can access frequently asked questions, dentist. However, receiving treatment from a dentist who oral health information, commonly used documents, and the participates in the MetLife Preferred Dentist Program (PDP) TDP Benefit Booklet and other materials. will help you save time and money. A PDP dentist has signed an agreement with MetLife to follow TDP rules for providing DS Logon Required to Sign In care and accepting payments. When using a PDP dentist, you For the most secure and convenient authentication, MetLife should never pay more than the applicable cost-share for will require users to use a Department of Defense Self-Service covered services. Logon (DS Logon) to access the Web site. You may visit a Dentists who have not signed a contract with MetLife are TRICARE Service Center (TSC) or a Veterans Affairs (VA) considered non-network dentists. Non-network dentists may Regional Office to complete the required in-person proofing bill beneficiaries their full fee. You will be responsible for process to request a DS Logon. For more information, go to paying the difference between MetLife’s allowance and the “Frequently Asked Questions” at www.dmdc.osd.mil/dsaccess. amount charged by the non-network dentist in addition to the If you need a new uniformed services identification (ID) applicable cost-share. Also, non-network dentists are not card, you can visit an ID card-issuing facility and request required to submit claims on your behalf. a DS Logon at the same time. To locate a TSC, visit www.tricare.mil/contacts. To locate a VA Regional Office, visit http://www.vba.va.gov/vba/benefits/offices.asp. To OCONUS Service Area locate an ID card-issuing facility, visit www.dmdc.mil/rsl. If you are a TDP enrollee residing in the OCONUS service area (Canada, all other countries, island masses, and territorial waters; as well as civilian ships or vessels outside BILLING AND CLAIMS-FILING the territorial waters of the CONUS service area, regardless CONTACT INFORMATION of the dentist’s office address), you may visit any OCONUS The address where you should send your claims depends dentist to receive dental care. However, it may be more on whether you are a CONUS or OCONUS beneficiary. convenient to visit a TRICARE OCONUS Preferred Dentist (TOPD). TOPDs will not require you to pay their full charge If you are a CONUS beneficiary, submit your claims to: at the time of service and will only require the applicable MetLife TRICARE Dental Program cost-share, if any. Once services are performed, TOPDs will P.O. Box 14181 complete and submit claims on your behalf. Lexington, KY 40512 TOPDs may not be available in all locations, but you are If you are an OCONUS beneficiary, submit your claims to: encouraged to use them for all care, including orthodontics, where they are available. You are not required to use a TOPD, MetLife TRICARE Dental Program but if you see a non-TOPD, you may be required to pay up P.O. Box 14182 front for services before you receive care. You may also be Lexington, KY 40512 required to submit your own claims and other required documentation. To locate a CONUS or OCONUS dentist, Changes to Your Coverage please visit https://mybenefits.metlife.com/tricare. If your family’s coverage needs change, you can log on to the Beneficiary Web Enrollment (BWE) portal, which can be VISIT THE TDP WEB SITE accessed at www.tricare.mil/bwe, to update your information. For general information, visit www.tricare.mil/tdp. The BWE allows you to: MetLife’s Web site is at https://mybenefits.metlife.com/tricare. • Enroll in the TDP This site gives enrolled members the ability to: • Cancel enrollment • View plan details • Add a dependent • Check a claim • Remove a dependent • View claims history • View explanation of benefits 3
  • 4. FOR INFORMATION AND ASSISTANCE MetLife Online MetLife by Phone Beneficiary Web Enrollment https://mybenefits.metlife.com/tricare 1-855-MET-TDP1(1-855-638-8371) (CONUS) www.tricare.mil/bwe 1-855-MET-TDP2 ( 1-855-638-8372) (OCONUS) 1-855-MET-TDP3 (1-855-638-8373) (TDD/TTY) An Important Note about TRICARE Program Information At the time of printing, this information is current. It is important to remember that TRICARE policies and benefits are governed by public law and FS11111BET03123W federal regulations. Changes to TRICARE programs are continually made as public law and/or federal regulations are amended. Military treatment facility guidelines and policies may be different than those outlined in this product. For the most recent information, contact your TRICARE regional contractor, TRICARE Service Center, or local military treatment facility. “TRICARE” is a registered trademark of the TRICARE Management Activity. All rights reserved.