1. TRICARE Your Military Health Plan
Transitioning from Active Duty to Retirement
Congratulations!!
As you approach retirement from active duty service, you and your family members have some important decisions to make regarding health care coverage. TRICARE will still be there for you once you retire, but there are different options to consider and actions you must take. This decision should be incorporated into your overall individual transition plan.
The following information will assist you in transitioning your TRICARE coverage status from active duty to retiree.
Jim Harrington
19th Medical Group
TOPA Flight Commander
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2. Decision Process Where will you live? Will you accept employment?
How is your health (and family)?
What health plans are available?
Cost of competing health plans?
Insurability?
Do I need supplemental insurance?
You will need to make several decisions when you retire. These are just a few examples of the questions you may ask yourself. The answers to these questions will determine the TRICARE options you have for you and your family.
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3. DEERS Defense Enrollment Eligibility Reporting System (DEERS)
Active and retired service members (sponsors) are automatically registered in DEERS
Sponsors must register family members in the DEERS database
Registration in DEERS required for TRICARE eligibility
Uniformed Services Identification Cards
One of the first steps you should take is to update your DEERS information. As you already know, DEERS is a computerized database of military sponsors, families, and others worldwide who are entitled under the law to TRICARE benefits. DEERS registration is required to maintain TRICARE eligibility.
Active duty and retired service members are automatically registered in DEERS, but they must take action to register their family members and ensure they are correctly entered into the database. Mistakes in the DEERS database can cause problems with TRICARE claims, so it is critical to maintain your DEERS information.
Failure to update DEERS can result in misdirected communication, delayed enrollment and claims payment, and other difficulties.
Uniformed Service ID cards (Military IDs) are created from the DEERS database.
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4. Changes in Status Separation from active duty or retirement
Change of address
Marriage or divorce
Birth or adoption of a child
Full-time student age 21 or over
Death of spouse or child
Address changes for spouse or children
Medicare entitlement
The active duty or retired sponsor must report the following information:
Activation, reenlistment, separation, retirement, and moves or changes of address
Marriage/Divorce
Birth/Adoption
Full-time student age 21 or over
Death of spouse or child
Moves/address changes for spouse or children
Medicare entitlement
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5. Updating DEERS Information
Visit an ID card issuing facility; locate one near you at
Call:
Fax changes to:
Mail changes to:
Defense Manpower Data Center Support Office
Attn: COA
400 Gigling Road
Seaside, CA
Make address changes online at:
You can verify your DEERS information by contacting your regional contractor, your local TRICARE service center, or the nearest uniformed services personnel office (ID card facility). Sponsors or registered family members may make address changes. However, only the sponsor can add or delete a family member from DEERS, and proper documents are required such as a marriage license, divorce decree, and/or birth certificate.
Update DEERS Information in one of the following ways:
Visit an ID card issuing facility; locate one near you at
Call:
Fax changes to:
Mail changes to:
Defense Manpower Data Center Support Office
Attn: COA
400 Gigling Road
Seaside, CA
Make address changes online at:
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6. DEERS ID Card Locations in AR
188th FW Arkansas ANG Fort Smith ANG (479)
189th AW Arkansas ANG Little Rock AFB ANG (501)
90TH SUST BDE N LITTLE ROCK USAR (501)
90th RRC N Little Rock(CAC Deployable 2) USAR (501)
Fayetteville National Guard Armory ARNG (501)
Ft. Chaffee ARNG MTC ARNG (479)
Joint Force Headquarters Arkansas ARNG (501)
Little Rock AFB USAF (501)
PEC-GED ARNG (501)
PINE BLUFF ARSENAL USA (870)
USACE, LITTLE ROCK (CAC ONLY) USA (501)
You can verify your DEERS information by contacting your regional contractor, your local TRICARE service center, or the nearest uniformed services personnel office (ID card facility). Sponsors or registered family members may make address changes. However, only the sponsor can add or delete a family member from DEERS, and proper documents are required such as a marriage license, divorce decree, and/or birth certificate.
Update DEERS Information in one of the following ways:
Visit an ID card issuing facility; locate one near you at
Call:
Fax changes to:
Mail changes to:
Defense Manpower Data Center Support Office
Attn: COA
400 Gigling Road
Seaside, CA
Make address changes online at:
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7. How TRICARE Changes When You Retire
When on Active Duty
Upon Retirement
TRICARE Options
TRICARE Prime
TRICARE Prime Remote
TRICARE Extra*
TRICARE Standard*
Uniformed Services Family Health Plan*
TRICARE Extra
TRICARE Standard
Uniformed Services Family Health Plan
No enrollment fees
No copayments
Enrollment fees apply
Copayments apply in network
15% cost-share
20% cost-share
25% cost-share
Catastrophic Cap
$1,000 annually
$3,000 annually
MTF Access
ADSMs—1st priority
ADFMs—priority depends on enrollment in TRICARE Prime
Priority depends on enrollment in TRICARE Prime
Medicare-eligibility
Family members not required to purchase Medicare Part B
Must purchase Medicare Part B regardless of age
Upon retirement from active duty, you and your family remain eligible for TRICARE; however, which programs you are eligible for and your financial responsibility under each program option do change.
This slide highlights those things that will change for you and your family.
TRICARE Options—When on active duty you can only use TRICARE Prime or TRICARE Prime Remote; after you retire you may choose between TRICARE Prime, TRICARE Extra, and TRICARE Standard. You are no longer eligible for TRICARE Prime Remote, and your family is no longer eligible for TRICARE Prime Remote for Active Duty Family Members.
Perhaps the most important difference in your coverage from active duty to retirement is your financial responsibility. You will note that you will be required to pay annual enrollment fees and copayments for TRICARE Prime and your cost-shares increase under TRICARE Extra and TRICARE Standard. We will discuss these differences in more detail later in today’s seminar.
Lastly, if you have a family member who is eligible for Medicare due to disability, end-stage renal disease, or age, he/she MUST purchase Medicare Part B when you retire to retain eligibility for TRICARE. Their TRICARE Prime enrollment fees will be waived.
* ADSMs are not eligible for TRICARE Extra, TRICARE Standard, or USFHP
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8. Military Treatment Facilities (MTFs)
Upon retirement, your access to services at the MTF will change
You will retain priority access to care in the MTF if you enroll in TRICARE Prime
If you choose to use TRICARE Extra or TRICARE Standard, you will continue to have access to care in an MTF on a space-available basis only
First, let’s discuss your priority for care in the MTF. To ensure we have a fit and ready force, active duty service members always have priority access to care in MTFs. Now that you are retiring, your access to services at the MTF will change and will depend upon which TRICARE option you choose.
The next slide explains the priorities for access to care in MTFs.
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9. MTF—Priorities for Care
Active duty service members
Active duty family members enrolled in TRICARE Prime
Retirees, their family members, and others enrolled in TRICARE Prime
Active duty family members NOT enrolled in TRICARE Prime
Retirees, their family members, and others NOT enrolled in TRICARE Prime
All other eligible beneficiaries
As you can see, if you continue enrollment in TRICARE Prime, you and your family will have priority access to care right after active duty service members and active duty family members enrolled in TRICARE Prime. TRICARE Prime guarantees access to primary care in the MTF if you are enrolled to an MTF PCM.
If you decide to use TRICARE Extra or TRICARE Standard, you may continue to seek care in the MTF on a space-available basis.
Note: There are certain special provisions in the MTF access policy. Visit the TRICARE Web site at for more details.
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10. Transitioning from Active Duty to Retirement
Health Care Options
When you retire, you have new health care choices. While on active duty, you could only be enrolled in TRICARE Prime or TRICARE Prime Remote. Now you will have many of the same choices as your family members. This portion of our seminar will discuss you new health care options and explain differences that your family members will see after you retire.
Note: If you were enrolled in TRICARE Prime Remote and your family was enrolled in TRICARE Prime Remote for Active Duty Family Members, these options are no longer available to you.
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11. TRICARE Prime Enrollment fees Network provider fees
Individual: $230 per year
Families: $460 per year
Network provider fees
Outpatient visit: $12 copayment
Inpatient visit: $11 per day ($25 minimum)
Emergency services: $30 copayment
Behavioral health outpatient visit:
$25/individual
$17/group
Behavioral health inpatient visit: $40 per day
TRICARE Prime is your best option if you are residing in a TRICARE Prime Service area, so deciding where to live after you retire is an important decision. If you are taking a job that offers comprehensive health care, you should compare the employer-sponsored plan with TRICARE Prime and decide which offers the most coverage at the best value for you.
We mentioned the changes in TRICARE Prime earlier. It’s important to note that TRICARE Prime coverage for you and your family does not change. What we’ll highlight now are those things that do change.
To participate in TRICARE Prime, retirees and their family members pay annual enrollment fees of $230 for an individual or $460 for a family. Payments can be made in annual, quarterly, or monthly installments. If you enroll to the MTF, you will not pay any copayments for outpatient care in the MTF.
When enrolled to a network provider or visiting a network specialty provider, however, you are responsible for a small copayment per visit. Primary care services incur a $12 copayment for retirees and their family members. Check with your regional contractor for other copayment requirements or consult the TRICARE Choices booklet.
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12. Enrolling in TRICARE Prime
Your change in status—from active duty to retired—will cause a disenrollment from TRICARE Prime
You must re-enroll to continue your TRICARE Prime coverage
Make sure your information is reflected correctly in DEERS, then complete a new TRICARE Prime enrollment application to avoid a break in coverage
Include your enrollment fees with your new enrollment application
If you and your family were enrolled in TRICARE Prime while on active duty, your retirement will cause a disenrollment, and you must re-enroll to continue your coverage.
Once you submit your new TRICARE Prime enrollment application, TRICARE Prime enrollment is continuous. Each year at the time of your enrollment anniversary date, you are given the option to disenroll. You will be sent one letter and a Discontinuation form 30 days before your enrollment anniversary date. If you want to remain enrolled in TRICARE, you don’t have to do anything. However, if you or anyone in your family would like to discontinue enrollment in TRICARE Prime, indicate that on the form and return it to your regional contractor.
Note: Retirees could be disenrolled due to non-payment. In these cases, beneficiaries may be subject to a one-year lockout. For more information about how to re-enroll after failing to pay enrollment fees, retirees should contact their regional contractor.
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13. Enrollment Portability
Transfer TRICARE Prime enrollment from one TRICARE Region to another
Twice in a single enrollment year as long as second transfer is back to the original enrollment location
Select a new PCM in the new region
Update new address in DEERS
Enrollment portability allows you to transfer enrollment from one TRICARE region to another
When you move to a new TRICARE region, you need to transfer your enrollment to the new regional contractor and select a new PCM to avoid expensive point-of-service charges.
As a retiree, you and your family can transfer your enrollment to another TRICARE region twice in a single enrollment year as long as the second transfer is back to the original enrollment location.
When beneficiaries move, they need to update their address in the DEERS as soon as possible. 
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14. TRICARE Extra Preferred provider option (PPO) No enrollment required
Seek care from any TRICARE network provider
Responsible for annual deductibles and discounted cost-shares
Providers will file claims for you
May seek care in an MTF on a space-available basis
Active duty service members are not eligible to use TRICARE Extra. But, as a retired service member, you now have that option. If you decide not to enroll in TRICARE Prime, deciding to use TRICARE Extra is the next best choice for you.
TRICARE Extra is a preferred provider option (PPO). With TRICARE Extra, you choose civilian physicians and specialists from a list of providers who have joined the TRICARE network and have agreed to provide care at approved rates. Also, with TRICARE Extra, you must pay an annual deductible before TRICARE will begin sharing costs, after that deductible has been reached, you are responsible for discounted cost-shares—20 percent for retirees and their families.
Because network providers have contractually agreed to accept TRICARE’s negotiated rate as payment in full, you will not be responsible for any additional charges for covered benefits when using the TRICARE Extra option. Additionally, since you’ll be seeing a TRICARE network provider, you will not have to file your own claims.
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15. TRICARE Extra—Costs Annual deductible
$150 individual/$300 for family
Cost-shares after deductible has been met
20% of negotiated rate
Providers cannot charge more than the negotiated rate for services rendered
You are responsible for an annual deductible with TRICARE Extra each fiscal year (October 1–September 30). After your annual deductible has been met, your cost-share is 20 percent for TRICARE Extra. If your family members were using TRICARE Extra while you were still on active duty, they will notice a 5 percent increase (15 percent to 20 percent) upon your retirement.
Network providers are not allowed to balance bill, so you will only be responsible for your cost-share for the services rendered—they cannot bill for anything above the TRICARE allowable charge.
To locate a network provider and begin using TRICARE Extra, visit the provider directory online at or contact your regional contractor for assistance.
When using TRICARE Extra, you may continue to seek care in an MTF, which is usually available on a space-available basis. In many areas, space-available appointments are becoming increasingly difficult to obtain.
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16. TRICARE Standard Fee-for-service option No enrollment required
Seek care from any TRICARE-authorized provider
Responsible for annual deductibles and cost- shares—highest out-of-pocket expense
May have to pay provider then file claim for reimbursement
Another option now available to you is TRICARE Standard. TRICARE Standard offers the freedom for you to seek care from any TRICARE-authorized provider. After meeting an annual deductible, you will be responsible for a 25 percent cost-share—slightly higher than with TRICARE Extra.
You don’t have to enroll in TRICARE Standard; in most cases, you simply select your doctor at time of need, pay for services, and submit the paperwork to TRICARE for reimbursement for covered services.
When using TRICARE Standard, you may continue to seek care in an MTF, which is usually available on a space-available basis. In many areas, space-available appointments are becoming increasingly difficult to obtain.
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17. TRICARE Standard—Costs
Annual deductible
$150 individual/$300 for family
Cost-shares after deductible has been met
25% of allowed charges
May be responsible for up to 15% above the TRICARE allowable charge for services if providers do not participate in TRICARE
May have to pay provider then file claim for reimbursement
You are responsible for an annual deductible with TRICARE Standard each fiscal year (October 1–September 30). After your annual deductible has been met, your cost-share is 25 percent for TRICARE Standard—slightly higher than with TRICARE Extra. If your family members were using TRICARE Standard while you were still on active duty, they will notice a 5 percent increase (20 percent to 25 percent) upon your retirement.
In addition to your cost-share, you may be responsible for up to 15 percent above the TRICARE allowable charge for services if the provider does not participate in TRICARE.
You may also have to file your own claims if your provider does not participate in TRICARE.
The amount paid toward your deductible is listed on the Explanation of Benefits (EOB) statement. You receive this statement in the mail each time a claim is processed.
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18. TRICARE Extra vs. Standard
Any TRICARE network provider
Cost-share: 20% of negotiated rate - $202/day inpatient
Providers will file claims for you
Not responsible for additional charges for covered benefits
Standard
Any TRICARE-authorized provider
Cost-share: 25% of allowable charge - $535/day inpatient
May have to file claims
Nonparticipating providers may charge up to 15% above allowable charge for services
In comparing the two plans, the similarities are same deductible, no enrollment, and no monthly or annual premiums.The differences are:
Provider Type:
A network provider is first a TRICARE-authorized provider, then he/she is certified as a network provider.
TRICARE Extra—Network Provider (who is first TRICARE-authorized)
TRICARE Standard—TRICARE-authorized only
Cost-Share:
20 percent after meeting deductible for TRICARE Extra
25 percent for Standard and you may have to pay up to 15 percent above the TRICARE allowable charge if provider does not participate in TRICARE (TRICARE will not share the cost of this amount)
Both options allow for care at the MTF on a space-available basis. You do not have to use either of these options exclusively. You can use TRICARE Extra or TRICARE Standard together—depending on which type of provider you visit—network or TRICARE-authorized.
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19. Catastrophic Cap
Each fiscal year—$3,000 for all retirees and family members
TRICARE Prime
TRICARE Extra
TRICARE Standard
The catastrophic cap limits your out-of-pocket liability on copayments, cost-shares, and deductibles. The catastrophic cap for all retirees is as follows:
• Fiscal year (October 1–September 30)—$3,000
TRICARE Prime
TRICARE Extra
TRICARE Standard
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20. Transitioning from Active Duty to Retirement
Pharmacy Options
Your pharmacy coverage does not change when you retire.
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21. TRICARE Pharmacy Program
MTF Pharmacy
TRICARE Mail Order Pharmacy
TRICARE Retail Network Pharmacy
Non-network Retail Pharmacy
TRICARE provides a world-class pharmacy benefit. All TRICARE beneficiaries eligible for the TRICARE Pharmacy Program can fill prescription medications at MTF pharmacies, through the TRICARE Mail Order Pharmacy (TMOP) or at retail network and non-network pharmacies.
You must have your address and other information updated in DEERS. To have a prescription filled, you will need a written prescription and a valid uniformed services identification card.  
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22. MTF Pharmacies
Prescriptions may be filled at an MTF pharmacy at no charge (least costly to patient and Department of Defense) – no call-in or fax prescriptions to base pharmacy
If medication is in stock, it will be filled but best to call ahead
Up to 30-day supply for controlled substances
Up to 90-day supply for all other medications
MTF pharmacies will accept written prescriptions from any TRICARE-authorized provider
Prescriptions may be filled (up to a 90-day supply for most medications) at an MTF pharmacy free of charge. Each facility is required to make available the medications listed in the DoD Basic Core Formulary. The MTF, through its local pharmacy and therapeutics committee, may add additional medications to its local formulary based on the scope of care at that MTF.
You should contact your local MTF for specific details about filling and refilling prescriptions at its pharmacy. MTF pharmacies will accept written prescriptions from any TRICARE-authorized provider.
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23. TRICARE Mail Order Pharmacy (TMOP)
Convenient home delivery (FPO or APO for overseas locations)
Low Cost
Generic medication—$3 for up to a 90-day supply
Brand name medication—$9 for up to a 90-day supply
Non-formulary medication—$22 for up to a 90-day supply
Note: Up to a 30-day supply for controlled substances
Free Shipping and Handling
For more information:
Visit
1-866-DoD-TMOP ( )
TRICARE Mail Order Pharmacy is available for prescriptions that beneficiaries take on a regular basis. Beneficiaries may receive up to a 90-day supply for most medications. TMOP is administered by Express Scripts, Inc. Through this program, beneficiaries mail their health care provider’s written prescription, along with the appropriate copayment, to TMOP, and the medications will be sent directly to the beneficiary. Prescriptions may be refilled by mail, phone, or online.
NOTE: For non-formulary prescriptions, you are responsible for a $22 cost-share with TMOP. 
For more information about TMOP, you may visit the Express Scripts Web site at or call DoD-TMOP ( ).
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24. TRICARE Retail Pharmacy Network
May have prescriptions filled at a pharmacy in the TRICARE network
Portable across all regions—no claims to file
Generic medication—$3 per 30-day supply
Brand name medication—$9 per 30-day supply
Non-formulary medication—$22 per 30 day supply
Administered by Express Scripts, Inc.
Visit to locate a retail network pharmacy near you
1-866-DoD-TRRx ( )
Note: A 90-day supply from the TRICARE Retail Pharmacy Network requires three cost-shares to be paid
You may have prescriptions filled at any pharmacy in the TRICARE retail pharmacy network.
The retail pharmacy benefit is portable across all TRICARE regions. So, if you are traveling, you can visit any retail pharmacy in the network and have prescriptions filled for a small cost-share.
NOTE: For non-formulary prescriptions, you are responsible for a $22 copay in the TRICARE Retail Pharmacy Network.
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25. Non-Network Pharmacies
Most costly option
TRICARE Standard deductibles and cost-shares apply
TRICARE Prime point-of-service (POS) option applies for TRICARE Prime beneficiaries
May have to pay for prescription and file claim with Express Scripts for reimbursement
Filling prescriptions in non-network pharmacies is the most expensive option and is not recommended. Beneficiaries may have to pay for the total amount first and file a claim to receive a partial reimbursement. TRICARE Standard beneficiaries who use a non-network pharmacy are responsible for a deductible and cost-share.
TRICARE Standard
Active duty family members E-1–E-4: $50/individual or $100/family deductible; then $9 or 20 percent cost-share (whichever is greater) once deductible has been met
Active duty family members E-5 & above, retirees & their families: $150/individual or $300/family deductible; then $9 or 20% cost-share (whichever is greater) once deductible has been met
TRICARE Prime—Point of Service
Deductible: $300/individual or $600/family
Then 50 percent of the TRICARE allowable charge once deductible has been met
Note: For non-formulary medications, you will be responsible for a $22 cost-share or 20 percent, whichever is higher.
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26. Generic Drug Use Policy
Generic drugs will be substituted for brand names when available
Must justify medical necessity for brand name to be dispensed by submitting clinical documents for review
If generic equivalent drug does not exist the brand name drug will be dispensed
It is DoD's policy to substitute generic medications for brand name medications when available. Brand name drugs that have a generic equivalent may be dispensed only if the prescribing physician is able to justify medical necessity for use of the brand name drug in place of the generic equivalent. If a generic equivalent drug does not exist, the brand name drug will be dispensed at the brand name cost-shares.
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27. Drugs Requiring Prior Authorization
Certain medications require prior authorization
Per DoD contracts, some drugs must be dispensed from MTF or mail order pharmacy
TRICARE covers all FDA approved prescription drugs approved for outpatient use with some exclusions established by law
1-877-DoD-MEDS ( )
Certain medications require prior authorization before they can be obtained from a retail pharmacy under the TRICARE program. A prior authorization request is necessary to ensure that clinically appropriate treatment regimens are followed. Drugs that require prior authorization are usually medications that are not the first step in a treatment regimen. There are specific drugs for which DoD has awarded contracts with pharmaceutical manufacturers that apply to the MTF pharmacies and the mail order program. As a result, some drugs that can be obtained from a retail pharmacy cannot be obtained from MTF pharmacies or the mail order program. TRICARE covers all FDA approved prescription drugs approved for outpatient use with some exclusions established by law.
For a general list of prescription drugs that are covered under TRICARE’s outpatient pharmacy benefit and for drugs requiring prior authorization or quantity limits at TRICARE Retail Network Pharmacies, call toll-free at
1-877-DoD-MEDS ( ) or visit
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28. Pharmacy Data Transaction Service (PDTS)
Creates a global centralized data repository
Reduces the likelihood of adverse drug-to-drug interactions, therapeutic overlaps, and duplicate treatments
Conducts an online proactive clinical screening (drug interaction check)
This is done before it is dispensed to the patient, unless filled at a non-network pharmacy
The Pharmacy Data Transaction Service (PDTS) creates a global centralized data repository that records information about prescriptions filled for DoD beneficiaries at MTFs, the TRICARE retail pharmacy network, and TMOP.
PDTS improves the quality of prescription services and enhances patient safety by reducing the likelihood of adverse drug-to-drug interactions, therapeutic overlaps, and duplicate treatments across the highly transient population of active duty and retired beneficiaries.
PDTS conducts an online prospective drug utilization review (a clinical screening) against a beneficiary’s complete medication history for each new or refilled prescription in real-time before it is dispensed to the patient, unless filled at a non-network pharmacy.
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29. Other Health Insurance and Pharmacy
Other Health Insurance (OHI)-Primary/TRICARE-Secondary
If prescription drugs are covered by OHI— use that benefit then submit a claim to TRICARE
If prescription drugs are not covered by OHI, or if you have reached benefit cap—use the TRICARE TMOP or Retail Pharmacy benefits
If you have OHI, you are still eligible to use MTF pharmacies
By law, for all Pharmacy benefit payments, you must always file with your other health insurance (OHI) first.
So the OHI is the Primary payer and TRICARE pays secondary.
If prescription drugs are covered by OHI—use that benefit then submit a claim to TRICARE.
If prescription drugs are not covered by OHI, or if you have reached benefit cap—use the TRICARE TMOP or Retail Pharmacy benefits.
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30. Transitioning from Active Duty to Retirement
Dental Options
While on active duty, you received most of your dental care in military dental treatment facilities (DTFs). Now, as a retired service member your access to military DTFs will be extremely limited.
Your family members may have been enrolled in the TRICARE Dental Program (TDP). If so, they will no longer be eligible for the TDP when you retire.
TRICRE offers the TRICARE Retiree Dental Program for you and your family members.
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31. TRICARE Retiree Dental Program
Voluntary dental insurance program administered by the Federal Services division of Delta Dental Plan
Available to:
Retired service members and their eligible family members
Certain surviving family members of deceased active duty sponsors
Medal of Honor recipients and their immediate family members and survivors
The TRICARE Retiree Dental Program (TRDP) is a voluntary dental insurance program administered and underwritten by the Federal Services division of Delta Dental Plan (DDP) of California, located in Sacramento, California.
The TRDP offers comprehensive, cost-effective dental coverage for uniformed services retirees and their eligible family members, as well as certain surviving family members of deceased active duty sponsors, and Medal of Honor recipients and their immediate family members and survivors.
The retiree dental program requires that the sponsor be enrolled in order for family members to enroll unless the sponsor is 100 percent disabled, covered by his/her employer, or has a debilitating disease.
Other details of TRDP benefits, requirements, and restrictions can be found at the TRDP Web site at
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32. TRDP—Premiums Single $29.34* Two-person $56.77*
Family –three or more $95.03*
* 1 Oct 10 to 30 Sep 11
Two months premium when enrolling
Use allotment if desired
TRDP is a national, combined fee-for-service/preferred provider program that offer enrollees access to any licensed dentist in all 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, America Samoa, the Commonwealth of the North Mariana Islands, and Canada. With its current enrollment of 700,000, the TRDP is the nation’s largest voluntary, all enrollee paid dental plan.
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33. TRDP—Enrollment Delta Dental handles all enrollments
There is an initial 12-month commitment for new enrollees after which enrollment may be continued on a month-to-month basis
30-day grace period from the coverage effective date during which voluntary termination of enrollment is allowed without further enrollment obligation provided that no benefits have been used
Delta Dental handles all the enrollments. There is an initial 12-month commitment for new enrollees after which enrollment may be continued on a month-to-month basis. There is a 30-day grace period from the coverage effective date during which voluntary termination of enrollment is allowed without further enrollment obligation provided that no benefits have been used.
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34. TRDP—Costs Annual deductible Annual maximum coverage
$50 per person
$150 deductible cap per family
Annual maximum coverage
$1,200 per person
Deductible and maximum do not apply to:
Diagnostic and preventive services
Dental accident procedures or orthodontia
For more information: or
The annual deductible is $50 per person with a $150 deductible cap per family. The annual maximum coverage is $1,200 per person. The deductible and maximum do not apply to the diagnostic and preventive services or to dental accident procedures or orthodontia.
For more information about the TRICARE Retiree Dental Plan, call toll-free at , or visit DeltaSelect USA online at
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35. TRICARE National Resources
TRICARE Web Site
TRICARE Online
Your national information resources include the TRICARE Web site, and TRICARE Online.
At the TRICARE Web site, or you can consult TRICARE’s trusted online resource for the most up-to-date information about TRICARE. Learn about TRICARE program options, policies and guidance, and the latest news and events.
TRICARE Online or is the Department of Defense (DoD) Internet portal to TRICARE and health care information. TRICARE Online is available to all TRICARE beneficiaries. Registered users can even book appointments online.
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36. Important Telephone Numbers
DEERS
TRICARE Mail Order Pharmacy
(Express Scripts)
1-866-DoD-TMOP ( )
TRICARE Retail Pharmacy
1-866-DoD-TRRx ( )
Other important telephone numbers for you are:
DEERS
TRICARE Mail Order Pharmacy (Express Scripts) DoD-TMOP ( )
TRICARE Retail Pharmacy (Express Scripts) DoD-TRRx ( )
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37. TRICARE Regions 877-874-2273 888-874-9378 800-444-5445
TRICARE West Region—includes Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excluding Rock Island Arsenal), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (the southwestern corner including El Paso), Utah, Washington, and Wyoming. Contact TriWest at TRIWEST ( ),
TRICARE North Region—includes Connecticut, Delaware, the District of Columbia, Iowa (Rock Island Arsenal area)Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, North Carolina, Illinois, Indiana, Kentucky, Michigan, Missouri (St. Louis area), Ohio, Tennessee (Ft. Campbell area), West Virginia, and Wisconsin. Contact Health Net Federal Services at TRICARE ( ), s.com.
TRICARE South Region—includes Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee (excluding the Ft. Campbell area), Louisiana, Arkansas, Texas (excluding the El Paso area), and Oklahoma. Contact Humana Military Healthcare Services at ,
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38. TRICARE Regional Contractors
TRICARE North Region
Health Net Federal Services, Inc.
1-877-TRICARE ( )
TRICARE South Region
Humana Military Healthcare Services, Inc.
TRICARE West Region
TriWest Healthcare Alliance
1-888-TRIWEST ( )
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39. Questions???
- Visit the TRICARE Service Center located in the 19th Medical Group, Little Rock AFB
- Call Humana Military Healthcare Services at
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