Cost-Shares
You'll pay cost-shares for covered dental services, as well as your monthly premiums. Your cost-shares depend on:
- Your sponsor's pay grade and
- Where you live, the CONUS Service Area or the OCONUS Service Area.
| 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 (Sealants included at 0% after May 1st, 2017) |
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% |
- Doesn’t apply to Selected Reserve and Individual Ready Reserve members (other than Special Mobilization Category) and their families. They will pay CONUS cost-shares.
- We fully cover space maintainers for posterior teeth for patients under age 19. We cover them at a 20% cost-shareA percentage of the total cost of a covered health care service that you pay. for patients under age 19 when replacing anterior teeth only. We cover sealants at 20% as noted above.
- Available for enrolled family members. We cover:
- Children up to age 21 or 23, based on your student status: >>Learn more
- Spouses up to age 23
- National Guard/Reserve sponsors up to age 23
Your dental coverage has specific limits and exclusions. You can get details at TRICARE Dental Program Benefit Booklet.