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United Concordia

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Plan Maximums

The TRICARE Dental Program has some limits on how much it will pay per person. 

The following applies to your plan maximum:

  • Only the allowed fee or your dentist's actual charge, if lower
  • This doesn’t include your cost share
  • Also, some dental services don’t apply to your maximum
  • You can download the TRICARE Dental Program Benefit Booklet for a complete list

Annual Maximum for Non-Orthodontic Services

Lifetime Maximum for Orthodontic Treatment

  • $1,750 per person
  • Orthodontic diagnostic services apply to the annual maximum, not the lifetime maximum

Annual Maximum for Accident Care

  • $1,200 per person
  • After you meet your accident care maximum, additional costs apply to the annual maximum

Last Updated 5/1/2017