Active Duty Dental Plan ADDP Remote Dental Care

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Active Duty Dental Plan (ADDP)Remote Dental Care
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Am I Eligible?
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• If you are an Active Duty member or SELRES
  member (on orders for 31 days or more) and you
  live AND work 50 miles from a Coast Guard clinic
  or DoD Dental Treatment Facility (DTF), then you
  are eligible
• Once enrolled in TPR, you are automatically
  enrolled in the Remote Active Duty Dental Plan
  (ADDP)
• ADDP enrollment letter, additional information
  Remote ADDP Identification card will be mailed to
  you
• You must be enrolled in TRICARE Prime Remote
  (TPR)
• NOTE There may be some units that are not
  TPR but will be considered remote for dental. If
  you are unsure whether you are considered a
  remote member, please call United Concordia's
  Dental Care Finders at 1-866-984-ADDP (2337) or
  email addpdcf_at_ucci.com

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How do I schedule an appointment for routine care
such as exams, cleanings and fillings?
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• PREFERRED METHOD Call 1-866-984-ADDP (2337)
• OR
• Complete On-line Appointment scheduling
• by going to the ADSM portal of the ADDP Web
  site
• www.addp-ucci.com
• See slides 8 through 13

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Receiving specialty care and other private sector
dental care
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• Your dentist will need to obtain an authorization
  prior to you receiving dental care for
• Specialty care (e.g. crowns, bridges, dentures,
  root canals, periodontal treatment)
• Dental care in excess of 500 per procedure or
  appointment
• Dental care with a cumulative total greater than
  1,500 for treatment plans

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How Do I Request Authorization for Specialty
Care?

• To receive authorization, have your civilian
  dentist complete an Authorization Request Form.
• This form is available on the ADDP Web site in
  the Civilian Dentists portal for electronic
  completion and submission by the dentist. It can
  also be downloaded from the ADDP Web site and
  submitted via mail or fax.

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Authorization Approval Next Steps

• Upon authorization approval, you the civilian
  dentist will be notified and an appointment can
  be scheduled to initiate specialty care. The
  determination of the authorization request can
  take from to three to five business days.
• Procedures that are performed without
  authorization approval will not be covered by the
  ADDP.
• You your dentist should include your
  Appointment Control Number (ACN) on any
  communications and/or form submissions that are
  sent to United Concordia regarding your
  authorized private sector dental care.

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What if I have a dental emergency?
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• Emergency dental care for ADSMs may be obtained
  from any civilian dentist if their participating
  dentist is not available. However, follow up care
  with a non-network dentist is not authorized.
• Emergency dental care includes any treatment
  necessary to relieve pain, treat infection or
  control bleeding . Root canal treatment may be
  needed to relieve pain and infection and is
  considered emergency dental care. Permanent
  filling, crown, bridges, and denture services are
  not considered emergency dental care and
  therefore are not covered under emergency care.
• ADSMs who elect to receive non covered services
  as part of an episode of emergency dental care
  are responsible for payment of those additional
  services.
• It is recommended that the ADSM use a United
  Concordia Network dentist for emergency dental
  care whenever possible.

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On-line Scheduling of a Routine appointment
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• STEP 1 - You must get an Appointment Control
  Number (ACN) by completing an Appointment Request
  Form. The ACN is provided by United Concordia
  and must be obtained prior to receipt of all
  private sector dental care.
• The Appointment Request Form is available in the
  ADSM portal of the ADDP Web site in the Forms and
  Materials section.

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On-line Appointment Request Form Completion
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• It is your responsibility to complete the
  Appointment Request Form in its entirety.
• All required fields are marked with an asterisk
  () and must be completed before the form can be
  submitted.
• You may fill in the non-required fields with as
  much information as you have available, or simply
  leave them blank.

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On-line Appointment Request Form Completion

• The Appointment Request Form provides two
  options for appointment scheduling.
• The Who will be responsible for scheduling the
  appointment? field allows you to note whether
  you (ADSM) or United Concordia will make the
  appointment.

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What are my on-line scheduling options?
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• OPTION 1 UNITED CONCORDIA
• If you select the United Concordia option in the
  Who Will be Responsible for Scheduling the
  Appointment field, United Concordias Dental
  Care Finders will make the appointment for you
• You can enter the name and contact information of
  the dentist you would like to utilize or leave
  that area blank
• United Concordia will then call to make the
  appointment with you and a network dentist within
  two business days of the request
• If you would like to make an appointment
  immediately, call United Concordia at
  1-866-984-ADDP (2337) upon form submission
• United Concordia will ensure you are seen within
  21 calendar days of request for routine care and
  within 28 calendar days for specialty care

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What are my on-line scheduling options?

• OPTION 2 ADSM
• You can personally make an appointment with a
  United Concordia network dentist by selecting the
  ADSM option in the Who will be responsible for
  scheduling the appointment field on the form.
• You can enter the name and contact information of
  the dentist you would like to utilize or leave
  that area blank.
• You can also call United Concordia at
  1-866-984-ADDP (2337) for the list of three
  network dentists in your area. The list provided
  by United Concordia will also include your
  Appointment Control Number (ACN).
• You must wait until you receive the ACN from
  United Concordia before you can make your own
  appointment.

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On-line Appointment Request Form Submission

• Upon form submission, you will receive an
  Appointment Request Confirmation page which you
  should print for your records.
• United Concordia will then provide you with a
  list of three dentists, to include any that you
  requested, within three business days of form
  submission.

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United Concordia Contact Information
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Claims United Concordia Companies, Inc. ADDP
Claims P.O. Box 69429 Harrisburg, PA
17106-9429 Appeals United Concordia Companies,
Inc. ADDP Unit Appeals P.O. Box
69430 Harrisburg, PA 17106-9430 Grievances United
Concordia Companies, Inc. ADDP Unit
Grievances P.O. Box 69430 Harrisburg, PA
17106-9430

• ADDP Web site www.addp-ucci.com
• Dental Care Finders/Customer Service
• 1-866-984-ADDP (2337)
• 8 a.m. to 8 p.m. (ET) Monday through Friday
• 8 a.m. to 5 p.m. (ET) Saturday
• addpdcf_at_ucci.com
• Inquiries
• United Concordia Companies, Inc.
• ADDP Unit
• P.O. Box 69430
• Harrisburg, PA 17106-9430