How to Pay for Dental Care?

For a Guardsmen, the responsibility of finding and paying for care is up to the Guardsmen him/herself. Healthcare is always a cash business. If the SM has access to their own personal dental insurance, they are highly encouraged to use it.

What if I don’t have insurance?

In some instances, a SM may not have access to dental insurance, either by having an employer who doesn’t offer it or possibly not having civilian employment at all. There are a few alternatives

Hawaii Quest (Medicaid Fee-For-Service Program):

This is a “safety net” dental coverage for those who fall below a certain income threshold. Proof of income to qualify is necessary to enroll.

Dental services are provided by dentists who are enrolled to see Medicaid patients. You can call the Community Case Management Corp to find a dentist who accepts Medicaid:

  • Oʻahu: 808-792-1070
  • Neighbor Islands: 1-888-792-1070 toll-free

If you’re age 21 or older, effective 1/1/2023, your coverage includes:

  • Preventative Services
  • Diagnostic and Radiology Services
  • Endodontic Therapy Services
  • Restorative Services
  • Oral Surgery
  • Periodontal Therapy Services
  • Prosthodontic Services
  • Emergency and Palliative Treatment

To be eligible for this benefit program, you must be a resident of Hawaii and meet all the following:

  • Either 18 years of age and under or a primary care giver with a child(ren) 18 years of age and under.
  • A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S.
  • Uninsured (and ineligible for Medicaid).

To apply please follow the link below:

https://medical.mybenefits.hawaii.gov/home.html

Private insurance (through civilian employer or family member):

Please contact your private insurance provider to understand what is covered. If a SM has private dental insurance, this is the first method they should use to cover dental expenses.

TRICARE Reserve Select – TRICARE Dental Program:

National Guard members qualify for the Tricare Dental Program (TDP) under Tricare Reserve Select. This dental program is done through United Concordia. This is similar to having dental insurance through a civilian employer.

Enrollment can be done online, phone or through the mail. The current approximate cost is $15/month that comes out of your drill pay for $1500 in coverage/year.

Online:

Go to https://milconnect.dmdc.osd.mil/milconnect/

Click “Log On” at the top of page.

A Department of Defense Self-Service Login (DS Login) or Common Access Card (CAC) is needed.

Select the “Dental” tab to enroll in a dental plan.

Phone:

  • CONUS: 844-653-4061
  • OCONUS: 844-653-4060
  • OCONUS Toll: 717-888-7400

Mail:

Download the TRICARE Dental Program Enrollment/Change Authorization Form

Copy and paste below link in web browser to download:

https://www.uccitdp.com/content/dam/ucd/en/sites/uccitdp/branded/tdp/docs/member-tdp-enrollment-form101816bfillable.pdf

Mail form and first monthly premium to United Concordia.

United Concordia TRICARE Dental Program P.O. Box 645547 Pittsburgh, PA 15264-5253

Dental Vouchers

If HIARNG funding allows, a SM may be issued a treatment voucher that will 100% cover the required treatment.  This option is reserved for SMs who have no dental insurance at all.  Ask your Care Coordinator about this.