How does Delta Dental Tricare coordinate benefits with other insurance plans?

Delta Dental Tricare often coordinates benefits with other insurance plans in a systematic manner to ensure that members receive the maximum possible coverage for dental services. When a member is enrolled in both Delta Dental Tricare and another insurance plan, the process typically involves the coordination of benefits, which determines the order in which claims are paid. Initially, the member's primary insurance plan is billed for the dental services provided. This primary payer is usually the one that covers the member as an employee or subscriber. Once the primary payor processes the claim and provides an explanation of benefits, the claim is sent to Delta Dental Tricare as the secondary payer. At this stage, Delta Dental Tricare reviews the claim and the payment made by the primary insurance. Delta Dental Tricare will then cover any remaining eligible expenses up to the limits set forth in their own plan guidelines. However, it is important to note that the total payments from both insurance plans cannot exceed the total cost of the dental services rendered. For specific details regarding individual cases or further inquiries, members are encouraged to refer to the current web page for relevant resources and contact information.