Magazine article The Exceptional Parent

Dental Care for Special Needs

Magazine article The Exceptional Parent

Dental Care for Special Needs

Article excerpt

Your little one is having some trouble eating because of a dental condition stemming from their disability. And you heard that dental coverage under TRICARE is extra money.

Well, not always.

If you're covered under TRICARE Prime, you might be able to receive "adjunctive dental care." This means that TRICARE may cover medically-necessary dental work to help treat a covered condition. That includes dental trauma from preparation for, or treatment of, an injury or disease caused by the treatment of a medically covered condition.

In Layman's terms? Whether it's autism, cerebral palsy or muscular dystrophy, sometimes your family member needs dental work because of a medical condition. And for that, TRICARE may cover you--without the need to purchase additional coverage.

Here are some examples of the adjunctive dental care TRICARE Prime may cover:

* Removal of teeth and tooth fragments to treat and repair facial trauma resulting from an injury;

* Treatment of a condition called "full ankyloglossia"--or complete tongue-tie--to ease feeding, swallowing or speaking difficulties;

* Dental or orthodontic care to correct a condition related directly to a severe birth defect;

* Dental care to prepare for, or as a result of, in-line radiation therapy for oral or facial cancer.

Before you can receive any adjunctive dental work through TRICARE, your medical care provider needs to receive prior authorization from your regional contractor. Your regional contractor is the company responsible for administering your TRICARE health benefits. …

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