Answering Questions About Your Child’s Oral Health Coverage > TRICARE Newsroom > Articles
Taking care of your child’s oral health can be a stressful task. The decisions you make can affect their oral health for life. The TRICARE Dental Program (TDP) is here to help you make the right decisions about your child’s oral health care. You may have questions about how to use TDP to better care for your child’s teeth and gums.
Here are some questions and answers about your child’s dental coverage.
1. When should my child see the dentist for the first time?
The American Dental Association (ADA) recommends that children first visit the dentist within six months of the child’s first tooth appearing, but no later than the child’s first birthday. “As soon as your baby has teeth, he may have cavities,” according to the ADA.
Children under the age of 1 can be enrolled in the TDP at any time. The TDP covers two routine cleanings and two fluoride treatments for a consecutive 12-month period for children 1 year and older.
2. How often can my child go to the dentist for a routine cleaning and checkup?
Your child can visit the dentist for routine checkups and cleanings twice in any 12 month period.
3. How do I know if my child’s dental care is covered?
Always check with your dentist for treatments and ask for a predetermination when you need to know if a procedure is covered or not. A predetermination is a claim that the dentist submits before services are actually rendered for a proposed treatment plan for covered services. This will help you know how much you will have to pay for specific dental care. For more information on coverage, see the TRICARE Dental Program Manual. You can also call United Concordia or visit the TDP website to connect to your My account.
4. Should I enroll my child in DEERS?
Yes, you must first register your child in the Defense Enrollment Eligibility Reporting System (DEERS) before the child will receive TDP coverage. United Concordia uses DEERS to verify eligibility for dental benefits. This is true for any TRICARE program. See the article “Is your DEERS information up to date?” to learn more.
5. When will my adult child lose eligibility?
The adult children of a TRICARE sponsor will generally lose their TDP coverage after reaching age 21. However, there are exceptions. To remain eligible for TDP benefits after age 21, your adult child must be unmarried and enrolled full-time in an approved college. In addition, the child must receive at least 50% of the financial support from his sponsor. Adult children age 21 and older who are attending college remain eligible for TDP coverage until the last day of the month in which they turn 23 or until they graduate or finish school. their enrollment in university.
As indicated in the TRICARE Dental Program Manualunmarried children who have a disabling illness or injury occurring before their 21st birthday also remain eligible for TDP benefits until age 23. The same applies to adults who suffer an illness or injury between the ages of 21 and 23 while attending an approved institute of higher learning. learning.
Looking to keep up to date with the latest dental news? If so, read the latest issue of TRICARE Dental Program Health Matters Newsletter. In issue 1, you’ll learn about network dentists, tobacco and oral health, preventive dental care, and more. In case you missed it, be sure to check it out.