2.1.1 ADDP Eligibility
2.1.1.1 All Service
members of the Uniformed Services (excluding Public Health Service
(PHS), who are on continuous active duty orders for more than 30
days are eligible to receive ADDP dental coverage, subject to the
requirements and limitations provided in the ADDP.
2.1.1.2 Who have a duty
location and residence greater than 50 miles from a Dental Treatment Facility
(DTF) are automatically eligible for RADDP benefits.
2.1.1.3 National
Guard (NG)/Reserve members that serve on continuous active duty
for more than 30 days are considered Service members. NG members
are only TRICARE eligible if on federally funded orders for more
than 30 days. If the NG member is on state orders, they are not
eligible for TRICARE. The NG will determine if the orders qualify
for TRICARE.
2.1.1.4 Reserve Component
(RC) members (which includes NG) who are issued delayed-effective-date
active duty orders for more than 30 days in support of a contingency
operation are eligible for ADDP as defined in Department of Defense
Instruction (DoDI) 7730.54.
2.1.1.5 A Line of Duty
investigation is for RC members who incur or aggravate an injury,
illness or disease while serving on active duty for 30 days or less
as defined in DoDI 1241.2.
2.1.1.6 Foreign Force
Members (FFMs) who are on temporary or permanent assignment in the ADDP
geographic regions may be eligible to participate in the ADDP pursuant
to an approved agreement (e.g. reciprocal health care agreement,
North Atlantic Treaty Organization (NATO) Status of Forces Agreement
(SOFA), Partnership for Peace (PFP) SOFA).
2.1.2 Enrollment
Requirements (Unique)
2.1.2.1 Service members
whose permanent duty location and/or residence is less than 50 miles from
a DTF are automatically eligible for ADDP benefits and do not require
enrollment.
2.1.2.2 Within
the ADDP there are three types of Dental Coverage Plans that require
enrollment. The RADDP plans are:
2.1.2.2.1 RADDP For Service Members Enrolled In
TRICARE Prime Remote (TPR)
Eligibility
to enroll in medical TPR requires that the Service member’s permanent
duty location and residence be more than 50 miles from a Military
Treatment Facility (MTF)/Enhanced Multi-Service Market (eMSM) or
designated clinic. DEERS will systematically enroll, disenroll,
and maintain enrollments into the RADDP for Service members enrolled
in TPR coverage plan based on the Service member’s medical TPR enrollment.
Service members living in a TPR location must enroll in a medical TPR
coverage plan to be enrolled in RADDP.
2.1.2.2.2 RADDP For Service Members Not Eligible
For TPR
An Service member whose permanent
duty location and/or residence is less than 50 miles from an MTF/eMSM
or designated clinic is not eligible to enroll in TPR. If the Service
member’s permanent duty location and residence is within 50 miles
of an MTF/eMSM but more than 50 miles from a DTF, he or she will
not be automatically enrolled into RADDP, but the ADDP contractor
will be able to manually enroll the Service member into the RADDP.
The ADDP contractor will be required to verify the coverage plan,
and correct the enrollment begin date if it is different than the
Government furnished web-based enrollment system/application default.
2.1.2.2.3 Automatic
Enrollment in RADDP For National Oceanic And Atmospheric Administration
(NOAA)
All NOAA active duty Service members
will be eligible for RADDP. DEERS will systematically enroll, disenroll,
and maintain enrollments into the RADDP for NOAA active duty Service members.
2.1.2.3 When enrolling
an Service member into RADDP, the Government furnished web-based enrollment
system/application will require the effective dates of the enrollment.
Enrollments may be established with past effective dates, the current
date, or future effective dates. The enrollment period cannot exceed
the end of eligibility, nor precede the eligibility begin date.
DEERS will ensure that the coverage plan sent with an enrollment
is valid based upon the assigned eligibility.