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.