Are children's vision and dental exams covered differently?
Quick Answer
Children's vision exams for medical necessity are covered by TRICARE. Pediatric dental requires TDP enrollment with preventive care fully covered.
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Key Takeaways
- Medical vision covered
- Dental requires TDP enrollment
- Preventive dental 100% covered
- Well-child includes screenings
Detailed Answer
Children have specific vision and dental coverage.
Pediatric Vision (TRICARE)
- Medical eye exams covered
- Vision screening at well-child
- Conditions like strabismus
- Medical necessity required
- Glasses NOT covered
Pediatric Dental (TDP)
- Must enroll in TDP
- Preventive: 100% covered
- Sealants covered
- Fluoride treatments
- Orthodontics available
Well-Child Visits
- Vision screening included
- Dental referral provided
- Developmental screening
- Hearing screening
Recommended Schedule
- First dental visit by age 1
- Regular cleanings every 6 months
- Eye exam if concerns
- Follow pediatrician guidance
FEDVIP for Children
- Covers routine vision
- Glasses and contacts
- Additional option
- Separate enrollment
Related Questions
What is the TRICARE Dental Program (TDP)?
TDP is a separate dental insurance program for military families managed by United Concordia. It covers preventive care, basic services, and major procedures.
Does TRICARE cover vision and eye exams?
TRICARE covers eye exams for medical conditions but not routine vision care. Glasses and contacts are not covered for most beneficiaries.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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