At Kids Dental Pals & Orthodontics in Simi Valley, CA, we believe every child deserves high-quality dental care, including those covered under Department of Defense dental plans such as Tricare and the Active Duty Dental Program (ADDP). Although these plans often function as out-of-network (OON) coverage, we work to help military families navigate their benefits and ensure their children receive excellent care. Here’s what you should know about using Department of Defense dental benefits at our office.
What is Department of Defense Dental Insurance?
The Department of Defense offers dental insurance programs like Tricare and ADDP to support military families and active duty service members. These plans can help cover costs for preventive care, restorative treatments, and in some cases, orthodontics. While Kids Dental Pals may be considered out-of-network, we assist families in understanding how to use these benefits for their children’s dental care.
Department of Defense Dental Insurance Eligibility Criteria
Plan Type
Tricare and ADDP are government-managed plans with specific eligibility requirements for active duty members, dependents, and other beneficiaries.
Age Requirements
Most Department of Defense dental plans cover children and teens under age 21 or up to age 23 for full-time students, depending on the specific program.
Residency
Beneficiaries usually must reside in certain regions or be stationed in California to access benefits that can be applied toward care at our office.
Other Qualifications
Coverage can vary depending on military status, plan enrollment, and eligibility criteria. Our office can help clarify these details for your family.
Dental Services Covered by Department of Defense Plans
Department of Defense dental plans may cover a variety of pediatric dental services, including:
- Preventive Care: Exams, cleanings, fluoride treatments, and sealants
- Restorative Care: Fillings, crowns (including zirconia crowns), and space maintainers
- Orthodontic Care: Braces and other orthodontic treatments (varies greatly by plan)
- Emergency Dental Care: Tooth extractions and urgent dental services
Coverage specifics vary, especially for out-of-network care. Please contact us to confirm what your child’s plan covers.
How to Use Your Department of Defense Dental Insurance
Using Tricare or ADDP at Kids Dental Pals is possible, even if considered out-of-network:
- Online Tools: Log in to your Tricare or ADDP portal to review benefits and coverage rules.
- In-Person Assistance: Call our office, and we’ll help clarify how you can use your benefits at our practice and estimate any out-of-pocket costs.
- Bring Your Card: Bring your Tricare or ADDP information to your appointment for claim processing assistance.
While coverage may differ for out-of-network providers, we’ll work with you to ensure your child receives the care they need.
Why Choose Kids Dental Pals & Orthodontics?
We’re honored to serve military families in Simi Valley, CA. Even if your plan is out-of-network, our experienced pediatric dentists and orthodontists are dedicated to providing compassionate, kid-friendly care. We help military families navigate insurance complexities and make dental visits stress-free for children.
Schedule Your Appointment Today
If your child is covered under Tricare or ADDP dental insurance, they may still be eligible for many services at Kids Dental Pals & Orthodontics. Contact us in Simi Valley today to learn more or to schedule an appointment. Our team is ready to help ensure your child receives excellent dental care, no matter their coverage.
