It's High Time You Realized...
You Are NOT Alone!
For more support...
What is TRICARE?
TRICARE is the managed health care program serving active and retired military personnel, their families, and certain other beneficiaries. Only those individuals registered with DEERS are eligible for TRICARE.
TRICARE Coverage Relating to
Cleft Lip and Palate
Tricare Coverage as it relates to cleft lip/palate
Hearing Aids and Exams (from Exclusions section)
Hearing Aids - There is an exception under the Program for Persons with Disabilities. (See the section titled “Program for Persons with Disabilities.”). Hearing Examinations - They are not covered unless it is connection with surgery or some medical problem or under the Program for Persons with Disabilities. But there are hearing examinations under the well-child care benefit.
Orthodontia - Exceptions exist in limited cases, such as when related to the surgical correction of a cleft palate.
Speech Therapy - Speech therapist services are authorized when prescribed by a physician and are part of treatment for the physical defect, and not part of any educational or occupational deficit.
What if we are referred to a cleft/craniofacial team or other specialist far from home?
Important Contacts and
More Useful Links
US Department of Defense Article
Specialized Training of Military Parents
Sierra Vista Office (520) 249-3775
Fort Campbell, KY Regional Office (270) 640-9000
Collect calls accepted f
rom anywhere in the world.
6316 So. 12th Street
Tacoma, WA 98465
Phone: (253) 565-2266
Fax: (253) 566-8052
This is Your Chance to Educate Others
While You Educate Yourself!
Do you remember what it was like when your baby was born, or your adopted child came home, or you discovered through ultrasound that your child would have a cleft?
Become a Pathfinder!
The Pathfinder Program will help you to establish and maintain an outreach/support network in your area. There are no hard, fast rules...just an outline easily tailored to your local needs and a springboard to get started. Sign up here!
Then join us for our Pathfinder Overview and Training via LIVE Webinar!
Second Monday of Every Month!
1:00 PM Eastern
The tWebinar is FREE; however parties are responsible
for their own long-distance charges.
In addition to learning about feeding, surgery, recovery and more, our military families are faced with a unique maze of insurance and administrative requirements. Here are links to the most important and most widely-used military sites to help navigate the system.
Thanks to the many cleftAdvocate military families who contributed to this information! If you have a link to add, please contact us!
What is DEERS?
Visit your military installation's personnel office, access the DEERS website, or update your records using this toll-free number: 1-800-538-9552
Also remember to contact DEERS when you have a change of address, or your family status changes through marriage or divorce.
What is EFMP?
The Exceptional Family Member Program (EFMP) is a mandatory program for all active duty personnel. EFMP identifies family members with medical and/or educational special needs and considers those needs when considering assignment locations.
Social Services/Federal Programs
Federal law governs your child's education and special needs.
NOTE: If you live in the US on an installation that has no DoD school, or off an installation, you must contact the local Part C provider to access services. See our Resources map for more information.
Thank you for your dedicated service!
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This cleftAdvocate page was last updated March 25, 2014
Navigating the Military Health Care System