5 C.F.R. § 894.801
Am I eligible for FEDVIP based on my eligibility to enroll in a TRICARE dental or health plan?
Cite as 5 C.F.R. § 894.801 (2026)
(a) The U.S. Department of Defense (DOD) is responsible for regulating eligibility for obtaining medical and dental care under the TRICARE Program, pursuant to 10 U.S.C. chapter 55. The FEDVIP laws at 5 U.S.C. chapter 89A was amended by the National Defense Authorization Act for Fiscal Year 2017, Public Law 114-328, to allow individuals who were eligible for coverage under the TRICARE Retiree Dental Program (TRDP) in accordance with DOD rules to obtain dental coverage in a FEDVIP dental plan. Public Law 114-328 also added a provision allowing certain individuals who are concurrently enrolled for medical care in specified TRICARE health plans to obtain FEDVIP vision coverage.
(b) Categories of individuals who were eligible for TRDP and who are eligible to be covered under a FEDVIP dental plan are set forth in § 894.802. Categories of individuals who may be covered under specified TRICARE health plans and, if so covered, are eligible to be covered under a FEDVIP vision plan, are set forth in § 894.803. Individuals eligible for FEDVIP coverage are referred to as
TRICARE eligible individuals (TEI).
(c)(1) FEDVIP rules provide an
enrollee
with the right to select:
(i) A dental and/or a vision plan; and
(ii)
Type of enrollment
that may cover the eligible individual in a self only enrollment or the eligible individual with one or more
family members
in a self plus one or self and family enrollment.
(2) For
TRICARE eligible individuals (TEI),
this means that:
(i) If the
sponsor
is both a
TEI
and enrolled, the
sponsor
may be an
enrollee
and may cover the
sponsor
and
TEI family members
under the plan.
(ii) If a
sponsor
is not eligible to enroll (or pursuant to § 894.309(a)(3)(iii) is not enrolled), a
TEI
who is a
TEI family member
may self-certify to serve as
enrollee
instead, and may cover other
TEI family members.
(d) If a FEDVIP dental or vision plan has a specific geographic enrollment area,
TEI family members
must live or work in that area in order to be enrolled for coverage. An
enrollee
whose
TEI family members
are located in different geographic locations may select a plan that is nationwide/international in scope in order to obtain accessible coverage.
- Cross-references to the CFR
- 894.309894.802.894.803.