Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations No amount will be paid for charges for: - Dental care which is cosmetic; - Broken appointments; - Dental care covered under a medical plan provided by an employer or government; - Which, in the absence of insurance, there would be no charge; - Stainless steel crowns on permanent teeth; - Oral hygiene instruction or nutritional counselling; - Protective athletic appliances; - A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; - Replacement of lost or stolen prostheses; or replacement of bridgework - Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. EMERGENCY OUT OF COUNTRY MEDICAL COVERAGE: 100% for emergency medical, doctor’s fees, hospital charges etc. over and above OHIP. There is a $5,000,000 lifetime maximum for each covered person. Trips are limited to a maximum of sixty (60) consecutive days. This coverage terminates at age 70. The coverage is outlined in the policy.
Appears in 5 contracts
Samples: Collective Agreement, Of Agreement, Collective Agreement
