Common use of Alternate Services Clause in Contracts

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:  Care which is cosmetic;  Broken appointments;  Care covered under a medical plan provided by an employer or government;  Treatments for 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. Xxxxxx Xxxxxxx & Associates Ltd. 500 – 00 Xxxx Xxxxxxx Xxxxx, Xxxxxxxxx, Xxxxxxx X0X 0X0 416-234-5044 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Contact Centre: 000-000-0000 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Email: xxxx@xxxxxxxxxxxxx.xxx

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:  • Care which is cosmetic;  • Broken appointments;  • Care covered under a medical plan provided by an employer or government;  • Treatments for 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. Xxxxxx Xxxxxxx & Associates Ltd. 500 – 00 Xxxx Xxxxxxx Xxxxx, Xxxxxxxxx, Xxxxxxx X0X 0X0 416-234-5044 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Contact Centre: 000-000-0000 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Email: xxxx@xxxxxxxxxxxxx.xxx

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:  • Care which is cosmetic;  • Broken appointments;  • Care covered under a medical plan provided by an employer or government;  • Treatments for 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. Xxxxxx Xxxxxxx & Associates Ltd. 500 000 – 00 Xxxx Xxxxxxx Xxxxx, Xxxxxxxxx, Xxxxxxx X0X 0X0 416-234-5044 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Contact Centre: 000-000-0000 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Email: xxxx@xxxxxxxxxxxxx.xxx