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 profes- sionally adequate result. 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; correction, or for diagnosis or correction of a temporo- mandibular 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 ben- efit is discontinued. Charges up to the Benefit Maximum for: Diagnostic procedures, including models Therapy and appliances; and Correction or malocclusion This is a description of the covered benefits and not the policy. Eligible expenses and exclusions are outlined in the Teamsters Self Funded Health Care and Dental Care Plan Document. It is designed to tell you about the provisions of the benefits which are of most general interest. Not all of the Plan’s details are included. If you have any questions about the Plan rules or provisions, or if you would like to find out about any matter affecting your status in it, write to the Plan administrator: retire you continue Health Care and Dental Care Benefits for yourself and your eligible dependents, provided you have satisfied the eligibility provisions with a minimum of years of continuous plan participation and are between age and at retirement. to age if attending school).