Basic and Restorative Services Clause Samples
The "Basic and Restorative Services" clause defines the types of dental treatments covered under an insurance plan that go beyond preventive care but are not considered major procedures. This typically includes services such as fillings, simple extractions, and repairs to existing dental work, as well as treatments aimed at restoring normal function and appearance of teeth. By clearly outlining which restorative procedures are included and under what conditions, this clause helps policyholders understand their coverage and reduces disputes over what dental work is eligible for reimbursement.
Basic and Restorative Services. Emergency Services (during office hours). 7.7.2.2 Pulp treatment.
Basic and Restorative Services. Fillings (restorations) – covered for primary or permanent teeth. Two types are covered: Pin Retention – Limit 1 time per 5 years. Covered as an addition to a restoration that is not combined with core build-up.