Common use of Basic Care Clause in Contracts

Basic Care. The following are the expenses eligible for reimbursement and subject to the deductible coinsurance and maximums outlined in the Benefit Schedule, if applicable. (a) Diagnosis and Prevention (1) Clinical oral examination: • The initial full examination up to a maximum of one such examination per period of 60 consecutive months; • A recall or periodic examination, subject to 1 examination only for the period outlined in the Benefit Schedule; • Additional examinations or consultations (with the exception of orthodontic treatments); (2) X-rays: • One complete series of x-rays up to a maximum of one series per period of 36 consecutive months; • A panoramic x-ray up to a maximum of one film per period of 36 consecutive months; • Interproximal x-rays up to a maximum of one series of 2 units per period of 12 consecutive months; and • Intra-oral photograph up to a maximum of 4 per 12 consecutive months; (3) Laboratory tests; (4) Tooth polishing up to a maximum of 1 unit per period as outlined in the Benefit Schedule; (5) Topical fluoride application up to a maximum of 1 treatment per period as outlined in the Benefit Schedule up to age 16; (6) Scaling up to a maximum of 6 units per 12 consecutive months.

Basic Care. The following are the expenses eligible for reimbursement and subject to the deductible coinsurance and maximums outlined in the Benefit Schedule, if applicable. (a) Diagnosis and Prevention (1) Clinical oral examination: • The initial full examination up to a maximum of one such examination per period of 60 36 consecutive months; • A recall or periodic examination, subject to 1 examination only for the period outlined in the Benefit Schedule; • Additional examinations or consultations (with the exception of orthodontic treatments); (2) X-rays: • One complete series of x-rays up to a maximum of one series per period of 36 consecutive months; • A panoramic x-ray up to a maximum of one film per period of 36 consecutive months; • Interproximal x-rays up to a maximum of one series of 2 units per period of 12 consecutive months; and • Intra-oral photograph up to a maximum of 4 per 12 consecutive months; (3) Laboratory tests; (4) Tooth polishing up to a maximum of 1 unit per period as outlined in the Benefit Schedule; (5) Topical fluoride application up to a maximum of 1 treatment per period as outlined in the Benefit Schedule up to age 16; (6) Scaling up to a maximum of 6 2 units per 12 consecutive months.