Conditions and Limitations. Benefits are limited to Medically Necessary dental services such as restoration of the tooth or teeth or the initial placement of a bridge or denture to replace the tooth or teeth injured or lost as a direct and sole result of the accidental bodily injury. Except as listed here, or in Section 1.17 describing benefits for the treatment of cleft lip or cleft palate or both, or Section 2, Pediatric Dental Services, dental care is excluded from coverage. Benefits for oral surgery are described below.
Appears in 11 contracts
Samples: Student Health Plan Individual Enrollment Agreement, In Network Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan
Conditions and Limitations. Benefits are limited to Medically Necessary dental services such as a restoration of the tooth or teeth or the initial placement of a bridge or denture to replace the tooth or teeth injured or lost as a direct and sole result of the accidental bodily injury. Except as listed hereabove, or in Section 1.17 2.19 B, describing benefits for the treatment of cleft lip or and cleft palate or both, or Section 2, Pediatric Dental Servicespalate, dental care is excluded from coverage. Benefits for oral surgery are described below.
Appears in 2 contracts
Samples: Member Contract, Member Contract
