Dental Anesthesia Sample Clauses

Dental Anesthesia. Benefits for general anesthesia and associated Hospital or ambulatory facility charges in conjunction with dental care provided to a Covered Person if the Covered Person:
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Dental Anesthesia. Benefits will be provided for anesthesia administered in connection with dental care treatment rendered in a Hospital or ambulatory surgical facility if: • A child is age 6 and under, • You have a chronic disability, or • You have a medical condition requiring hospitalization or general anesthesia for dental care. Services for general anesthesia provided by a dentist who has obtained a permit for the administration of anesthetics under the Illinois Dental Practice Act, in conjunction with dental care that is provided to a Covered Person in a dental office, oral surgeon's office, Hospital or ambulatory surgical treatment center will be provided if the Covered Person: • Is under age 26; and • Has been diagnosed with an Autism Spectrum Disorder or a disability. Note: A Covered Person must make two visits to the dental care Provider before accessing this coverage.
Sample 1
Dental Anesthesia. SAMPLE Benefits will include general anesthesia and services incurred at a Hospital or ambulatory surgical center for any Medically Necessary dental procedure when provided to a Covered Person who is:
Sample 1
Dental Anesthesia. Dental anesthesia and associated Hospital and facility charges provided to an Enrolled Dependent child when, in the opinion of the treating dentist, any of the following criteria apply: • A total of six or more teeth are extracted in various quadrants. • Dental treatment needs for which local anesthesia is ineffective because of acute infection, anatomic variation, or allergy. • Multiple extractions or multiple restorations for children under the age of seven. • The Enrolled Dependent child has a concurrent hazardous medical condition. • Extensive oral-facial and/or dental trauma for which treatment under local anesthesia would be ineffective or compromised. Benefits under this section are provided only for the anesthesia and related Hospital and facility charge. Benefits are not available for any other related dental procedure.
Sample 1

Related to Dental Anesthesia

  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

  • Medical Exams 18.1: The Sheriff's Department may require a physical and/or psychological exam by a doctor, at the Employer's expense, to determine the employee's ability to perform his/her regular duties, if deemed appropriate. The employee may obtain a second opinion, at the employee's expense, and in the event there is a dispute between the Employer's doctor and the employee's doctor, both of these doctors shall select a third doctor, whose decision shall be final and binding on the parties. The expense for the third doctor's opinion shall be split 50-50 by the Employer and the employee if not covered by the employee's insurance.

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