Common use of Dental Benefits Clause in Contracts

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife Financial. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial may determine that payment for a less expensive procedure, which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, which will provide satisfactory results.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your y our Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Periodontal Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. - Crowns, Bridgework, Dentures Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife FinancialManulife. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses cours es of treatment and materials may vary considerably. Manulife Financial Maritime Life may determine that payment for a less expensive procedure, procedure which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, procedure which will provide satisfactory results. - Services or supplies not listed under Benefits. - Services or supplies for cosmetic purposes. - Charges for procedures or appliances connected with implants. - Services or supplies related to Temporomandibular Joint problems. - Charges incurred as a result of conditions arising from war, whether or not war was declared, from participation in any civil commotion, insurrection or riot, or while serving in the armed forces. - Charges incurred as a result of self-inflicted injury. - Charges incurred while committing, or attempting to commit, directly or indirectly, a criminal act under legislation in the jurisdiction where the act was committed. - Charges for the completion of claim forms or other documentation, or charges incurred for failing to keep a scheduled appointment or for transfer of medical files. - Charges for procedures in excess of those stated in the Fee Guide for General Practitioners, as shown on your Identification Certificate. - Services or supplies covered by any government plan. - Services completed after termination of coverage.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits Plan Document for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife Financial. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial may determine that payment for a less expensive procedure, which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, which will provide satisfactory results.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-co- payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. - Crowns, Bridgework, Dentures Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife FinancialManulife. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial may determine that payment for a less expensive procedure, procedure which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, procedure which will provide satisfactory results. - Services or supplies not listed under Benefits. - Services or supplies for cosmetic purposes. - Charges for procedures or appliances connected with implants. - Services or supplies related to Temporomandibular Joint problems. - Charges incurred as a result of conditions arising from war, whether or not war was declared, from participation in any civil commotion, insurrection or riot, or while serving in the armed forces. - Charges incurred as a result of self-inflicted injury. - Charges incurred while committing, or attempting to commit, directly or indirectly, a criminal act under legislation in the jurisdiction where the act was committed. - Charges for the completion of claim forms or other documentation, or charges incurred for failing to keep a scheduled appointment or for transfer of medical files. - Charges for procedures in excess of those stated in the Fee Guide for General Practitioners, as shown on your Identification Certificate. - Services or supplies covered by any government plan. - Services completed after termination of coverage.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits Plan Document for information regarding any deductible, co-payment or maximum benefit amounts. Examinations - includes complete and recall oral examinations once every six (6) months for persons up to and including age 12 and once every nine (9) months for persons over age 12. Panoramic films once every 9 months. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife Financial. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial may determine that payment for a less expensive procedure, which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, which will provide satisfactory results.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Periodontal Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. - Crowns, Bridgework, Dentures Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife FinancialManulife. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial Maritime Life may determine that payment for a less expensive procedure, procedure which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, procedure which will provide satisfactory results. - Services or supplies not listed under Benefits. - Services or supplies for cosmetic purposes. - Charges for procedures or appliances connected with implants. - Services or supplies related to Temporomandibular Joint problems. - Charges incurred as a result of conditions arising from war, whether or not war was declared, from participation in any civil commotion, insurrection or riot, or while serving in the armed forces. - Charges incurred as a result of self-inflicted injury. - Charges incurred while committing, or attempting to commit, directly or indirectly, a criminal act under legislation in the jurisdiction where the act was committed. - Charges for the completion of claim forms or other documentation, or charges incurred for failing to keep a scheduled appointment or for transfer of medical files. - Charges for procedures in excess of those stated in the Fee Guide for General Practitioners, as shown on your Identification Certificate. - Services or supplies covered by any government plan. - Services completed after termination of coverage.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife Financial. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial may determine that payment for a less expensive procedure, which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, which will provide satisfactory results.

Dental Benefits. The following provides a general description of the benefits available to you and your eligible dependents under this dental plan. A complete list of the specific procedures (and applicable limitations) can be found in the Master Contract held by your Employer. Payment for eligible benefits will be based on the monetary rates shown in the Dental Association Fee Guide applicable to your group plan. Refer to your Summary of Benefits for information regarding any deductible, co-payment or maximum benefit amounts. Endodontic Services - includes root canal therapy, surgical and emergency services Periodontic Services - includes periodontal surgery, root planning and occlusal equilibration Denture Repairs, Adjustments, Relining/Rebasing Prior to the commencement of orthodontic treatment, your dentist must prepare a report outlining the details with respect to malocclusion, diagnosis, proposed treatment and applicable fees. This treatment plan must be forwarded to Manulife Financial for review to establish the extent of the payable benefit. - Crowns, Bridgework, Dentures Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you should obtain from your dentist and submit to Manulife Financial a treatment plan outlining the procedures and charges. Your dentist may be requested to submit any relevant x-rays. Approval of the treatment plan should be obtained from Manulife Financial prior to commencement of treatment. After reviewing the plan, you will be advised of the amount payable by Manulife FinancialManulife. Where a range of fees, individual consideration or laboratory charges are included, Manulife Financial will determine the amount payable. The approved estimate will be honoured for a period of twelve months from the date of approval. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife Financial Maritime Life may determine that payment for a less expensive procedure, procedure which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife Financial and the dentist's charge is your responsibility. If you do not submit a treatment plan, Manulife Financial reserves the right to pay benefits based on the less expensive procedure, procedure which will provide satisfactory results. - Services or supplies not listed under Benefits. - Services or supplies for cosmetic purposes. - Charges for procedures or appliances connected with implants. - Services or supplies related to Temporomandibular Joint problems. - Charges incurred as a result of conditions arising from war, whether or not war was declared, from participation in any civil commotion, insurrection or riot, or while serving in the armed forces. - Charges incurred as a result of self-inflicted injury. - Charges incurred while committing, or attempting to commit, directly or indirectly, a criminal act under legislation in the jurisdiction where the act was committed. - Charges for the completion of claim forms or other documentation, or charges incurred for failing to keep a scheduled appointment or for transfer of medical files. - Charges for procedures in excess of those stated in the Fee Guide for General Practitioners, as shown on your Identification Certificate. - Services or supplies covered by any government plan. - Services completed after termination of coverage.