DENTAL CARE AND TREATMENT. This Dental Care and Treatment provision applies to all [Members]. The following services are covered when rendered by a [Network] Practitioner [upon prior Referral by a [Member's] Primary Care Provider]. We cover: the diagnosis and treatment of oral tumors and cysts; and the surgical removal of bony impacted teeth. We also cover treatment of an Injury to natural teeth or the jaw, but only if: the Injury was not caused, directly or indirectly by biting or chewing; and all treatment is finished within 6 months of the later of: a) the date of the Injury; or b) The effective date of the [Member's] coverage under this Contract. Treatment includes replacing natural teeth lost due to such Injury. But in no event do We cover orthodontic treatment.
Appears in 7 contracts
Samples: Hmo Health Benefits Contract, Hmo Health Benefits Contract, Individual Health Maintenance Organization (Hmo) Contract