Common use of DENTAL CARE AND TREATMENT Clause in Contracts

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 Physician]. 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 date of the Injury. Treatment includes replacing natural teeth lost due to such Injury. But in no event do We cover orthodontic treatment.

Appears in 3 contracts

Samples: www.state.nj.us, www.nj.gov, liberty.state.nj.us

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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 PhysicianProvider]. 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 date of the Injury. Treatment includes replacing natural teeth lost due to such Injury. But in no event do We cover orthodontic treatment.

Appears in 1 contract

Samples: www.nj.gov

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