DENTAL CARE AND TREATMENT. The following services are covered when rendered by a [Network] Practitioner [upon prior Referral by a [Member's] Primary Care Physician]. We cover: 1) the diagnosis and treatment of oral tumors and cysts; and 2) the surgical removal of bony impacted teeth. We also cover treatment of an Injury to natural teeth or the jaw, but only if: 1) the Injury was not caused, directly or indirectly by biting or chewing; and 2) 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. For a [Member] who is severely disabled or who is a Child under age 6, We cover:
Appears in 4 contracts
Samples: Hmo Health Benefits Contract, Hmo Contract, Hmo Contract
