Dental Injury. When an Injury to whole and sound teeth is caused by a force or blow external to the mouth, and the Injury requires treatment, replacement or x-rays by a legally qualified dentist or oral surgeon, then the Insurer will pay the reasonable and necessary expenses incurred by the Insured Person. The total amount of payments made will not exceed the maximum as shown in the Schedule as a result of any one Accident. The following conditions apply: (a) the legally qualified dentist or oral surgeon cannot ordinarily reside in the Insured Person’s Residence and cannot be an Immediate Family Member of the Insured Person; and (b) the treatment, replacement or x-rays must be performed within 30 days from the date of the Injury; (c) any payments made under this section will be in accordance with the current Fee Guide for General Practitioners published by the Dental Association in the Insured Person's province of Residence; Capped or crowned teeth will, for the purposes of this policy, be considered whole and sound.
Appears in 3 contracts
Samples: Catastrophic Medical Insurance Policy, Multi Coverage Insurance Policy, Catastrophic Medical Insurance Policy
