Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months 2. Complete removable dentures, upper or lower, limited to one per 60 months 3. Pre-operative radiographs required 4. Pre-treatment estimate, as described in the Estimate of Eligible Benefits section is recommended for Members 5. Tissue conditioning prior to denture impression 6. Repairs to denture as required including; repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture
Appears in 10 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement, Individual Enrollment Agreement
Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months
2. Complete removable dentures, upper or lower, limited to one per 60 months
3. Pre-operative radiographs required
4. Pre-treatment estimate, as described in the Estimate of Eligible Benefits section is recommended for Members
5. Tissue conditioning prior to denture impression
6. Repairs to denture as required including; : repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture
Appears in 3 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement