Common use of Dentures Clause in Contracts

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 D. Fixed prosthetics, including bridges and crowns, inlays and onlays used as abutments for or as a unit of the bridge limited to one per tooth per 60 months SAMPLE E. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placement F. Repair of prosthetic appliances, including fixed bridges, and removable dentures, full and/or partial. No limitations for Members under age 19. For Members over age 19, benefit limited to once in any twelve (12) month period per specific area of the appliance. G. Repair of prosthetic appliances and removable dentures, full and/or partial. X. Xxxxxxxx guard, by report, limited to one per 12 months for Members age 13 and older.

Appears in 3 contracts

Samples: Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan

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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 denturedenture SAMPLE D. Fixed prosthetics, including bridges and crowns, inlays and onlays used as abutments for or as a unit of the bridge limited to one per tooth per 60 months SAMPLEmonths E. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placement F. Repair of prosthetic appliances, including fixed bridges, and removable dentures, full and/or partial. No limitations for Members under age 19. For Members over age 19, benefit limited to once in any twelve (12) month period per specific area of the appliance. G. Repair of prosthetic appliances and removable dentures, full and/or partial. X. Xxxxxxxx H. Occlusal guard, by report, limited to one per 12 months for Members age 13 and older.

Appears in 1 contract

Samples: Individual Enrollment Agreement for a Qualified Health Plan

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 D. Fixed prosthetics, including bridges and crowns, inlays and onlays used as abutments for or as a unit of the bridge limited to one per tooth per 60 months SAMPLEmonths E. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placementplacement Sample F. Repair of prosthetic appliances, including fixed bridges, and removable dentures, full and/or partial. No limitations for Members under age 19. For Members over age 19, benefit limited to once in any twelve (12) month period per specific area of the appliance. G. Repair of prosthetic appliances and removable dentures, full and/or partial. X. Xxxxxxxx H. Occlusal guard, by report, limited to one per 12 months for Members age 13 and older.

Appears in 1 contract

Samples: Individual Enrollment Agreement for a Qualified Health Plan

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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 D. Fixed prosthetics, including bridges and crowns, inlays and onlays used as abutments for or as a unit of the bridge limited to one per tooth per 60 months SAMPLEmonths E. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placement F. Repair of prosthetic appliances, including fixed bridges, and removable dentures, full and/or partial. No limitations for Members under age 19. For Members over age 19, benefit limited to once in any twelve (12) month period per specific area of the appliance. G. Repair of prosthetic appliances and removable dentures, full and/or partial. X. Xxxxxxxx H. Occlusal guard, by report, limited to one per 12 months for Members age 13 and older.

Appears in 1 contract

Samples: Individual Enrollment Agreement

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