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Common use of Dentures Clause in Contracts

Dentures. 1. Partial removable dentures, upper or lower, limited to one (1) per sixty (60) months. 2. Complete removable dentures, upper or lower, limited to one (1) per sixty (60) months. 3. Pre-operative radiographs required. 4. Pre-treatment estimate, as described in Section 14.7F, Estimate of Eligible Benefits, is recommended. 5. Tissue conditioning prior to denture impression only. 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. 7. Adjust maxillofacial prosthetic appliance, by report, limited to one per six (6) months, per Member, per arch. 8. Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments, limited to one per six (6) months, per Member, per arch.

Appears in 4 contracts

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

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Dentures. 1. Partial removable dentures, upper or lower, limited to one (1) per sixty (60) months. 2. Complete removable dentures, upper or lower, limited to one (1) per sixty (60) months. 3. Pre-operative radiographs required. 4. Pre-treatment estimate, as described in Section 14.7F15.5F, Estimate of Eligible Benefits, is recommended. 5. Tissue conditioning prior to denture impression only. 6. Repairs to denture as required including: 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. 7. Adjust maxillofacial prosthetic appliance, by report, limited to one per six (6) months, per Member, per arch. 8. Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments, limited to one per six (6) months, per Member, per arch. 9. Rebase dentures, complete and partial, limited to one per 24 months after the six months following initial placement. 10. Reline dentures, complete and partial, allowed after the six months following initial placement. 11. Overdentures, complete and partial.

Appears in 1 contract

Samples: Individual Enrollment Agreement for a Qualified Health Plan

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