Diagnostic and Preventive Benefits Sample Clauses

Diagnostic and Preventive Benefits. Diagnostic Procedures to assist the Provider in choosing required dental treatment Preventive Cleaning (periodontal cleaning in the presence of gingival inflammation is considered to be periodontal (a Basic Benefit) for payment purposes), topical application of fluoride solutions and space maintainers. Oral Surgery Extractions and other surgical procedures (including pre-and post- operative care.) General Anesthesia or IV Sedation When administered for covered oral surgery or selected endodontic and periodontal surgical procedures. Endodontics Treatment of the tooth pulp Periodontics Treatment of gums and bones and supporting teeth Palliative Treatment to relieve pain Sealants Topically applied acrylic, plastic or composite materials used to seal developmental grooves and pits in permanent molars for the purpose of preventing decay. Restorative Amalgam, synthetic porcelain, plastic fillings and prefabricated stainless steel restorations for treatment of carious lesions (visible destruction of hard tooth structure resulting from the process of decay). Denture repairs Repair to partial or complete dentures including rebase procedures and relining Crowns, Inlays/Onlays and Cast Restorations Treatment of carious lesions (visible decay of the hard tooth structure) when teeth cannot be restored with amalgam, synthetic porcelain or plastic fillings. Prosthodontics Procedures for construction or of fixed bridges, partial or completed dentures and the repair of fixed bridges. D0120 D1352 D2652 D2952 D4263 D5711 D6607 D7320 D7610 D9940 D0140 D1353 D2662 D2953 D4264 D5720 D6624 D7321 D7620 D9951 D0145 D1510 D2663 D2954 D4266 D5721 D6634 D7340 D7960 D9999 D0150 D1515 D2664 D2957 D4267 D5730 D6720 D7350 D7970 D0160 D1520 D2710 D3220 D4270 D5731 D6721 D7410 D7971 D0170 D1525 D2712 D3221 D4273 D5740 D6722 D7411 D7980 D0171 D1550 D2720 D3222 D4277 D5741 D6750 D7412 D7981 D0180 D1555 D2721 D3230 D4278 D5750 D6751 D7413 D7982 D0190 D2140 D2722 D3240 D4341 D5751 D6752 D7414 D7983 D0191 D2150 D2740 D3310 D4342 D5760 D6780 D7450 D7999 D0210 D2160 D2750 D3320 D4355 D5761 D6781 D7451 D8010 D0220 D2161 D2751 D3330 D4910 D5820 D6782 D7460 D8020 D0230 D2330 D2752 D3333 D5110 D5821 D6790 D7461 D8030 D0240 D2331 D2780 D3346 D5120 D5850 D6791 D7465 D8040 D0250 D2332 D2781 D3347 D5130 D5851 D6792 D7471 D8050 D0260 D2335 D2782 D3348 D5140 D5863 D6794 D7510 D8060 D0270 D2390 D2783 D3351 D5211 D5864 D6930 D7520 D8070 D0272 D2391 D2790 D3352 D5212 D5866 D6940 D7530 D8080 D0273 D2392 D2791 ...
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Diagnostic and Preventive Benefits. Delta agrees to satisfy the applicable percentage shown in Appendix A of the Dentist's Usual, Customary, and Reasonable fees or of the Fees Actually Charged, whichever is less, for the following Diagnostic and Preventive Benefits: Diagnostic - oral examinations x-rays diagnostic casts biopsy/tissue examination emergency palliative treatment specialist consultation Preventive - Cleaning (prophylaxis) topical application of fluoride solution space maintainers
Diagnostic and Preventive Benefits. Applicable to divisions 0012, 0013, 0014, 0015, 0017, 0018, 1012, 1013, 1014, 1017, 1018, 2012, 2013, 2014, 2017, 2018 and 2112
Diagnostic and Preventive Benefits. Delta Dental agrees to pay the percentage listed in Appendix C of the Dentist’s Usual, Customary and Reasonable fees or the Fee Actually Charged, whichever is less, or the percentage listed in Appendix C of the Delta Dental PPO Dentist’s Fee for the following Diagnostic and Preventive Benefits: Diagnostic- oral examinations x-rays diagnostic casts examination of biopsied tissue palliative (emergency) treatment of dental pain specialist consultation Preventive- prophylaxis (cleaning) topical application of fluoride solution space maintainers

Related to Diagnostic and Preventive Benefits

  • Diagnostic procedures to aid the Provider in determining required dental treatment.

  • TREATMENT OF FRINGE BENEFITS The fringe benefits are charged using the rate(s) listed in the Fringe Benefits Section of this Agreement. The fringe benefits included in the rate(s) are listed below. Vacation, holiday, sick leave pay and other paid absences are included in salaries and wages and are claimed on grants, contracts and other agreements as part of the normal cost for salaries and wages. Separate claims are not made for the cost of these paid absences.

  • Preventive Care This plan covers preventive care as described below. “

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Exclusive Benefits Except as expressly provided in this Section 4 and subject to Section 5 hereof, the Executive shall not be entitled to any additional payments or benefits upon or in connection with the Executive’s termination of employment.

  • Extended Health Care Benefits The City will provide for all employees by contract through an insurer selected by the City an Extended Health Care Plan which will provide extended health care benefits. The City shall pay one hundred per cent (100%) of the premiums, which will include any premiums payable under The Health Insurance Act, R.S.O. 1990, as amended.

  • Diagnostic Services All necessary procedures to assist the dentist in evaluating the existing conditions to determine the required dental treatment, including: Oral examinations Consultations

  • Rights Protection Mechanisms and Abuse Mitigation ­‐ Registry Operator commits to implementing and performing the following protections for the TLD: i. In order to help registrars and registrants identify inaccurate data in the Whois database, Registry Operator will audit Whois data for accuracy on a statistically significant basis (this commitment will be considered satisfied by virtue of and for so long as ICANN conducts such audits). ii. Work with registrars and registrants to remediate inaccurate Whois data to help ensure a more accurate Whois database. Registry Operator reserves the right to cancel a domain name registration on the basis of inaccurate data, if necessary. iii. Establish and maintain a Domains Protected Marks List (DPML), a trademark protection service that allows rights holders to reserve registration of exact match trademark terms and terms that contain their trademarks across all gTLDs administered by Registry Operator under certain terms and conditions. iv. At no cost to trademark holders, establish and maintain a Claims Plus service, which is a notice protection mechanism that begins at the end of ICANN’s mandated Trademark Claims period. v. Bind registrants to terms of use that define and prohibit illegal or abusive activity. vi. Limit the use of proxy and privacy registration services in cases of malfeasance. vii. Consistent with the terms of this Registry Agreement, reserve the right to exclude from distribution any registrars with a history of non-­‐compliance with the terms of the Registrar Accreditation Agreement. viii. Registry Operator will be properly resourced to perform these protections.

  • Patient Care Resident shall participate in safe, effective, and compassionate patient care, under supervision, commensurate with Resident's level of advancement and responsibility.

  • Health Care Benefits A. Each regular, full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans: 1. Blue Cross/Blue Shield of Michigan Flexible Blue 3 with Flexible Blue Rx Prescription Drug Coverage with a Health Savings Account (hereinafter collectively referred to as the “H.S.A Plan”). The Employer shall pay for the illustrated premium cost of this coverage and make an annual contribution to each participating employee’s Health Savings Account in the amount of $500 for those selecting single coverage and $1,000 for those selecting Employee & Spouse, Employee Child(ren) or Family coverage, or the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the lesser Employer contribution to the cost of such plan. Employees may, at their option, make additional contributions through bi-weekly pre-tax payroll deduction as permitted by applicable law. 2. Blue Cross/Blue Shield of Michigan Community Blue PPO Option 3 Revised Plan with Blue Preferred Rx Prescription Drug Coverage with a 50% co-pay ($5 floor and a $50 ceiling). Employees shall pay the difference between the illustrated premium cost of this coverage and the amount of the Employer’s total contribution towards the cost of coverage under the H.S.A. Plan as described in Section 1 (a) (1), for the same level of benefit (i.e. single, employee/spouse, employee/child(ren) and family), or pay the difference between the total cost of such coverage and the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the greater employee contribution. 3. Blue Cross/Blue Shield of Michigan Community Blue PPO Option 6 Revised Plan with Blue Preferred Rx Prescription Drug Coverage with a 50% co-pay ($5 floor and a $50 ceiling). Employees shall pay the difference between the illustrated premium cost of this coverage and the amount of the Employer’s total contribution towards the cost of coverage under the H.S.A. Plan as described in Section 1 (a) (1), for the same level of benefit (i.e. single, employee/spouse, employee/child(ren) and family), or pay the difference between the total cost of such coverage and the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the greater employee contribution. (a) All coverage under any of the foregoing plans shall be subject to such terms, conditions, exclusions, limitations, deductibles, co-payments premium cost-sharing, and other provisions of the plans. Coverage shall commence on the employee’s ninetieth (90th) day of continuous employment. The employee’s contribution to the cost of such coverage shall be payable on a bi-weekly basis through automatic payroll deduction. (b) To qualify for health care benefits as above described each employee must individually enroll and make proper application for such benefits at the Human Resources Department upon the commencement of his regular employment with the Employer. (c) Except as otherwise provided under the Family and Medical Leave Act, when on an authorized unpaid leave of absence of more than two weeks, the employee will be responsible for paying all his benefit costs for the period he is not on the active payroll. Proper application and arrangements for the payment of such continued benefits must be made at the Human Resources Department prior to the commencement of the leave. If such application and arrangements are not made as herein described, the employee's health care benefits shall automatically terminate upon the effective date of the unpaid leave of absence. (d) Except as otherwise provided under this Agreement and/or under COBRA, an employee's health care benefits shall terminate on the date the employee goes on a leave of absence for more than two weeks, terminates, retires or is laid off. Upon return from a leave of absence or layoff, an employee's health care benefits coverage shall be reinstated commencing with the employee's return. (e) An employee who is on layoff or leave of absence for more than two weeks or who terminates may elect under COBRA to continue the coverage herein provided at his own expense. (f) The Employer reserves the right to change a carrier(s), a plan(s), and/or the manner in which it provides the above benefits, provided that the benefits and conditions are equal to or better than the benefits and conditions outlined above. (g) To be eligible for health care benefits as provided above, an employee must document all coverage available to him under his spouse's medical plan and cooperate in the coordination of coverage to limit the Employer's expense. If an employee’s spouse or eligible dependent children work for an employer who provides medical coverage, they are required to elect medical coverage with their employer, so long as the spouse’s or monthly contribution to the premium does not exceed 20% of the total premium cost of said coverage. The Monroe County Plan shall provide secondary coverage. (h) Each employee is responsible for notifying the Human Resources Department of any change in his status, which might affect his insurance coverage or benefits, such as, marriage, divorce, births, adoptions, deaths, etc.

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