DIAGNOSTIC & PREVENTIVE SERVICES Clause Samples
The "Diagnostic & Preventive Services" clause defines the scope of dental or medical services that are focused on identifying health issues early and preventing future problems. Typically, this clause outlines which routine exams, cleanings, screenings, and preventive treatments are covered under an insurance plan or service agreement, often specifying frequency limits or eligibility criteria. Its core function is to ensure that individuals have access to essential preventive care, thereby reducing the likelihood of more serious and costly health issues developing later.
DIAGNOSTIC & PREVENTIVE SERVICES. 3.1.1 Oral Evaluations
DIAGNOSTIC & PREVENTIVE SERVICES. 100% (Deductible does not apply). Those dental ser- vices identified in the American Dental Association's Code on Dental Procedures and Nomenclature as Code #00100-00999, including: (a) initial, periodic or emergency clini- cal oral examinations; (b) Most dental radiographs including full mouth series, bitewing radiographs, and periapical radiographs; (c) Tests and laboratory examinations; (d) Dental prophylaxis (cleaning); (e) Topical application of fluoride; (f) Space maintenance therapy in primary and/or transitional (or mixed) dentition.
DIAGNOSTIC & PREVENTIVE SERVICES. 3.1.1 Oral Evaluations (Examinations)
3.1.2 X-rays
DIAGNOSTIC & PREVENTIVE SERVICES. Payable at 100% of usual, customary and reasonable charges at participating dentists: Initial oral exams - 1/36 months Periodic Oral exams – 2/Year Prophylaxis – 2/Year Topical application of fluoride - 2/Year to age 19 Space maintainers to age 19 X-rays Emergency Treatment
DIAGNOSTIC & PREVENTIVE SERVICES. 100% (Deductible does not apply). Those dental services identified in the American Dental Association's Code on Dental Procedures and Nomenclature as Code #00100-00999, including: (a) initial, periodic or emergency clinical oral examinations; (b) Most dental radiographs including full mouth series, bitewing radiographs, and periapical radiographs; (c) Tests and laboratory examinations; (d) Dental prophylaxis (cleaning); (e) Topical application of fluoride; (f) Space maintenance therapy in primary and/or transitional (or mixed) dentition.
DIAGNOSTIC & PREVENTIVE SERVICES. 3.1.1 Oral Evaluations We cover one (1) periodic oral evaluation or one (1) emergency oral evaluation per