In an Office. If you receive the dentally necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 23 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
In an Office. If you receive the dentally necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 11 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
In an Office. If you receive the dentally medically necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally Medically necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 10 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
In an Office. If you receive the dentally medically necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally Medically necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 8 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
In an Office. If you receive the dentally medically necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally Medically necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We This agreement will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 4 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
In an Office. If you receive the dentally medically necessary services due to an accidental injury to your sound natural teeth in a doctor/dentist’s office, you are responsible for any applicable office visit copayment. See the Summary of Medical Benefits for details. Dentally Medically necessary services are covered when received within seventy-two (72) hours of an accidental injury to your sound natural teeth. The following services are covered: • Extraction of teeth needed to avoid infection of teeth damaged in the injury; • Suturing; • Reimplanting and stabilization of dislodged teeth; • Repositioning and stabilization of partly dislodged teeth; and • Dental x-rays. Suture removal, performed where the original emergency dental services were received, is covered as part of our allowance for the original emergency treatment. We This agreement will ONLY cover a separate charge for suture removal if the suturing and suture removal are performed at different locations (i.e. sutures at emergency room and suture removal at doctor’s or dentist’s office).
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement