Lens or Lenses Sample Clauses

Lens or Lenses. Benefits shall be payable for lenses only when prescribed by a participating or non-participating ophthalmologist or optometrist. Payment of such benefits shall be limited to one such lens, or set of lenses, for each Participant in any period of twenty-four (24) consecutive months, except that if a subsequent lens or set of lenses is received during such twenty-four (24) month period by reason of a prescription change and the new lens or set of lenses differs from the most recent one by an axis change of 20 degrees or .50 diopter sphere or cylinder change and improves visual acuity by at least one line of the standard chart, such new lens or set of lenses shall be considered a covered vision benefit.
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Related to Lens or Lenses

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  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

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