Common use of maxillofacial prosthetics Clause in Contracts

maxillofacial prosthetics. Artificial devices that replace missing body parts of the head and neck region due to cancer, surgery, trauma, or birth defects. Member – A Subscriber or an enrolled Dependent. Occlusal Guard – A horseshoe shaped piece of plastic which is worn over the teeth to protect them against damage caused by clenching or grinding. It works by creating a physical barrier between the patient’s upper and lower teeth so that he/she bites against the plastic rather than wearing down his/her teeth. Onlay – A custom-made solid substance that works like an Inlay but covers one or more cusps or the entire biting surface of the tooth. It is usually used when the tooth is too damaged to support an Inlay, but not damaged enough to require a Crown. Orthodontics – A dental specialty that treats misalignment of teeth. Open Enrollment Period – A period of time each year designated by the federal government, during which a Subscriber and his eligible Dependents may enroll for coverage under this Contract. The Open Enrollment Period shall be thirty (30) days or longer, as required by federal law. Over-Age Dependent – A Dependent Child (or Grandchild) who is age 26 or older, reliant on Subscriber for support, and is incapable of sustaining employment because of an intellectual or physical disability that began prior to age 26. Coverage of the Over-Age Dependent may continue after age 26 for the duration of incapacity if, prior to or within 31 days of the Dependent Child reaching age 26, an application for continued coverage with current medical information from the Dependent Child’s attending Physician is submitted to Company. Company may require additional or periodic medical documentation regarding the Dependent Child’s intellectual or physical disability as often as it deems necessary, but not more frequently than once per year after the two-year period following the child's 26th birthday. Company may terminate coverage of the Over-Age Dependent if Company determines the Dependent Child is no longer reliant on Subscriber for support or is no longer intellectually or physically disabled to the extent he is incapable of sustaining employment.

maxillofacial prosthetics. Artificial devices that replace missing body parts of the head and neck region due to cancer, surgery, trauma, or birth defects. Member – A Subscriber or an enrolled Dependent. Occlusal Guard – A horseshoe shaped piece of plastic which is worn over the teeth to protect them against damage caused by clenching or grinding. It works by creating a physical barrier between the patient’s upper and lower teeth so that he/she bites against the plastic rather than wearing down his/her teeth. Onlay – A custom-made solid substance that works like an Inlay but covers one or more cusps or the entire biting surface of the tooth. It is usually used when the tooth is too damaged to support an Inlay, but not damaged enough to require a Crown. Orthodontics – A dental specialty that treats misalignment of teeth. Open Enrollment Period – A period of time each year designated by the federal government, during which a Subscriber and his eligible Dependents may enroll for coverage under this Contract. The Open Enrollment Period shall be thirty (30) days or longer, as required by federal law. Over-Age Dependent – - A Dependent Child (or Grandchild) who is age 26 or older, reliant on Subscriber for support, and is incapable of sustaining employment because of an intellectual or physical disability that began prior to age 26. Coverage of the Over-Age Dependent may continue after age 26 for the duration of incapacity if, prior to or within 31 days of the Dependent Child reaching age 26, an application for continued coverage with current medical information from the Dependent Child’s attending Physician is submitted to Company. Company may require additional or periodic medical documentation regarding the Dependent Child’s intellectual or physical disability as often as it deems necessary, but not more frequently than once per year after the two-year period following the child's 26th birthday. Company may terminate coverage of the Over-Age Dependent if Company determines the Dependent Child is no longer reliant on Subscriber for support or is no longer intellectually or physically disabled to the extent he is incapable of sustaining employment.