Non-Surgical Periodontics Sample Clauses

Non-Surgical Periodontics. Pre-determination is recommended for this service. See the definition of pre- determination in Section 8.0. Periodontic maintenance following documented periodontal surgery is covered up to two
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Non-Surgical Periodontics a. Periodontal scaling and root planing limited to one (1) every twenty four (24) months for each area of the mouth.
Non-Surgical Periodontics. We cover periodontal maintenance following documented periodontal surgery up to two (2) times per plan year if at least three (3) months have passed since the completion of active periodontal surgery. We cover periodontal scaling and root planing once (1) per thirty-six (36) month period, per quadrant. Predetermination is recommended for this service. See the definition of predetermination in Section 8.0.
Non-Surgical Periodontics. Pre-determination is recommended for this service. See the definition of pre-determination in Section 8.0. Non-Surgical Periodontal services are covered. Periodontic maintenance following documented periodontal surgery is covered up to two (2) times per calendar year if at least three (3) months have passed since the completion of active periodontal surgery. Periodontal scaling and root planing is covered up to one (1) time per twenty-four (24)- month period per quadrant.
Non-Surgical Periodontics. Provides, when necessary and customary as determined by the standards of generally accepted dental practice, for non- surgical Treatment of disease of the gums and supporting structures of the teeth.
Non-Surgical Periodontics. Pre-determination is recommended for this service. See the definition of pre-determination in Section 8.0. Periodontic maintenance following documented periodontal surgery is covered up to two (2) times per benefit year if at least three (3) months have passed since the completion of active periodontal surgery. Periodontal scaling and root planing is covered up to one (1) time per thirty-six (36)-month period per quadrant. For members 19 years old or older a waiting period applies for this benefit. See Summary of Dental Benefits for details. We will NOT cover services that have a start date which occurs during the waiting period that must pass before benefits become available.

Related to Non-Surgical Periodontics

  • 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.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

  • Prosthetics Crowns and Bridges (Plan B) paying for 60% of the approved Schedule of Fees.

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