Oral Physician Surgical Services. Although dental services are not Covered Services, except as otherwise provide in the Attachment A Benefit Schedule, the following Oral Physician Surgical Services are Covered Services: Treatment for tumors and cysts requiring pathological examination of the jaws, cheeks, lips, tongue, roof and floor of the mouth. Removal of teeth necessary in order to perform radiation therapy. Treatment required to stabilize sound natural teeth, the jawbones, or surrounding tissues after an Injury (not to include injuries caused by chewing) when the treatment starts within the first ten (10) days after the Injury and ends within sixty (60) days from the date of Injury. Examples of Covered Services, in such instances, include: Root canal therapy, post and build up. Temporary crowns. Temporary partial bridges. Temporary and permanent fillings. Pulpotomy. Extraction of broken teeth. Incision and drainage. Tooth stabilization through splinting. No benefits are provided for removable dental prosthetics, dentures (partial or complete) or subsequent restoration of teeth, including permanent crowns.
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Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage
Oral Physician Surgical Services. Although dental services are not Covered Services, except as otherwise provide in the Attachment A Benefit Schedule, the following Oral Physician Surgical Services are Covered Services: • Treatment for tumors and cysts requiring pathological examination of the jaws, cheeks, lips, tongue, roof and floor of the mouth. • Removal of teeth necessary in order to perform radiation therapy. • Treatment required to stabilize sound natural teeth, the jawbones, or surrounding tissues after an Injury (not to include injuries caused by chewing) when the treatment starts within the first ten (10) days after the Injury and ends within sixty (60) days from the date of Injury. Examples of Covered Services, in such instances, include: • Root canal therapy, post and build up. • Temporary crowns. • Temporary partial bridges. • Temporary and permanent fillings. • Pulpotomy. • Extraction of broken teeth. • Incision and drainage. • Tooth stabilization through splinting. No benefits are provided for removable dental prosthetics, dentures (partial or complete) or subsequent restoration of teeth, including permanent crowns.
Appears in 2 contracts
Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage
Oral Physician Surgical Services. Although dental services are not Covered Services, except as otherwise provide in the Attachment A Benefit Schedule, the following Oral Physician Surgical Services are Covered Services: Treatment for tumors and cysts requiring pathological examination of the jaws, cheeks, lips, tongue, roof and floor of the mouth. Removal of teeth which are necessary in order to perform radiation therapy. Treatment required to stabilize sound natural teeth, the jawbones, or surrounding tissues after an Injury (not to include injuries caused by chewing) when the treatment starts within the first ten (10) days after the Injury and ends within sixty (60) days from the date of Injury. Examples of Covered Services, in such instances, include: Root canal therapy, post and build up. Temporary crowns. Temporary partial bridges. Agreement of Coverage Temporary and permanent fillings. Pulpotomy. Extraction of broken teeth. Incision and drainage. Tooth stabilization through splinting. No benefits are provided for removable dental prosthetics, dentures (partial or complete) or subsequent restoration of teeth, including permanent crowns.
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