Orthodontia Sample Clauses

Orthodontia. We will pay for procedures which help to 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); ankyloses of the temporomandibular joint; and other significant skeletal dysplasias. Prior approval is required. Fidelis Care uses a company called DentaQuest to manage your dental benefit. You must use a DentaQuest dentist for your dental care. If you have questions related to your dental care, or need to find a dental provider, please call the Fidelis Care Member Services Department at 1- 888-FIDELIS (0-000-000-0000).
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Orthodontia. Proper fitting of natural teeth and prevention or correc- tion of irregularities of teeth.
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Orthodontia. For orthodontic services performed by an Orthodontist or Dentist, payment will be made to the extent of of the cost. The Union and the Company agree that the current practice of reimbursing employees on a reasonable and customary basis, based on charges by an Alberta dentist will be continued. Effective September I, the lifetime maximum payment by Great-West Life will be Members will become eligible for orthodontic services after twelve months of participation in the Plan. Appliances lost or stolen will not be replaced. The Plan will pay of the cost of services provided under Section The Union and the Company agree that the carrier's practice of reimbursing employees on a reasonable and customary basis, based on charges by an Alberta dentist will be continued. For benefits provided under Section the amount that will be paid is of the fee as described above effective September The Great-West Life dental benefits do not cover payment for:
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Orthodontia. For orthodontic services performed by an Orthodontist or Dentist, payment will be made to the extent of of the cost based on the Alberta College of Dental Surgeons Fee Schedule with a lifetime maximum payment by London Life of per patient. Members will become eligible for orthodontic services after twelve months of participation in the plan. Appliances lost or stolen will not be replaced. with the Alberta College of Dental Surgeons current Scheduleof Fees, or the dentist’s usual and customary fee, whichever is lesser. For benefits provided under Section and the amount that will be paid is of the fee as described above. London Life dental benefits do not cover payment for:
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Orthodontia. The Employer will contribute one hundred percent (100%) of the monthly premium necessary to provide employee and dependent coverage under the AWC Orthodontia Rider Plan V.
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Orthodontia. Proper fitting of natural teeth and prevention or cor- rection of irregularities of teeth. You will be reimbursed for: * 100% of the cost of eligible Basic Services; * 75% of the cost of eligible Restorative Services; * 50% of the cost of eligible Orthodontia Services Incurred by you or your dependents subject to the limita- tions and exclusions described below. Benefits will be paid on the basis of the lesser of the ac- tual fee charged or the amount stated in the current Ontario fee schedule of the Dental Association. In the event that optional procedures are possible, the procedure involving the lowest fee will be considered as the eligible expense provided it is consistent with good dental care.
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Orthodontia. The Employer will pay one hundred percent (100%) of the premium necessary to provide for two thousand dollars ($2,000.00) Orthodontia Plan V coverage of Orthodontia treatments for the employee, spouse and dependents.
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Orthodontia. No change will be made with respect to benefitsfor orthodontia, except for the extended coverage provision described in paragraph c. of Section 2 above.
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Related to Orthodontia

  • 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.

  • Prosthodontics We Cover prosthodontic services as follows:

  • Wellness i. To support the statewide goal for a healthy and productive workforce, employees are encouraged to participate in a Well-Being Assessment survey. Employees will be granted work time and may use a state computer to complete the survey. ii. The Coalition of Unions agrees to partner with the Employer to educate their members on the wellness program and encourage participation. Eligible, enrolled subscribers who register for the Smart Health Program and complete the Well-Being Assessment will be eligible to receive a twenty-five dollar ($25) gift certificate. In addition, eligible, enrolled subscribers shall have the option to earn an annual one hundred twenty-five dollars ($125.00) or more wellness incentive in the form of reduction in deductible or deposit into the Health Savings Account upon successful completion of required Smart Health Program activities. During the term of this Agreement, the Steering Committee created by Executive Order 13-06 shall make recommendations to the PEBB regarding changes to the wellness incentive or the elements of the Smart Health Program.

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

  • Hospital Services The Hospital will: 6.1.1 achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; 6.1.2 not reduce, stop, start, expand, cease to provide or transfer the provision of Hospital Services to another hospital or to another site of the Hospital if such action would result in the Hospital being unable to achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; and 6.1.3 not restrict or refuse the provision of Hospital Services that are funded by the Funder to an individual, directly or indirectly, based on the geographic area in which the person resides in Ontario, and will establish a policy prohibiting any health care professional providing services at the Hospital, including physicians, from doing the same.

  • Medi Cal/daily service logs and notes and other documents used to record provision of services provided by instructional assistants, behavior intervention aides, bus aides, and supervisors

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