Orthodontic Treatment. 50% of the cost of treatment based on the ODA schedule in effect during the term of this agreement, for dependent children ages 6-21. Treatment required to correct malocclusion of teeth (maximum benefit is $1,000 per year for each covered dependent with a lifetime maximum of $2,000.00).
Orthodontic Treatment. The Employer agrees to provide for services relating to orthodontics only to dependent unmarried children of the employee between the ages of six (6) and eighteen (18), on the basis of fifty percent/fifty percent (50%/50%) co-insurance, in accordance with the current Ontario Dental Association Schedule of Fees, up to a lifetime maximum benefit of two thousand, five-hundred dollars ($2,500.00) for each such dependent unmarried child.
Orthodontic Treatment. This is any • Medical service or supply; or • Dental service or supply; furnished to prevent or to diagnose or to correct a misalignment: • Of the teeth; or • Of the bite; or • Of the jaws or jaw joint relationship; whether or not for the purpose of relieving pain. Not included is: • The installation of a space maintainer; or • Surgical procedure to correct malocclusion. Health care service or supply that is furnished by an out-of network provider A health care provider, pharmacy, or dental provider who has not contracted with Aetna to furnish services or supplies at a negotiated charge. The amount that must be paid by the covered student or the covered student before covered medical expenses will be payable at 100% for the remainder of the policy year. This is a plan of medical, psychiatric, nursing, counseling, or therapeutic services to treat mental disorders and The plan must meet these tests: • It is carried out in a hospital; psychiatric hospital or residential treatment facility; on less than a full-time inpatient basis; • It is in accord with accepted medical practice for the condition of the person; • It does not require full-time confinement; and • It is supervised by a psychiatrist who weekly reviews and evaluates its effect. This is an establishment where prescription drugs are legally dispensed. This is a duly licensed member of a medical profession who: • Has an M.D. or D.O. degree; • Is properly licensed or certified to provide medical care under the laws of the jurisdiction where the individual practices; and • Provides medical services which are within the scope of his or her license or certificate. This also includes a health professional who: • Is properly licensed or certified to provide medical care under the laws of the jurisdiction where he or she practices; • Provides medical services which are within the scope of his or her license or certificate; • Under applicable insurance law, is considered a "physician" for purposes of this coverage; • Has the medical training and clinical expertise suitable to treat the covered person’s condition; • Specializes in psychiatry, if your sickness or injury is caused, to any extent, by substance abuse or a mental disorder; • A physician is not the covered person or related to a covered person.
Orthodontic Treatment. Correction of malocclusion of the teeth
Orthodontic Treatment. General Provisions.
Orthodontic Treatment of the cost of treatment based on the schedule in effect during the term of this agreement, for dependent children ages
Orthodontic Treatment. Treatment required to correct malocclusions of the teeth (maximum benefit is per year for each covered dependent with a lifetime maximum of $2,000.00).
Orthodontic Treatment. The Plan pays for 50% of eligible expenses for reasonable and customary charges for treatment rendered by an Orthodontist for the correction of malocclusions of a dependent child who is at least 6 but not more than 21 years of age when treatment commences. Necessary orthodontic appliances are also covered. SPECIAL CONDITIONS
Orthodontic Treatment models for analysis (including panoramic X-rays), molds, mobile wired and fixed dentures. Orthodontic treatment is allowed only with the written consent of the Insurer and only for insured persons below the age of 19.
Orthodontic Treatment. The only treatment eligible is necessary dental treatment which has as its objective, the correction of malocclusion of the teeth.
