Prosthetics Sample Clauses

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

Prosthetics. Bridges, dentures, partials and re- lining or re-basing dentures, adding teeth to par- tial denture to replace extracted teeth, full and partial denture repairs, stayplate, special tissue conditioning per denture (limited to one course of treatment per six (6) month period), and den- ture duplication (jump case).

Prosthetics. Artificial substitutes for body parts and tissues and materials inserted into tissue for functional or therapeutic purposes. Covered services include purchase, fitting, needed adjustment, repairs, and replacements of prosthetic devices and supplies that:

Prosthetics. Crowns and Bridges (Plan B) paying for fifty percent (50%) (effective 2012 November 01, sixty percent (60%)) of the approved schedule of fees (to a maximum of $1500.00) per person per calendar year).

Prosthetics. 100% of eligible charges after the deductible. Not covered. Hearing aids for members under age 19 for hearing loss that is not correctable by other covered procedures. Coverage limited to one hearing aid per ear every 3 years. 100% of eligible charges after the deductible. Not covered. Wigs for hair loss resulting from alopecia areata are limited to one wig per calendar year. 100% of eligible charges after the deductible. Not covered. • Special dietary treatment for phenylketonuria (PKU) is covered when recommended by a physician, physician assistant or advanced practice registered nurse. • Limited coverage for amino-acid based elemental formulas that are consumed orally and treat cystic fibrosis or certain other metabolic and malabsorption errors. • Enteral feedings when they are prescribed by a physician, physician assistant or advanced practice registered nurse and are required to sustain life. 100% of eligible charges after the deductible. Not covered. Diabetic supplies Coverage includes over-the-counter diabetic supplies, glucose monitors, syringes, blood and urine test strips, and other diabetic supplies as medically necessary. 100% of eligible charges after the deductible. Not covered. PIC covers equipment and services ordered by a physician, physician assistant or advanced practice registered nurse and provided by DME/prosthetic/orthotic vendors. For verification of eligible equipment and supplies, contact PIC Customer Service at the address and phone number shown on the inside cover of this contract. If you are over age 18, contact lenses and their related fittings are not eligible for coverage unless they are prescribed as medically necessary for the treatment of keratoconus. Members must pay for lens replacement. Amino-acid based elemental formulas are covered only when 1) they are consumed orally, 2) are ordered by a physician, physician assistant, or advanced practice registered nurse for a person who is five years or younger, 3) are medically necessary, and 4) treat the following metabolic and other malabsorption conditions that have been diagnosed by a specialist:

Prosthetics crown and bridge procedures - 60%.

Prosthetics. Crowns and Bridges (Plan B) paying for 50% of the approved schedule of fees. i. Orthodontics (Plan C) paying for 50% of the approved schedule of fees up to a lifetime maximum of $2,500.00. j. Employees should consult the benefits booklets on the website for more details regarding health insurance provisions. 3. The College will contribute toward the premium cost of dental plan insurance in the amount of one hundred percent (100%) of the monthly premium. Subject to the terms of the contract with the insuring company, eligible employees, once excluded from participation in this dental plan by virtue of other dental coverage (e.g. spouse's plan), shall, upon written application, be entitled to participate in this dental plan when such other coverage ceases.

Prosthetics. The County shall permit any person who has a prosthetic limb or similar device and needs such prosthesis full use of such prosthesis while in custody absent specifically identified security concerns. 1. If a prosthetic limb or device is removed, a health care provider will examine the person as soon as possible, and not later than the next sick call after the removal, in order to address any negative impact on the health or safety of the person and to provide an alternative device and/or accommodation. 2. If a person requires repair or maintenance of a prosthetic limb or similar device, the County shall take prompt steps to resolve the issue, including providing interim accommodations as indicated. 3. If CHS determines a person requires a prosthetic limb or similar device but does not have one, the County will take prompt steps to provide appropriate assessment and timely provision of prostheses or similar device. The County will provide an alternative assistive device, based on clinical assessment and meaningful consideration of the individual’s stated preference, as an interim accommodation to facilitate equal access to services.

Prosthetics including supply of all body extremities including therapeutic ocular prosthetics, segmental instrument tray and spine fusion in scoliosis and vertebral surgery;

Prosthetics. Crowns, Bridges and Implants (Plan B) paying for 70% of the approved Schedule of Fees to a lifetime maximum of $3,000 for implants per person.