Prosthodontics. a. An upper or lower denture is a payable benefit once per arch in a sixty (60) consecutive month period. b. A removable partial denture or fixed partial denture (bridge) may not be provided under this Plan for any one patient more often than once per arch in a sixty (60) consecutive month period, except where the loss of additional teeth requires the construction of a new appliance. c. Reline (process of resurfacing the tissue side of a denture with new base material) and rebase (process of refitting a denture by replacing the base material) is a benefit once in any thirty-six (36) consecutive month period for any one appliance. d. Fixed partial dentures (bridges) and removable partial dentures are benefits for persons age sixteen (16) and over.
Appears in 2 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement
Prosthodontics. a. An upper or lower denture is a payable benefit once per arch in a sixty (60) consecutive month period.
b. A removable partial denture or fixed partial denture (bridge) may not be provided under this Plan for any one patient more often than once per arch in a sixty (60) consecutive month period, except where the loss of additional teeth requires the construction of a new appliance.
c. Reline (process of resurfacing the tissue side of a denture with new base material) and rebase (process of refitting a denture by replacing the base material) is a benefit once in any thirty-six thirty−six (36) consecutive month period for any one appliance.
d. Fixed partial dentures (bridges) and removable partial dentures are benefits for persons age sixteen (16) and over.
Appears in 2 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement
Prosthodontics. a. An upper or lower denture is a payable benefit Benefit once per arch in a sixty (60) consecutive month period.
b. A removable partial denture or fixed partial denture (bridge) may not be provided under this Plan for any one patient more often than once per arch in a sixty (60) consecutive month period, except where the loss of additional teeth requires the construction of a new appliance.
c. Reline (process of resurfacing the tissue side of a denture with new base material) and rebase (process of refitting a denture by replacing the base material) is a benefit Benefit once in any thirty-six a thirty−six (36) consecutive month period for any one appliance.
d. Fixed partial dentures (bridges) and removable partial dentures are benefits Benefits for persons age sixteen (16) and over.
Appears in 1 contract
Samples: Plan Agreement