Common use of Services Not Covered Clause in Contracts

Services Not Covered. The plan does not cover the following services:  services that are not routinely performed by a dentist or denturist;.  services that are not reasonable or necessary to maintain or restore teeth;  services for which any benefits are payable under Workers' Compensation or any publicly supported plans;  services not included in the dental or denturist fee schedules;  services required because of war, riot, or self-inflicted injury, while sane or insane;  services required because of participation in, attempt or commission of a criminal act;  temporary dentistry, oral hygiene instruction, tissue grafts, services purely cosmetic in nature or used to correct congenital malformations;  drug or medicines;  services related to the functioning or structure of the jaw, jaw muscles or temporo mandibular joint;  implants;  replacement of lost or stolen orthodontia appliances;  charges for appointments not kept;  charges resulting from a change of dentist or denturist, unless approved by the plan carrier;  charges for completing forms;  charges for work in progress at the time the coverage for you and your dependants is terminated.

Services Not Covered. The plan does not cover the following services:  ➢ services that are not routinely performed by a dentist or denturist;.  ➢ services that are not reasonable or necessary to maintain or restore teeth;  ➢ services for which any benefits are payable under Workers' Compensation or any publicly supported plans;  ➢ services not included in the dental or denturist fee schedules;  ➢ services required because of war, riot, or self-inflicted injury, while sane or insane;  ➢ services required because of participation in, attempt or commission of a criminal act;  ➢ temporary dentistry, oral hygiene instruction, tissue grafts, services purely cosmetic in nature or used to correct congenital malformations;  ➢ drug or medicines;  ➢ services related to the functioning or structure of the jaw, jaw muscles or temporo mandibular joint;  ➢ implants;  ➢ replacement of lost or stolen orthodontia appliances;  ➢ charges for appointments not kept;  ➢ charges resulting from a change of dentist or denturist, unless approved by the plan carrier;  ➢ charges for completing forms;  ➢ charges for work in progress at the time the coverage for you and your dependants dependents is terminated.

Services Not Covered. The plan Plan does not cover the following services:  ➢ services that are not routinely performed by a dentist or denturist;.  ➢ services that are not reasonable or necessary to maintain or restore teeth;  ➢ services for which any benefits are payable under Workers' ’ Compensation or any publicly supported plans;  ➢ services not included in the dental Dental or denturist fee schedulesDenturist Fee Schedules;  ➢ services required because of war, riot, or self-inflicted injury, while sane or insane;  ➢ services required because of participation in, attempt or commission of a criminal act;  ➢ temporary dentistry, oral hygiene instruction, tissue grafts, services purely cosmetic in nature or used to correct congenital malformations;  ➢ drug or medicines;  ➢ services related to the functioning or structure of the jaw, jaw muscles or temporo mandibular joint;  ➢ implants;  ➢ replacement of lost or stolen orthodontia appliances;  ➢ charges for appointments not kept;  ➢ charges resulting from a change of dentist or denturist, unless approved by the plan carrier;  ➢ charges for completing forms;  ➢ charges for work in progress at the time the coverage for you and your dependants dependents is terminated.

Services Not Covered. The plan does not cover the following services:  ⮚ services that are not routinely performed by a dentist or denturist;.  ⮚ services that are not reasonable or necessary to maintain or restore teeth;  ⮚ services for which any benefits are payable under Workers' Compensation or any publicly supported plans;  ⮚ services not included in the dental or denturist fee schedules;  ⮚ services required because of war, riot, or self-inflicted injury, while sane or insane;  ⮚ services required because of participation in, attempt or commission of a criminal act;  ⮚ temporary dentistry, oral hygiene instruction, tissue grafts, services purely cosmetic in nature or used to correct congenital malformations;  ⮚ drug or medicines;  ⮚ services related to the functioning or structure of the jaw, jaw muscles or temporo mandibular joint;  ⮚ implants;  ⮚ replacement of lost or stolen orthodontia appliances;  ⮚ charges for appointments not kept;  ⮚ charges resulting from a change of dentist or denturist, unless approved by the plan carrier;  ⮚ charges for completing forms;  ⮚ charges for work in progress at the time the coverage for you and your dependants is terminated.