The Role of Primary Care Dentists Sample Clauses

The Role of Primary Care Dentists. This Contract does not have a gatekeeper, usually known as a Primary Care Dentist (“PCD”). You do not need a Referral from a PCD before receiving Specialist care. You may need to request Preauthorization before You receive certain services. See the Schedule of Benefits section of this Contract for the services that require Preauthorization.
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The Role of Primary Care Dentists. This Policy does not have a gatekeeper, usually known as a Primary Care Dentist (“PCD”). You do not need a Referral from a PCD before receiving Specialist care.
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The Role of Primary Care Dentists. This Contract requires that You select a Primary Care Dentist (“PCD”). Although You are encouraged to receive care from Your PCD, You do not need a written Referral from a PCD before receiving Specialist care from a Participating Provider. You may select any participating PCD who is available from the list of PCDs in the Healthplex Exchange Network. Each Member may select a different PCD. Children covered under this Contract may designate a participating PCD who specializes in pediatric care. For purposes of Cost-Sharing, if You seek services from a PCD (or a dentist covering for a PCD) who has a primary or secondary specialty other than general dentistry, You must pay the specialty office visit Cost- Sharing in the Schedule of Benefits section of this Contract when the services provided are related to specialty care.
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The Role of Primary Care Dentists. This Policy has a gatekeeper, usually known as a Primary Care Dentist (“PCD”). This Policy requires that you select a PCD. You need a written Referral from a PCD before receiving Specialist care from a Participating Provider. You may select any Participating PCD who is available from the list of PCDs in the EPO Healthplex Network. Each Member may select a different PCD.
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The Role of Primary Care Dentists. This Certificate has a gatekeeper, usually known as a Primary Care Dentist (“PCD”). This Certificate requires that you select a PCD. Although You are encouraged to receive care from your PCD, You do not need a written Referral from a PCD before receiving Specialist care from a Participating Provider. However, if You do obtain a written Referral, Your Cost-Sharing may be lower. See the Schedule of Benefits section of this Certificate for Your Cost-Sharing. You may select any participating PCD who is available from the list of PCDs in the Healthplex Exchange Network. Each Member may select a different PCD. Children covered under this Certificate may designate a participating PCD who specializes in pediatric care. For purposes of Cost-Sharing, if You seek services from a PCD (or a dentist covering for a PCD) who has a primary or secondary specialty other than general dentistry, You must pay the specialty office visit Cost-Sharing in the Schedule of Benefits section of this Certificate when the services provided are related to specialty care.
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