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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Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract, Preferred Provider Organization Contract
The Role of Primary Care Dentists. This Contract requires that You select does not have a gatekeeper, usually known as a Primary Care Dentist (“PCD”). This Contract 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 Your 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.
Appears in 1 contract
The Role of Primary Care Dentists. This Contract requires that You select does not have a gatekeeper, usually known as a Primary Care Dentist (“PCD”). This Contract 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 Your 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- Cost-Sharing in the Schedule of Benefits section of this Contract when the services provided are related to specialty care.
Appears in 1 contract