TREATMENT FOR TEMPOROMANDIBULAR JOINT Sample Clauses

TREATMENT FOR TEMPOROMANDIBULAR JOINT. DISORDER (TMJ) The following services are covered when rendered by a [Network] Practitioner [upon prior Referral by a [Member's] Primary Care Provider]. We cover services and supplies for the Medically Necessary and Appropriate surgical and non-surgical treatment of TMJ in a [Member]. However, with respect to coverage of TMJ We do not cover any services or supplies for orthodontia, crowns or bridgework.
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