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.
Appears in 6 contracts
Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract
