Common use of Treatment of Cleft Lip and Cleft Palate Clause in Contracts

Treatment of Cleft Lip and Cleft Palate. PIC covers treatment of cleft lip and cleft palate for a covered dependent child if treatment is scheduled or started prior to the covered dependent child reaching age 19. Treatment includes orthodontic treatment, oral surgery and dental services directly related to the cleft. If a covered dependent child is also covered under a dental plan which covers orthodontic services, that dental plan shall be considered primary for the necessary orthodontic services. Oral appliances are subject to the same conditions and limitations as durable medical equipment.

Treatment of Cleft Lip and Cleft Palate. PIC covers treatment of cleft lip and cleft palate for a covered dependent child if treatment is scheduled or started prior to the covered dependent child reaching age 19. Treatment includes orthodontic treatment, treatment and oral surgery and dental services directly related to the cleft. If a covered dependent child is also covered under a dental plan which covers orthodontic services, that dental plan shall be considered primary for the necessary orthodontic services. Oral appliances are subject to the same conditions and limitations as durable medical equipment.