Accidental Dental Injury definition

Accidental Dental Injury means an injury to Sound Natural Teeth (not previously compromised by decay) caused by a sudden, unintentional, and unexpected event or force. This term does not include injuries to the mouth, structures within the oral cavity, or injuries to Sound Natural Teeth caused by biting or chewing, surgery or treatment for a disease or illness.
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Accidental Dental Injury means an unexpected and unforeseen injury (an event that occurs by chance) to the mouth which results in injury to the dental and contiguous structures.
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Accidental Dental Injury means an unexpected and unforeseen injury to the dental and contiguous structures happening without the direct intent of the person injured or happening as the direct result of his intentional act, such act not amounting to violent or negligent exposure to unnecessary danger. COVERED EXPENSES - Where permitted by law, the Employer shall consider as Covered Expenses reasonable and customary charges necessarily incurred for the types of dental treatment described below to the extent that such treatment or portion thereof is not covered by the Medical Care Insurance Plan or any government dental plan or any other government health plan of the employee’s home province. In no event shall Covered Expenses exceed the amount shown for a General Practitioner in the dental fee guide identified in the Table of Benefits for the employee’s Class, except that;
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Examples of Accidental Dental Injury in a sentence

  • Reimbursement Levels Basic Coverage 100% Major Coverage 80% Orthodontic Coverage 80% Accidental Dental Injury Coverage 100% Plan Maximums Basic and Major Treatment $2,500 each calendar year Orthodontic Treatment $6,000 lifetime Note: No maximum is applied to accidental dental injury coverage.

  • Accidental Dental Injury Services We cover restorative Services necessary to promptly repair, but not replace, sound natural teeth that have been injured as the result of an external force.

  • Accidental Dental Injury Services Exclusions: • Services provided by non-Plan Providers.

  • This exclusion does not apply to medically necessary dental care covered under Accidental Dental Injury Services, Cleft Lip, Cleft Palate or Both or Oral Surgery in the List of Benefits in this section.

  • Dental Services rendered more than 62 days after the date of an Accidental Dental Injury even if the Services could not have been rendered within 62 days.

  • Payment Basis The dental fee guide is in effect in your province of residence in the year prior to the date the expense is incurred 100% Nil Reimbursement Levels Preventative & Periodontal Accidental Dental Injury Expenses Plan Maximum Note: No maximum is applied to accidental dental injury coverage 2.

  • Hospital Employees’ Union, January 11, 2022 – January 10, 2025 • Deductible NIL Annual Maximums • Accidental Dental Injury Treatment Unlimited reasonable and customary costs • All other treatment $2,500 per calendar year The Dental Plan shall cover employees, their spouses and eligible children provided they are not enrolled in another comparable plan.

  • Eligible employees shall be provided with: Reimbursement Levels • Basic Services 80% of Eligible Expenses • Major Services 50% of Eligible Expenses • Accidental Dental Injury 80% of Eligible Expenses • Deductible NIL Annual Maximums • Accidental Dental Injury Treatment Unlimited • All other treatment $2,500 per calendar year The Dental Plan shall cover employees, their spouses and eligible children provided they are not enrolled in another comparable plan.

  • Reimbursement Levels Accidental Dental Injury Expenses 100% All other expenses Plan maximum Orthodontics Preventative and Periodontal Major Restorative Dentures 100% $1,750 $3,000 lifetime maximum at 50% reimbursement per dependent 12 time units every 12 months $2,000 lifetime maximum at 50% reimbursement per dependent Cover 100% of the cost of new dentures and repair of existing.

  • Individual each calendar year Family each calendar year Individual and family do not apply to Accidental Dental Injury expenses.


More Definitions of Accidental Dental Injury

Accidental Dental Injury means an injury to the structures of the teeth that is caused by an external force or element such as a blow or fall. An injury to a tooth while chewing is not considered an accidental dental injury, even if the injury is due to chewing on a foreign object.
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Related to Accidental Dental Injury

  • Accidental Injury means an Injury sustained as a result of an external force or forces that is/are sudden, direct and unforeseen and is/are exact as to time and place. A hernia of any kind will only be considered as an Illness.

  • Mental injury means an injury to the psychological capacity or emotional stability of a child as evidenced by an observable or substantial impairment in the child’s ability to function within a normal range of performance and behavior with due regard to the child’s culture.

  • Accidental Bodily Injury means an Injury sustained as the result of an Accident and independently of all other causes by an outside traumatic event or due to exposure to the elements.

  • Accidental Damage means physical damage, breakage or failure of Your Covered Equipment due to an unforeseen and unintentional event occurring either due to handling (e.g., dropping the Covered Equipment or through liquid contact) or due to an external event (e.g., extreme environmental or atmospheric conditions). The damage must affect the functionality of Your Covered Equipment, which includes cracks to the display screen that affect the visibility of the display.

  • Accidental release means an unanticipated emission of a regulated substance or other extremely hazardous substance into the ambient air from a stationary source.

  • Bodily injury means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.

  • Substantial bodily injury means "bodily injury which involves (A) a temporary but substantial disfigurement; or (B) a temporary but substantial loss or impairment of the function of any bodily member, organ, or mental faculty." See 18 U.S.C. § 113(b)(1).

  • Catastrophic illness or injury means one of the following:

  • Accidental means a sudden, not reasonably foreseeable, and unexpected occurrence or event which:

  • Accidental disability means a physical or mental condition that

  • Serious bodily injury means bodily injury which involves a substantial risk of death, extreme physical pain, protracted obvious disfigurement or protracted loss or impairment of the function of a bodily member, organ or mental faculty.

  • Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent and visible and evident means which is verified and certified by a Medical Practitioner.

  • Dental Insurance The District shall contribute $360.00 annually toward the cost of dental insurance whether for single or family coverage for full-status employees who qualify for and enroll in the plan. The cost of the premium not contributed by the District for family coverage shall be borne by the employee through payroll deduction.

  • Automobile Related Injury means bodily Injury sustained by a [Member] as a result of an accident:

  • Serious physical injury means physical injury which creates a substantial risk of death or which causes serious and prolonged disfigurement, prolonged impairment of health, or prolonged loss or impairment of the function of any bodily member or organ;

  • Accident/Accidental means an event or incident that occurs which is unforeseen and unexpected which resulted directly in the death or injury of the Person Covered.

  • Major Casualty means, in relation to a Ship, any casualty to that Ship in respect of which the claim or the aggregate of the claims against all insurers, before adjustment for any relevant franchise or deductible, exceeds $500,000 or the equivalent in any other currency;

  • Dental therapist means an individual licensed to practice as a dental therapist under this chapter.

  • Accident means a sudden, unforeseen and involuntary event caused by external, visible and violent means.

  • Accidental Death means death due to accident, where accident is a sudden, unforeseen and involuntary event caused by external and visible means

  • Physical injury means substantial physical pain or any impairment of physical condition;

  • Advertising injury means injury arising out of one or more of the following offenses:

  • Life Insured means the person named in the Schedule, on whose life the Policy is effected;

  • Bodily harm means physical pain or injury, illness, or any impairment of physical condition.

  • Casualty shall have the meaning set forth in Section 6.2 hereof.

  • Insured Casualty has the meaning set forth in Section 5.1(x)(iv)(B).