Covered Dental Services definition

Covered Dental Services means Medically Necessary services or supplies listed in Section 2 of the Description of Covered Services.

Covered Dental Services means dental care services for which reimbursement is available under an enrollee’s health care contract, or for which a reimbursement would be available but for the application of contractual limitations, such as a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, or any other limitation.

Covered Dental Services means any service, treatment, or procedure that we have reviewed and determined is eligible for reimbursement under this plan.

Examples of Covered Dental Services in a sentence

• When a Non-Participating Dentist provides the comprehensive orthodontic treatment, additional periodic orthodontic treatment visits beyond 24 will not be Covered Dental Services.

• Periodic treatment visits; not to exceed 24 months (the Member must be eligible for Covered Dental Services on each date of service).

• However, Covered Dental Services will include the pre- orthodontic visit which included treatment plan, radiographs, and/or photos, records and diagnostic models for full treatment cases only.

• Dental Services Deductible - the amount the Insured Person must pay for Covered Dental Services in a Policy Year before the Company will begin paying for Network or Non-Network Benefits in that Policy Year.

• Any Dental Service or Procedure not listed as a Covered Dental Service in this endorsement in Section 2: Benefits for Covered Dental Services.

More Definitions of Covered Dental Services

Covered Dental Services means dental care services for which reimbursement is available under an enrollee’s health care contract, or for which a reimbursement would be available but for the application of contractual limitations, such as a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, or any other limitation. The bill also prohibits such contracts from requiring that a dental care provider contract with a plan offering supplemental or specialty health care services as a condition of contracting with a plan offering basic health care services.

Covered Dental Services means dental care services for which a reimbursement is

Covered Dental Services means the dental care services available under the Group Subscriber Benefit Agreement in which a member is enrolled.

Covered Dental Services means dental services for which a reimbursement is available under an enrollee's health benefit

Covered Dental Services means those dental services or supplies to which ------------------------ a Subscriber is entitled pursuant to the terms of the Subscriber's Health Net Branded Product.

Covered Dental Services means dental care services for which a reimbursement is available under a covered person's dental benefit plan, or for which a reimbursement would be available but for the application of contractual limitations such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or any other limitation.

Covered Dental Services means dental services that meet both of the following criteria: