Dental Expenses definition
Examples of Dental Expenses in a sentence
Benefits for Eligible Dental Expenses incurred during a Course of Treatment that begins before the change will be those benefits in effect on the day the Course of Treatment was started.
Benefits will not be provided for comprehensive periodontal evaluations or problem-focused evaluations if Eligible Dental Expenses are rendered on the same date as any other oral evaluation and by the same Dentist.
For a general description of qualified medical expenses, refer to IRS Publication 502, Medical and Dental Expenses, available at ▇▇▇.▇▇▇.▇▇▇.
Dental Expense Benefits will be payable, subject to the conditions herein, if an employee, retired employee, surviving spouse or eligible dependent, while dental expense coverage is in effect with respect to such individual, incurs Covered Dental Expenses.
Covered Dental Expenses are the usual charges of a dentist which an employee, retired employee or surviving spouse is required to pay for services and supplies which are necessary for treatment of a dental condition, but only to the extent that such services and supplies are customarily employed for treatment of that condition, and only if rendered in accordance with accepted standards of dental practice.
To the extent verification of Covered Dental Expenses cannot reasonably be made by the prepayment agency, the benefits for the course of treatment may be for a lesser amount than would otherwise have been payable.
The Plan will provide benefits for the following Eligible Dental Expenses, subject to the limitations and exclusions described in this booklet, only if the category of service is shown on your DENTAL SCHEDULE OF COVERAGE.
If a course of treatment can reasonably be expected to involve Covered Dental Expenses of $200.00 or more, a description of the procedures to be performed and an estimate of the dentist's charges must be filed with the prepayment agency prior to the commencement of the course of treatment.
The maximum benefit payable for all Covered Dental Expenses incurred during any twelve (12) month period commencing October 1, and ending the following September 30, (except for services described in Section III(C)(4) above) shall be $2,800.00 (effective October 1, 2006) for each individual.
Your Eligible Dental Expenses payment obligation is applied to the out-of-pocket maximum as shown on your SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS.