Emergency Dental Care means service required for immediate alleviation of acute symptoms associated with an emergency dental condition. Emergency Medical Condition means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably expected to result in any of the following: Enrollee means a member who has completed an application and paid for their plan. Exclusion means any provision of this Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form whereby Coverage for a specified hazard or condition is not covered by CDN or the Participating Dentist. Group means any employer, labor union or labor management trust fund, or other Subscriber Group. Limitation means any provision other than an Exclusion which restricts Coverage under this Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form. Member means the Subscriber or any eligible Dependent who is enrolled and whose premiums are paid under this Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form. Out-of-Pocket Maximum (OOPM) means the maximum amount of money that a pediatric age (child up to age 19) enrollee must pay for benefits during a calendar year. Out-of-Pocket Maximum applies only to the Essential Health Benefits for pediatric (children up to age 19) enrollees. Copayments for covered services that pediatric enrollees (children up to age 19) received from a participating dentist accumulate through the plan year toward the Out-of-Pocket Maximum. Please consult your Schedule of Covered Services and Copayments for complete information on covered services. OOPM never includes premium, prescriptions, or dental care the dental plan doesn’t cover. After the pediatric age enrollee reaches their OOPM, they will have no further copayments for benefits for the remainder of the calendar year. If more than one pediatric age enrollee (meaning multiple children in one family) is covered under the contract, the financial obligation for benefits is not more than the OOPM for multiple children. Once the amount paid by all pediatric age enrollees equals the OOPM for multiple pediatric age enrollees, no further copayments will be required by any of the pediatric age enrollees for the remainder of the calendar year. Plan is the CDN Plan and shall include those Benefits, Coverage and other charges as set forth herein and in the Benefit Schedule.
Emergency Dental Care means service required for immediate alleviation of acute symptoms associated with an emergency dental condition..
Emergency Dental Care means service required for immediate alleviation of acute symptoms associated with an emergency dental condition. Emergency Medical Condition means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably expected to result in any of the following:. Enrollee means a member who has completed an application and paid for their plan. Exclusion means any provision of this Individual Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form whereby Coverage for a specified hazard or condition is not covered by CDN or the Participating Dentist.
Examples of Emergency Dental Care in a sentence
Emergency Dental Care: Emergency dental treatment required to alleviate pain and suffering caused by dental disease or trauma.
We Cover Emergency Dental Care, which includes emergency dental treatment required to alleviate pain and suffering caused by dental disease or trauma.
We do not cover Urgent Dental Care (or other Services that are not Emergency Dental Care) received outside of our Service Area or received from Non-Participating Providers and Non-Participating Dental Offices.
Elective care and care for conditions that could have been reasonably foreseen are not covered under your Emergency Dental Care or Urgent Dental Care benefits.
If you are temporarily outside our Service Area, we provide a limited benefit for Emergency Dental Care you receive from Non-Participating Providers or Non-Participating Dental Offices, if we determine that the Services could not be delayed until you returned to our Service Area.
More Definitions of Emergency Dental Care
Emergency Dental Care in the “Benefits” section for details about your Emergency Dental Care coverage. Obtaining Urgent Dental Care
Emergency Dental Care means the services or supplies provided by a licensed dentist, Hospital or other licensed provider that are immediately and Medically Necessary.
Emergency Dental Care means services to diagnose and treat a dental condition, which is manifested by acute symptoms of sufficient severity, including severe pain, such that a prudent lay person with no special knowledge of dentistry could reasonably expect the absence of immediate dental attention to result in:
Emergency Dental Care here means dental costs that cannot be deferred in time, because of the Insured Party's pathological status and dispensed for the following care: bandage, filling, devitalisation and extraction.
Emergency Dental Care. Emergency dental treatment required to alleviate pain and suffering caused by dental disease or trauma. Refer to the Pediatric Dental Care section of this Contract for details.
Emergency Dental Care includes, but is not limited to, the immediate service that must be provided to relieve the member from pain due to an acute infection, swelling, trismus or trauma.
Emergency Dental Care means services to diagnose and treat a dental condition, which is manifested by acute symptoms of sufficient severity, including severe pain, such that a prudent lay person with no special knowledge of dentistr y could reasonably expect the absence of immediate dental attention could reasonably be expected to result in: (1) placing the health of the individual (or, in the in case of a pregnant