Denture Services Sample Clauses

Denture Services. 1. Provision of an initial removable partial or complete denture.
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Denture Services. Provision of an initial removable partial or complete denture? Replacement of an existing denture if: at least one additional tooth was extracted and the existing denture cannot be made serviceable. (If the existing appliance can be made serviceable, coverage is limited to the replacement of the additional teeth). it replaces an existing denture which is at least years old and cannot be made serviceable. it places a temporary denture installed after the date coverage is effective. the replacement is required as the result of an initial opposing denture after the date coverage is effective. the replacement is required as the result of an accidental injury which occurs after the date is effective. Repairs, relines, and adjustments to existing dentures. Diagnostic casts, excluding orthodontic diagnostic casts. Covered Limitations; The items are not covered under the Pian otherwise stated: Services and supplies rendered for dietary planning Treatment not yet approved by the Canadian Association or which is experimental in nature. Broker-appointments or completion of claim forms. treatment the is not "treatment necessarily rendered" as defined in the Group Policy. Covered expenses, subject to the definition of and Customary Charges" will be considered for the portion of the expenses that would have been incurred for an alternate form of treatment that would qualify as "treatment necessarily rendered". Dentures which have been lost, mislaid or stolen. Services and supplies rendered for a full mouth reconstruction, dimension correction, or for correction of a temporal mandibular joint dysfunction. Services and supplies rendered for facings on crowns or posterior to the second bicuspids. Covered expenses incurred, as a result of accidental injury to natural teeth, for treatment completed more than months after the accident. Any services or treatment which are not identified as under the Group Policy. APPENDIX I September Xxxxxxx President, Local Canadian Union of Public Employees O Business Court Suite Scarborough, Ontario Dear Re: Cable The agrees to continue providing free cable services to those on-site custodians and security tenants who were receiving this as at May remain in placefor the of the that they maintain their on-site
Sample 1

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  • Urgent Care Services All Medically Necessary Covered Services received in Urgent Care Centers, Retail Clinics or your Primary Care Physician’s office after-hours to treat an Urgent Medical Condition will be covered by AvMed. Any request for reimbursement of payment made by a Member for services received must be filed within 90 days or as soon as reasonably possible but not later than one year unless the Member was legally incapacitated. If Urgent Medical Services and Care are required while outside the continental United States, Alaska or Hawaii, it is the Member’s responsibility to pay for such services at the time they are received. For information on filing a Claim for such services, see Part XIII. REVIEW PROCEDURES AND HOW TO APPEAL A CLAIM (BENEFIT) DENIAL.

  • Vision Care Services For purposes of coordination of benefits, vision care services covered under other plans are not considered an allowable expense, as defined in the Coordination of Benefits and Subrogation in Section 7.

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