ACCIDENTAL DENTAL - Dental care for natural teeth necessitated Sample Clauses

ACCIDENTAL DENTAL - Dental care for natural teeth necessitated by a direct accidental blow to the mouth and not by an object wittingly or unwittingly placed in the mouth. The accident and treatment must occur while coverage is in force. Payment will be made up to the fees set out in the Ontario Dental Association suggested Fee Guide for General Practitioners in effect on the date of treatment. The replacement of natural teeth will be limited to $500 per accident. Predetermination of Benefits and Alternate Benefit Provision - Prior to beginning dental treatment which will involve the use of crowns, bridges and/or dentures and which is expected to cost $300 or more, you must obtain from your dentist and submit to Manulife a treatment plan outlining the details of the accident, any relevant x-rays, pre-accident condition of the teeth, planned treatment and cost. Approval of the treatment plan must be obtained from Manulife prior to commencement of treatment (except for emergency treatment required to alleviate pain). After reviewing the treatment plan, you will be advised of the amount payable by Manulife. Where a range of fees, individual consideration or laboratory charges are included, Manulife will determine the amount payable. There are many ways to treat a particular dental problem or condition and the cost of different procedures, services, courses of treatment and materials may vary considerably. Manulife may determine that payment for a less expensive procedure, which will provide satisfactory results, may be made towards the cost of a procedure selected by you and your dentist. The difference between the amount payable by Manulife and the dentist's charge is your responsibility.
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Related to ACCIDENTAL DENTAL - Dental care for natural teeth necessitated

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