Common use of Comprehensive Services Clause in Contracts

Comprehensive Services. When two or more services are submitted and the services are considered part of the same service to one another, Delta Dental will pay the most comprehensive service (the service that includes the other non-benefited service) as determined by Delta Dental. You are not covered for services or supplies to correct congenital deformities, such as a cleft palate. You are not covered for services or supplies used for the controlled release of therapeutic agents into diseased crevices around your teeth. You are not covered for services or supplies which have the primary purpose of improving the appearance of your teeth, rather than restoring or improving dental form or function. You are not covered for crowns that are not meant to restore form and function of a tooth, including crowns placed for the primary purpose of periodontal splinting, cosmetics, altering vertical dimension, restoring your bite (occlusion), or restoring a tooth due to allergies, attrition, abrasion, erosion and abfraction. Crowns placed on anterior teeth for endodontic purposes only are not a covered benefit. You are not covered for desensitization materials or their application. Diet planning or training in oral hygiene or preventive care.