Crowns and Onlays. This agreement covers single tooth crowns and onlays to restore natural teeth. Crowns and onlays that are not part of a bridge are covered. Replacements will be covered only if the existing crown or onlay is more than five (5) years old, is not serviceable, and cannot be repaired. Predetermination is recommended for this service. See Section 8.0 for the definition of predetermination.
Appears in 6 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Crowns and Onlays. This agreement covers We cover single tooth crowns and onlays to restore natural teeth. Crowns and onlays that are not part of a bridge are covered. Replacements will be covered once in a sixty (60) month period, only if the existing crown or onlay is more than five (5) years old, is not serviceable, serviceable and cannot be repaired. Predetermination is recommended for this service. See Section 8.0 for the definition of predetermination.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
Crowns and Onlays. This agreement covers single tooth crowns and onlays to restore natural teethteeth for members under the age of 19. Crowns and onlays that are not part of a bridge are covered. Replacements will be covered only if the existing crown or onlay is more than five (5) years old, is not serviceable, and cannot be repaired. Predetermination is recommended for this service. See Section 8.0 for the definition of predetermination.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
