Dentures Clause Samples
Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months
2. Complete removable dentures, upper or lower, limited to one per 60 months
3. Pre-operative radiographs required
4. Pre-treatment estimate, as described in the Estimate of Eligible Benefits section is recommended for Members
5. Tissue conditioning prior to denture impression
6. Repairs to denture as required including; repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture
Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months
2. Complete removable dentures, upper or lower, limited to one per 60 months
3. Pre-operative radiographs required
4. Pre-treatment estimate, as described in the Estimate of Eligible Benefits section is recommended for Members
5. Tissue conditioning prior to denture impression
6. Repairs to denture as required including; repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture
D. Fixed prosthetics, including bridges and crowns, inlays and onlays used as abutments for or as a unit of the bridge limited to one per tooth per 60 months SAMPLE
E. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placement
F. Repair of prosthetic appliances, including fixed bridges, and removable dentures, full and/or partial. No limitations for Members under age 19. For Members over age 19, benefit limited to once in any twelve (12) month period per specific area of the appliance.
G. Repair of prosthetic appliances and removable dentures, full and/or partial.
▇. ▇▇▇▇▇▇▇▇ guard, by report, limited to one per 12 months for Members age 13 and older.
Dentures. 1. Partial removable dentures, upper or lower, limited to one (1) per sixty (60) months.
2. Complete removable dentures, upper or lower, limited to one (1) per sixty (60) months.
3. Pre-operative radiographs required.
4. Pre-treatment estimate, as described in Section 14.7F, Estimate of Eligible Benefits, is recommended.
5. Tissue conditioning prior to denture impression only.
6. Repairs to denture as required including: repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture.
7. Adjust maxillofacial prosthetic appliance, by report, limited to one per six (6) months, per Member, per arch.
8. Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments, limited to one per six (6) months, per Member, per arch.
Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months
2. Complete removable dentures, upper or lower, limited to one per 60 months
3. Pre-operative radiographs required
4. Pre-treatment estimate, as described in the Estimate of Eligible Benefits section is recommended for Members
5. Tissue conditioning prior to denture impression
6. Repairs to denture as required including; repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture
D. Denture adjustments and relining limited to: Full or partial removable (upper or lower) dentures: once per 24 months, but not within six months of initial placement SAMPLE
E. Repair of prosthetic appliances and removable dentures, full and/or partial.
▇. ▇▇▇▇▇▇▇▇ guard, by report, limited to one per 12 months for Members age 13 and older
Dentures. Partial and complete dentures will be covered to a maximum of $1500.00. Insurance booklets and updates to the plan will be provided by the Hospital as changes occur. Insured persons age nineteen (19) or older will be eligible for reimbursement for dental recall examinations once every nine (9) months. Persons under age nineteen (19) will continue to be eligible once every six 6) months.
Dentures. To replace missing teeth with a removable prosthetic. One set of full upper and lower dentures (provided by either a dentist or denturist), and one set of partial dentures (provided only by a dentist), will be covered once every 60 months.
Dentures. At the time of admission it will be documented when a resident is admitted with dentures. Nursing will indicate if a resident wears dentures at all times or if there is a potential risk for loss. A care plan will be developed to address the risk for loss and the team will develop strategies to try to help prevent and minimize loss.
Dentures. 1. Partial removable dentures, upper or lower, limited to one per 60 months.
2. Complete removable dentures, upper or lower, limited to one per 60 months.
3. Pre-operative radiographs required.
4. Pre-treatment estimate, as described in Section 15.3F, Estimate of Eligible Benefits, is recommended.
5. Tissue conditioning prior to denture impression only.
6. Repairs to denture as required including: repair resin denture base, repair cast framework, addition of tooth or clasp to existing partial denture, replacement of broken tooth, repairs or replacement of clasp, recement fixed partial denture.
7. Adjustment to maxillofacial prosthetic appliance, by report, limited to one per 6 months, per Member.
8. Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments, limited to one per 6 months, per Member, per arch.
Dentures. For the denture coverage detailed below, the Plan reimburses eligible employees 50%, based on a one year lag of the Ontario Dental Association Fee Guide allowance for the eligible expense incurred by the employee and each eligible dependent to a calendar year maximum of $1,500 when combined with expenses for crowns and bridgework: - first installation, including adjustments, of partial permanent or full temporary or permanent removable dentures to replace 1 or more natural teeth; - denture adjustments that occur more than 3 months after installation; - replacement of an existing partial or full removable denture if it: - was installed at least 5 years before and cannot be made serviceable; or - is a temporary full denture which replaces 1 or more natural teeth and for which replacement by a permanent denture is required and takes place within 1 year from the date the temporary denture was installed; and - addition of teeth to an existing partial denture, if required to replace 1 or more natural teeth.
Dentures. Standard dentures including complete, immediate, transitional and partial dentures, once every 5 years. Temporary dentures must be replaced within 12 months of installation, or they are deemed permanent and are not eligible for replacement for 5 years.