Orthodontia Sample Clauses

Orthodontia. We will pay for procedures which help to restore oral structures to health and function and to treat serious medical conditions such as cleft palate and cleft lip; maxillary/ mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankyloses of the temporomandibular joint; and other significant skeletal dysplasias. Prior approval is required. Fidelis Care uses a company called DentaQuest to manage your dental benefit. You must use a DentaQuest dentist for your dental care. If you have questions related to your dental care, or need to find a dental provider, please call the Fidelis Care Member Services Department at 1- 888-FIDELIS (0-000-000-0000).
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Orthodontia. Proper fitting of natural teeth and prevention or correc- tion of irregularities of teeth.
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Orthodontia. The Employer will pay one hundred percent (100%) of the premium necessary to provide for two thousand dollars ($2,000.00) Orthodontia Plan V coverage of Orthodontia treatments for the employee, spouse and dependents.
Sample 1
Orthodontia. Proper fitting of natural teeth and prevention or cor- rection of irregularities of teeth. Dental reimbursement levels You will be reimbursed for: * 100% of the cost of eligible Basic Services; * 75% of the cost of eligible Restorative Services; * 50% of the cost of eligible Orthodontia Services Incurred by you or your dependents subject to the limita- tions and exclusions described below. Benefits will be paid on the basis of the lesser of the ac- tual fee charged or the amount stated in the current Ontario fee schedule of the Dental Association. In the event that optional procedures are possible, the procedure involving the lowest fee will be considered as the eligible expense provided it is consistent with good dental care.
Sample 1
Orthodontia. No change will be made with respect to benefitsfor orthodontia, except for the extended coverage provision described in paragraph c. of Section 2 above.
Sample 1
Orthodontia. The Employer will contribute one hundred percent (100%) of the monthly premium necessary to provide employee and dependent coverage under the AWC Orthodontia Rider Plan V.
Sample 1

Related to Orthodontia

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. Residential Treatment Facility This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. Intermediate Care Services This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent contractors involved in the provision of services have been excluded from participation in any Federally-funded health care programs, including, but not limited to, Medicare and Medicaid.

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