Common use of Pediatric Dental Care Services Clause in Contracts

Pediatric Dental Care Services. In accordance with PPACA, this agreement provides coverage for the dentally necessary services listed in the Summary of Medical Benefits for an enrolled child under the age of nineteen (19), when rendered by a network dentist or non-network dentist. The coverage for dental care services rendered to an enrolled child will end for the child on the first day of the month following their 19th birthday, unless otherwise specified in the Summary of Medical Benefits. If a covered dental care service is rendered more than our contractually specified treatment time or age limitations, which are based on our dental policies and related guidelines, it is not covered. NETWORK DENTIST (NETWORK ) is a dentist that has entered into an agreement with BCBSRI.

Appears in 11 contracts

Samples: Subscriber          Agreement, Subscriber          Agreement, Subscriber          Agreement

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Pediatric Dental Care Services. In accordance with PPACA, this agreement provides coverage for the dentally necessary services listed in the Summary of Medical Benefits for an enrolled child under the age of nineteen (19), when rendered by a network dentist Network Dentist or nonNon-network dentistNetwork Dentist. The coverage for dental care services rendered to an enrolled child will end for the child on the first day of the month following their 19th birthday, unless otherwise specified in the Summary of Medical Benefits. If a covered dental care service is rendered more than our contractually specified treatment time or age limitations, which are based on our dental policies and related guidelines, it is not covered. NETWORK DENTIST (NETWORK NETWORK) is a dentist that has entered into an agreement with BCBSRI.

Appears in 2 contracts

Samples: Subscriber Agreement, Subscriber          Agreement

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