Oral Surgery definition
Examples of Oral Surgery in a sentence
Services In-Network Out-of-Network Diagnostic/Preventive 100% None Fillings 80% None Endodontics 80% None Periodontics 80% None Oral Surgery 80% None Crowns 80% None Prosthetics 50% None Prosthetic Repairs 50% None Orthodontics* 80% None *Please refer to your certificate of coverage for information regarding age limitations for dependent orthodontic care.
General Anesthesia or IV Sedation: when administered by a Provider for covered Oral Surgery or selected endodontic and periodontal surgical procedures.
Benefits will not be provided for the following Oral Surgery procedures: • Surgical services related to a congenital malformation.
Diagnostic 100% 0% Preventive 100% 0% Restorative 100% 0% Oral Surgery 100% 0% Endodontic 100% 0% Periodontic 100% 0% Prosthodontic 50% 50% Orthodontic 50% 50% Maximum - $1,000 per person, per calendar year, with a separate orthodontic maximum of $1,000 per case.
Your Plan covers only the following Oral Surgery services or procedures.
This program includes Preventive/Diagnostic Services and Treatment/Therapy Services and the following riders: Treatment Services Plus, Prosthodontics, Periodontics, Orthodontics, Inlays/Crowns, and Oral Surgery.
Oral Surgery required for a dental diagnosis such as periodontal disease is not covered.
Also included are Diagnostic Casts, when necessary 100% Oral Surgery: Procedures for extractions and other oral surgery, including pre- and post- operative care 80% Restorative: Provides amalgam, synthetic porcelain and plastic restorations for treatment of carious lesions.
Benefits will not be provided for the following Oral Surgery procedures: • surgical services related to a congenital malformation.
KFHPWA’s medical director will determine whether the care or treatment required is within the category of Oral Surgery or Dental Services.