Examples of Oral Surgery in a sentence
Any items of Medical-Surgical Expense incurred for dental care and treatments, Covered Oral Surgery, or dental appliances, except as provided for in the Benefits for Dental Services provision in the Special Provisions Expenses portion of this Benefit Booklet.
Covered Oral Surgery means maxillofacial surgical procedures limited to: 1.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology.
This exclusion does not apply to medically necessary dental care covered under Accidental Dental Injury Services, Cleft Lip, Cleft Palate or Both or Oral Surgery in the List of Benefits in this section.
Oral Surgery, including treatment for cysts, tumors and abscesses 3.
Benefits are excluded for Dental Care and Treatment and dental appliances except as specifically provided in this Benefit Plan under Oral Surgery Benefits.
Dental Care and Treatment and dental appliances except as specifically provided in this Benefit Plan under Oral Surgery Benefits.
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.
For Oral Surgery Benefits, Providers in the Preferred Care Network, the United Concordia Dental Network (Advantage Plus) or Blue Cross and Blue Shield of Louisiana’s dental network are considered Network Providers.
KFHPWA’s medical director will determine whether the care or treatment required is within the category of Oral Surgery or Dental Services.