Alternate Services Sample Clauses

Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations No amount will be paid for charges for: - Dental care which is cosmetic; - Broken appointments; - Dental care covered under a medical plan provided by an employer or government; - Treatments for which, in the absence of insurance, there would be no charge; - Stainless steel crowns on permanent teeth; - Oral hygiene instruction or nutritional counselling; - Protective athletic appliances; - A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; - Replacement of lost or stolen prostheses; or replacement of bridgework - Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued.
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Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result.
Alternate Services. Members have a right to request any covered service, whether or not the service has been recommended as necessary or appropriate by a professional or the interdisciplinary team responsible for coordinating their care. The MCO is not restricted to providing only the services in the benefit package. The MCO may provide, but is not required to provide, a support or service to a specific member that is not specified in the benefit package if the alternative support or service is:
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations No amount will be paid for charges for: - Dental care which is cosmetic; - Broken appointments; - Dental care covered under a medical plan provided by an employer or government; - Which, in the absence of insurance, there would be no charge; - Stainless steel crowns on permanent teeth; - Oral hygiene instruction or nutritional counselling; - Protective athletic appliances; - A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; - Replacement of lost or stolen prostheses; or replacement of bridgework - Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. EMERGENCY OUT OF COUNTRY MEDICAL COVERAGE: 100% for emergency medical, doctor’s fees, hospital charges etc. over and above OHIP. There is a $5,000,000 lifetime maximum for each covered person. Trips are limited to a maximum of sixty (60) consecutive days. This coverage terminates at age 70. The coverage is outlined in the policy.
Alternate Services. If you are not comfortable with the limitations of 9-1-1 emergency calls, Quadro recommends that you terminate the VoIP services or consider an alternate means for accessing traditional 9-1-1 emergency services.
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations - No amount will be paid for charges for:  Care which is cosmetic;  Broken appointments;  Care covered under a medical plan provided by an employer or government;  Treatments for which, in the absence of insurance, there would be no charge;  Stainless steel crowns on permanent teeth;  Oral hygiene instruction or nutritional counselling;  Protective athletic appliances;  A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction;  Replacement of lost or stolen prostheses; or replacement of bridgework  Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. Xxxxxx Xxxxxxx & Associates Ltd. 500 – 00 Xxxx Xxxxxxx Xxxxx, Xxxxxxxxx, Xxxxxxx X0X 0X0 416-234-5044 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Contact Centre: 000-000-0000 Toll Free - 0-000-000-0000 / Fax – 000-000-0000 Email: xxxx@xxxxxxxxxxxxx.xxx
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations - No amount will be paid for charges for: • Care which is cosmetic; • Broken appointments; • Care covered under a medical plan provided by an employer or government; • Treatments for which, in the absence of insurance, there would be no charge; • Stainless steel crowns on permanent teeth; • Oral hygiene instruction or nutritional counselling; • Protective athletic appliances; • A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; • Replacement of lost or stolen prostheses; or replacement of bridgework
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Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a profes- sionally adequate result. Limitations No amount will be paid for charges for: Dental care which is cosmetic; Broken appointments; Dental care covered under a medical plan provided by an employer or government; Which, in the absence of insurance, there would be no charge; Stainless steel crowns on permanent teeth: Oral hygiene instruction or nutritional counselling: protective athletic appliances; A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporo- mandibular joint dysfunction; replacement of lost or stolen prostheses: or replacement of bridgework Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this ben- efit is discontinued. Orthodontics (Dependent Children Only) Charges up to the Benefit Maximum for: Diagnostic procedures, including models Therapy and appliances; and Correction or malocclusion Note This is a description of the covered benefits and not the policy. Eligible expenses and exclusions are outlined in the Teamsters Self Funded Health Care and Dental Care Plan Document. It is designed to tell you about the provisions of the benefits which are of most general interest. Not all of the Plan’s details are included. If you have any questions about the Plan rules or provisions, or if you would like to find out about any matter affecting your status in it, write to the Plan administrator: ASSOCIATES Four Seasons Place Suite ON General Telephone Number: Toll Free: Fax Number: Schedule SUMMARY OF WELFARE RETIREE BENEFITS TEAMSTERS BENEFITS PROGRAMME TRUST FUND. Benefits for Retired Members and Eligible Dependents ELIGIBILITY FOR RETIRED BENEFITS: When you retire you continue Health Care and Dental Care Benefits for yourself and your eligible dependents, provided you have satisfied the eligibility provisions with a minimum of years of continuous plan participation and are between age and at retirement. Eligible Dependents are defined in the master policy and include your Spouse (common-law Spouse after one year of and your unmarried children under age (up to age if attending school).
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations No amount will be paid for charges for: dental care which is cosmetic; completion of claim forms; broken appointments; dental care covered under a medical plan provided by an employer or government; which, in the absence of insurance, there would be no charge; stainless steel crowns on permanent teeth; oral hygiene instruction or nutritional counselling; protective athletic appliances; a full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a joint dysfunction; replacement of lost or stolen prostheses; or of bridgework prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. Orthodontics (Dependent Children Only) Charges up to the Benefit Maximum for: diagnostic procedures, including models therapy and appliances; and correction or malocclusion NOTE: This is a description of the insurance benefits and not the policy. It is designed to tell you about the provisions of the insurance coverage which are of most general interest. Not all of the Plan’s details are included. If you have any questions about the Plan rules or provisions, or if you would like to find out about any matter affecting your status in it, write to the Plan administrator XXXXXXX ASSOCIATES LTD. Street, Ontario General Telephone Number: Toll Free: Fax Number: Schedule 2 SUMMARY OF WELFARE RETIREE BENEFITS TEAMSTERS LOCAL BENEFITS PROGRAMME TRUST FUND.
Alternate Services. TIG recommends that CUSTOMER should always have an alternative means of accessing 911 or similar emergency services. CUSTOMER agrees to inform others who use CUSTOMER’s SIP Trunking Service that they are using the SIP Trunking Service and that access to 911 may be limited and that in the event of a failure to use other emergency services through a traditional landline or mobile phone service.
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