Prosthodontics. We Cover prosthodontic services as follows: • Removable complete or partial dentures, including six (6) months follow-up care; and • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full compliment of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.
Appears in 2 contracts
Samples: Preferred Provider Organization Contract, www.cdphp.com
Prosthodontics. We Cover essential prosthodontic services as follows: • Removable complete or partial denturesdentures for beneficiaries 15 years of age or over, including six (6) months follow-up care; and • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palaterebases. Fixed bridges are not Covered considered beyond the scope of the program unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full compliment complement of natural, functional and/or restored teeth; • teeth For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.
Appears in 2 contracts
Samples: healthplex.com, healthplex.com
Prosthodontics. We Cover prosthodontic services as follows: • Removable complete or partial dentures, including six (6) months follow-up care; and • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full compliment complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.
Appears in 1 contract