Cleft palate definition

Cleft palate means a condition that may include cleft palate, cleft lip, or other craniofacial anomalies associated with cleft palate.
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Cleft palate means a birth deformity in which the palate (the roof of the mouth) fails to close.
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Cleft palate means a condition that may include cleft palate, cleft lip, or other craniofacial anomalies associated with cleft palate. HOSPITAL SERVICES 10% Co-Pay for all other services provided by Prudent Buyer Plan Providers. 10% Co-Pay for Non-Prudent Buyer Plan Providers PLUS any amount in excess of the Maximum Allowed Amount which is strictly limited as shown on pages 122 through 126. Inpatient Hospital services are subject to pre-service review to determine medical necessity. Please refer to the PRUDENT BUYER PLAN BENEFITS - UTILIZATION REVIEW PROGRAMS section beginning on page 49 for information on how to obtain the proper reviews. Subject to the Calendar Year Deductible and applies toward the Out-of-Pocket Expense Amount. Coverage for Admissions for Dental Care: Listed inpatient Hospital services, subject to the conditions of service stated above, when a Hospital Stay for dental treatment is required due to an unrelated medical condition of the Member, and has been ordered by a Physician (M.D.) and a Dentist (D.D.S. or D.M.D.). Anthem Blue Cross will make the final determination as to whether the dental treatment could have been safely rendered in another setting due to the nature of the procedure or the Member’s medical condition. Hospital Stays for the purpose of administering general anesthesia are not considered Medically Necessary and are not covered except as specified below.
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Examples of Cleft palate in a sentence

  • Benefits for Medically Necessary orthodontic services are limited to Participants who meet the Plans criteria related to a medical condition such as: • Cleft palate or other congenital craniofacial or dentofacial malformations requiring reconstructive surgical correction in addition to orthodontic services.

  • Cleft palate includes cleft palate, cleft lip or other craniofacial anomalies associ- ated with cleft palate.

  • Cleft palate includes cleft palate, cleft lip or other craniofacial anomalies associated with cleft palate.

  • Cleft palate is a common congenital disorder that affects up to 1 in 2,500 live human births and results in considerable morbidity to affected individuals and their families.

  • Cleft palate is a condition that may include cleft palate, cleft lip, or other craniofacial anomalies associated with cleft palate.


More Definitions of Cleft palate

Cleft palate means a condition that may include cleft palate, cleft lip, or other craniofacial anomalies associated with cleft palate Retail Health Clinic‌ See Preventive Care Services on pages 38 & 39 as well as Physician/Professional Services on page 36 for specific Co-Pay, Deductible and Out-of-Pocket Expense Amount Information. Anthem Blue Cross will provide whatever benefits would be appropriate if the services and supplies were provided by a Prudent Buyer Plan Provider for charges by Non-Prudent Buyer Plan Providers for services and supplies provided in connection with Retail Health Clinic. Services and supplies provided by medical professionals who provide basic medical services in a retail health clinic including, but not limited to:
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