Glossary of Terms
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Emergency Services
Specialist Services
Benefits, Limitations and Exclusions
Renewal, Cancellation and Termination of Benefits
Extension of Benefits
Entire Contract
Schedule A
Description of Benefits and Copayments

Schedule B
Limitations and Exclusions

 
 
 
SPECIALIST SERVICES  
 
Specialist Services for oral surgery, endodontics, or periodontics must be referred by the assigned Contract Dentist. You will pay for all Specialist Services, which are Benefits provided by a Contract Specialist, directly to the Contract Specialist. (Refer to Schedule A.) If there is not an available Contract Specialist in the area, there are no Benefits for Specialist Services.

SPECIALIST SERVICES PERFORMED BY AN OUT-OF-NETWORK DENTIST ARE NOT COVERED.
 
 
 
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