Your assigned Contract Dentist maintains a 24-hour Emergency Services system seven days a week. The Contract Dentist will provide Emergency Services for covered dental procedures whenever possible. If you require Emergency Services and are 35 miles or more from your Contract Dentist's facility, or you are unable to reach your Contract Dentist, you may seek treatment from a Dentist other than your assigned Contract Dentist. Benefits for emergency treatment provided by an out-of-network Dentist are subject to a $100.00 maximum per emergency, per Enrollee. You will be responsible for the Copayment(s) as well as any charges over the $100.00 benefit maximum.
YOUR ASSIGNED CONTRACT DENTIST MUST PROVIDE EMERGENCY CARE FOR COVERED SERVICES IF YOU ARE WITHIN 35 MILES OF HIS OR HER FACILITY.
