Glossary of Terms
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Definitions
Emergency Dental Services
Specialized Services
Benefits, Limitations and Exclusions
Renewal, Cancellation and Termination of Benefits
Grace Period
Reinstatement
Description of Benefits and Copayments
(Schedule A)

Limitations and Exclusions
(Schedule B)

 
 
 
BENEFITS, LIMITATIONS AND EXCLUSIONS  
 
This Program provides the Benefits described in Schedule A subject to the limitations and exclusions described in Schedule B. Benefits are only available in the State of Texas. The services are performed as deemed appropriate by your attending Contract Dentist.
 
 
 
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