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Dental Basic Plan - Best Life

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1. Services provided by anyone other than a doctor of medical dentistry or a doctor of dental surgery, unless a licensed hygienist performs the services under the direction of a doctor of medical dentistry or a doctor of dental surgery, or a denturist. 2. Services received while on active duty with a military service of any country or international

  Basics, Medical, Doctors, Dental, Dental basic

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BEST LIFE and Health Insurance Company PO. Box …

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Arizona: For your protection, Arizona law requires the following statement to appear on this form: Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal

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Dental Advantage Plan - Best Life

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EXCLUSIONS ON PEDIATRIC DENTAL PLAN The following exclusions are not covered. 1. Services provided by anyone other than a doctor of medical dentistry or a doctor of dental surgery, unless a licensed hygienist performs the services under the direction of a doctor of medical dentistry or a doctor of dental surgery, or a denturist. 2.

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Dental Advantage Plan - Best Life

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Exams, cleanings, sealants, fluoride treatment, x-rays, space maintainers, emergency palliative treatment You pay 0% You pay 20% Intermediate Services Minor restorative services, fillings, pulpal treatment, periodontal maintenance, denture adjustment and repair, surgical extractions, anesthesia (general or IV sedation) You pay 30% You pay 40%

  Advantage, Space, Dental, Space maintainers, Maintainers, Dental advantage

Dental Advantage Plan - Best Life

www.bestlife.com

3. Services needed as a result of participation in a felonious participation in riot or insurrection or the commission of a felony. 4. Services needed as a result of a work related injury or illness, whether or not covered under Workers’ Compensation ror services provided by an employer. 5. Services started before the effective date.

  Advantage, Dental, Insurrection, Dental advantage

Dental Advantage Plan - Best Life

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Minor restorative services, fillings, pulpal treatment, periodontal maintenance, denture adjustment and repair, surgical extractions, ... medical dentistry or a doctor of dental surgery, or a denturist. 2. Services received while on active duty with a military service of any country or international organization.

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Dental Plus Plan - Best Life

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EXCLUSIONS ON PEDIATRIC DENTAL PLAN This Policy excludes and will not reimburse for the following services or charges. 1. Services provided by anyone other than a doctor of medical dentistry or a doctor of dental

  Plus, Dental, Dental plus

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15. Services for correction or alteration of occlusion, or any occlusal adjustments. Expenses incurred for night guards or any other appliances for the correction of harmful habits, except as defined as a covered dental expense. 16. Charges for “safe fees” (e.g., gloves, masks, surgical scrubs and sterilization). 17.

  Correction

Dental Advantage Plan - Best Life

www.bestlife.com

30. Charges for home health aides including toothpaste, fluoride gels, dental floss and teeth whiteners. 31. Services to seal teeth, other than permanent molars. 32. Charges to replace lost, stolen or misplaced dentures. 33. Charges to repair or replace damaged, lost or missing appliances. 34. Services to fabricate an athletic mouth guard. 35.

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Dental Advantage Plan - Best Life

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1. Services provided by anyone other than a doctor of medical dentistry or a doctor of dental surgery, unless a licensed hygienist performs the services under the direction of a doctor of medical dentistry or a doctor of dental surgery, or a denturist. 2. Services received while on active duty with a military service of any country or international

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