Annual Maximum. This Contract has an in-network and out-of-network annual maximum for non-orthodontic benefits described in the Adult Dental Care section of this Contract. There is no annual maximum for the in- network and out-of-network pediatric dental essential health benefit. When Members receiving adult dental care have met the annual maximum for Covered Services in the Schedule of Benefits section of this Contract, no more benefits will be payable for that Member for the remainder of that Plan Year. If You have other than individual coverage, the individual annual maximum for adult dental care benefits applies to each person covered under this Contract. Once a person within a family meets the individual annual maximum for adult dental care, no more benefits for services will be payable for that person.
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Annual Maximum. This Contract has an in-network and out-of-network annual maximum for non-orthodontic benefits described in the Adult Dental Care section of this Contract. There is no annual maximum for the in- in-network and out-of-network pediatric dental essential health benefit. When Members receiving adult dental care have met the annual maximum for Covered Services in the Schedule of Benefits section of this Contract, no more benefits will be payable for that Member for the remainder of that Plan Year. If You have other than individual coverage, the individual annual maximum for adult dental care benefits applies to each person covered under this Contract. Once a person within a family meets the individual annual maximum for adult dental care, no more benefits for services will be payable for that person.
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