Common use of Services Not Covered Clause in Contracts

Services Not Covered. Services purely cosmetic in nature, or for purely cosmetic reasons. • Charges for broken appointments. • Services covered or provided through Workers’ Compensation legislation, any government agency, or a third party liability. • Congenital malformations, e.g. cleft palate prosthesis (if included in this Proposal). • Major dental services including inlays, crowns, bridges, full dentures, partial dentures, including facings on crowns or pontics (false teeth) more often than once every five (5) years. • Fees arising out of extra services arranged for privately between the patient and the dentist. • Implants. • Oral hygiene instruction. • Plaque control programs. • Charges for completing claim forms.