MMC Benefits Handbook
Dental
- Dental care that is required to treat the effects of a medical condition, but that is not necessary to directly treat the medical condition, is excluded. Examples include treatment of dental tooth decay or cavities resulting from dry mouth after radiation treatment or as a result of medication.
- Preventive care, diagnosis, treatment of or related to the teeth, jawbones or gums. Examples include all of the following:
- Extraction, restoration and replacement of teeth
- Medical or surgical treatments of dental conditions
- Services to improve dental clinical outcomes
- Dental implants, bone grafts, and other implant-related procedures
- Dental braces (orthodontics)
- Dental X-rays, supplies and appliances and all associated expenses, including hospitalization and anesthesia. This exclusion does not apply to accidental-related dental services for which Benefits are provided as described under Dental Services – Accidental and Medical. This exclusion does not apply to dental care (oral exam, X-rays, extractions and non-surgical elimination of oral infection) required for the direct treatment of a medical condition for which Benefits are available under the Plan.
- Treatment of congenitally missing, malpositioned or super numerary teeth, even if part of a congenital anomaly.
- Endodontics, periodontal surgery and restorative treatment.