MMC Benefits Handbook
Treatment Started Before Coverage Ends
Does the Plan continue to pay for orthodontia treatment in progress after my coverage ends?
No, the Plan won't continue to pay for treatment in progress after your coverage ends. You can elect to continue coverage, however, through COBRA.
Does the Plan continue to pay for any other treatments in progress after my coverage ends?
No, the Plan won't continue to pay for treatment in progress after your coverage ends. You can elect to continue coverage, however, through COBRA.
Exception
Crowns, prosthetics and root canals will be covered if the procedure was started prior to the date your coverage ends and is completed within 90 days of your coverage end date.
When is the expense for my denture, fixed bridgework, crownwork or root canal therapy incurred?
For the following procedures, the expense is incurred and the procedure is considered started when:
- the denture or fixed bridgework impression is taken,
- the crownwork preparation of the tooth is begun, or
- the root canal therapy work on the tooth is begun.
Claims are reviewed once the dentist submits the bill (generally dentists submit expenses once the procedure is completed).