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FREQUENTLY ASKED QUESTIONS
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My periodontal specialist told me I should have three or four cleanings a year, but my plan only covers two…why is this?
The number of covered cleanings for each benefit period is established by the benefits and limitations/exclusions of your group dental plan. We are obligated to apply the plan provisions consistently for all members regardless of individual circumstances. Our denial of your additional cleanings does not suggest that the services should not be performed. We do not intervene in treatment decisions between a dentist or specialist and patient nor do we determine dental necessity.
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