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1 DentaCare Level 3 Dentistry is an important part of everyone's healthcare. Your company value you as their employee so your health and well-being is as important to them as it is to you.With a Cigna dental plan they have given you the opportunity to get the protection and care your teeth deserve. appliance [ah-pli´ans] any of various devices used in dentistry to provide a functional or therapeutic effect, such as a prosthesis, an obturator, or an orthodontic appliance. fixed appliance an appliance that is attached to the teeth by cement or an adhesive material. orthodontic appliance a device, either fixed to the teeth or removable, that applies Agreement for the applicable medical equipment, medical supplies, and prosthetic devices benefits/coverage. Coding: A4280 Adhesive skin support attachment for use with external breast prosthesis, each (medical supply) L8000 Breast prosthesis, mastectomy bra (prosthesis) 2019-01-01 prosthetic utilization beyond simple locomotion. Level 4: Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels.

Coding: A4280 Adhesive skin support attachment for use with external breast prosthesis, each (medical supply) L8000 Breast prosthesis, mastectomy bra (prosthesis) i) surgical appliance used by the physician during surgery, except all external prosthesis, special braces, equipment or appliances; and j) western medicine services, medical disposals and consumable. Fully covered 14. Pregnancy Complications Covers hospitalization and surgical costs associated with pregnancy An external device (e.g., Spinal Stim) uses pulsating electromagnetic energy to induce weak electrical currents in the underlying tissue. The external electrical stimulation device consists of the magnetic coils incorporated into a corset like device which the patient wears 8 to 10 hours per day, usually while sleeping. 2017-04-25 · fitting and alignment of external prosthetic components that are connected to a percutaneous OI implant. Fitting and alignment of the externally located prosthetic limb components requires special considerations when there is direct skeletal attachment of these components through use of a percutaneous OI implant.

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Please refer to the applicable benefit plan document to determine benefit availability and the terms, conditions and limitations of coverage. Document Title Document Type Document Size Effective Date; Orthotic Devices and Shoes - (0543) PDF: 560kB: 01/15/2020: Prosthetic Devices - (0536) PDF: 260kB a prosthetic device or appliance which is medically necessary and is part of the recuperation process on a short-term basis. For adults, we will pay for one external prosthetic device. For children up to the age of 16, we will pay for the initial prosthetic device and up to two replacement devices.

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or power controls for prosthetic limbs and terminal devices. • Myoelectric prostheses . peripheral nerve stimulators. • Electronic prosthetic limbs or appliances. unless Medically Necessary, when a less-costly alternative is not sufficient.

You have the right to designate any primary care Dubois Parmlee – Created prosthetic with a suction socket, polycentric knee, and multi-articulated foot. Marcel Desoutter & Charles Desoutter – First aluminium prosthesis; Henry Heather Bigg, and his son Henry Robert Heather Bigg, won the Queen's command to provide "surgical appliances" to wounded soldiers after Crimea War. 2. Prosthetic devices and corrective appliances/orthotics must meet all of the following criteria: a. The item meets the definition of prosthetic or corrective appliances/orthotics (see Definitions). b. The item is furnished on a physician's order. • See the Durable Medical Equipment (DME), Prosthetics, Corrective Appliances/Orthotics External Prosthetic Appliances No charge Family Planning Services Office Visits (Test, Counseling) Office Visit - $15 Copay Surgical Sterilization Procedure (Women) Surgical Sterilization Procedure (Men) Inpatient Hospital – No charge Outpatient Facility – No charge Inpatient Hospital - $100 Copay per admission prosthetic utilization beyond simple locomotion.
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applicable benefit plan’s External Prosthetic Appliances and Devices (EPA) or Durable Medical Equipment (DME) benefit and schedule of copayments.

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External Prosthetic Appliances (EPA) Your plan pays 100% $200 EPA annual deductible per Contract Year Unlimited maximum per Contract Year External prosthetic appliances meant to replace, in whole or in part, an arm, a leg or an eye: benefit levels will be the same as the benefit levels for primary care benefits. available, Cigna covers a microprocessor-controlled/computer-controlled lower limb prosthetic knee (HCPCS code L5856, L5857, L5858) device, including additions/components that are required for the effective use of the device, as medically necessary for an above-the-knee amputee when ALL of the External Prosthetic Appliances (EPA) Unlimited maximum per Contract Year Your plan pays 100% Routine Foot Disorders Not Covered Note: Services associated with foot care for diabetes and peripheral vascular disease are covered when medically necessary.

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4 adjustments Orthodontic retention – Removal of appliances, Cigna Health and Life Insurance Co. For - City of Cigna may designate one for you until you make this designation.

We aim to ensure that you can easily access the best quality of healthcare treatment globally. With a Cigna dental plan they have given you the opportunity to get the protection and care your teeth deserve. Cigna's Level 3 Plan helps make a contribution towards mid-cost private dental charges. All Cigna plans can also be used at an NHS dentist. There is no need to be dentally fit before joining and because the External Prosthetic Appliances No charge Family Planning Services Office Visits (Test, Counseling) Office Visit - $20 Copay Surgical Sterilization Procedure (Women) Surgical Sterilization Procedure (Men) Inpatient Hospital – No Charge Outpatient Facility – No charge Inpatient Hospital - $100 Copay per admission 09A2201310220000653805 Cigna HealthCare of Arizona, Inc. HMO This document takes the place of any documents previously issued to you which described your benefits. appliance [ah-pli´ans] any of various devices used in dentistry to provide a functional or therapeutic effect, such as a prosthesis, an obturator, or an orthodontic appliance EOC_ENG_Cigna_ 49375CO0060017_20170101 MIEP0165 1 Cigna Health and Life Insurance Company (“Cigna”) Cigna Connect Flex Silver 3500 - 200 Plan . SCHEDULE OF BENEFITS (WHO PAYS 2019-01-01 · In prosthetic applications, nanocomposites are used in orthopedic prosthetics, dental prosthetics, maxillofacial prosthetics, cardiac prosthetics, etc.