Emergency Treatment Benefits
We will pay for Emergency Treatment up to the maximum value of £500 per incident worldwide, with an annual aggregate limit of £1,000 provided that such Treatment is received by the Plan Member during the Period of Cover. An excess of £15 is applicable to each and every incident.
Treatments will be covered where the Plan Member requires Treatment away from their Registered Practice (after making all reasonable efforts to attend their Registered Practice), or at their Registered Practice outside of their published opening hours.
All charges for Treatment must be reasonable, fair, clinically necessary and in line with the normal published treatment charges of the treating dental practice.
Treatment Following Accident
If a Plan Member requires Treatment following an Accident occurring during the Period of Cover, benefit will be paid for the cost of such Treatment up to the limits specified below, up to a maximum annual aggregate of £12,000.
Treatment must be carried out by the Plan Member’s Registered Practice unless in an emergency.
If Treatment costs are likely to exceed £400 the Plan Member must call Lloyd & Whyte Ltd on 01823 250700 to obtain our prior approval.
If a Plan Member is admitted to hospital as an In-Patient, as a direct result of a dental Accident or for Emergency Dental Treatment. We will pay £85 for each complete 24 hours the Plan Member remains in hospital under the care of a Specialist.
If a Plan Member is diagnosed with Oral Cancer we will pay the Plan Member up to £3,000 cash benefit. We will only pay this sum for Oral Cancer once the Plan Member has been referred to a Specialist by their general practitioner or Dentist.
Permanent Facial Disfigurement
If a Plan Member suffers Permanent Facial Disfigurement as a result of an Accident during the Period of Cover We will pay the Plan Member the appropriate benefit according to the severity of the scaring as follows:
- Scarring up to 5 cms long in total length – £55
- Scarring more than 5 cms but less than 8 cms in total length – £110
- Scarring 8 cms or more in total length – £550 al length – £550