Category: Insurance | Difficulty: Basic | Priority: Core | Subcategory: Plan Structure
A dental procedure that is excluded from coverage under a benefit plan, either by category (e.g., cosmetic) or by frequency limitation, regardless of clinical necessity.
A dental service your insurance plan does not pay for, which means you pay the full cost.
[[covered service; exclusion; cosmetic dentistry; patient balance]]
Common examples: tooth whitening, implants (many plans), adult orthodontics. Important to inform patients before treatment.
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