ORTHODONTIC

Crooked

100

Can a member claim on a deposit or payment made before active treatment has started?

Yes

200

Do new members with no previous cover, have a 12 month waiting period before being able to use orthodontia?

No, some policies such as Amazon have waived all waiting periods

300

If a member changed their policy where their orthodontia limits are higher, how long do they need to wait before accessing the higher benefit?

None, no waiting periods apply to access the higher orthodontia benefits on the new policy, as long as waiting periods have been served , where needed.

400

Limits for Orthodontic treatment are broken down into three limits: Course treatment limit, Lifetime Limit, and what?

Annual Limit

500

Name 4 or more items needed on a treatment plan

• patient’s name
•  
• item number(s)
•  
• duration of treatment
•  
• treatment commencement date
•  
• contract type
•  
• estimated/total cost of treatment 

or instalment financial agreement.

• Active phase duration 
•  
• Retention phase duration 

Busted

100

What are the two ways a member can pay for their Orthodontic treatment?

In full and instalments

200

In order to claim for orthodontia what is needed?

A treatment plan

300

Are Invisalign classed as orthodontic?

Yes

400

When is a treatment plan needed to be resent?

• The member will need to     submit an updated treatment plan and when their policy rolls over to the     new year.

500

What is the article number that shows you how to quote for Orthodontics?

K-HUB 1241

Just wrong

100

Orthodontics involves what?

• The correction of crooked  teeth and jaw alignment problems and use correction devices such as braces  and plates 

200

Can a member claim using an invoice from a third party?

No, Invoices must be from the Orthodontist

300

If a member is claiming via instalments what is considered the date of service?

The date the payment has been made

400

Can a member claim during the retention phase?

No, benefit will only be paid while in the active stage.

500

What does it mean if a policy has a Course limit on Orthodontia?

 One course of orthodontic treatment available every five years. - Treatment commenced within five years of a previous course is considered a continuation of the previous course of treatment.