Dental 

The following dental expenses are not covered:

• any dental supplies including but not limited to take-home fluoride, prescription drugs, and non-prescription drugs 

• athletic mouth guards 

• attempted suicide and intentionally self-inflicted injury while sane or insane 

• broken appointments 

• changing vertical dimension, restoring occlusion or bite, or bite analysis 

• correcting congenital malformation 

• cosmetic procedures 

• cost to complete claim forms 

• dental implants and related services 

• dental treatment, appliance, or device related to periodontal splinting, correction of abrasion, erosion, attrition, abfraction, bruxism, or desensitizing or restored by other means 

• denture duplication 

• diagnostic casts 

• due to your participation in a riot or committing a felony 

• expenses incurred during a waiting period 

• harmful habit appliances 

• hospital and related anesthesia charges 

• initial placement of full or partial dentures, bridges, or crowns to replace natural teeth lost before the effective date of insurance 

• lab procedures 

• myofunctional therapy 

• occurring during or arising from your course of occupation or employment (not applicable in North Carolina) 

• occlusal guards

• oral hygiene instruction 
• orthodontia, unless specified elsewhere as a covered benefit 
• orthognathic surgery 
• photographs 
• plaque control 
• precision or semi-precision attachments 
• procedures not included in the classes of eligible dental expenses, not dentally necessary or not the treatment customarily recognized by the dentist's field of specialty as essential to treating the condition 
• procedures that cost in excess of the maximum allowable charge 
• provided by a government plan or educational institution as allowed by law (in Louisiana, entities owned or operated by the state of Louisiana or any of its political subvisions are not excluded)
• replacement of bridges, crowns, inlays, or onlays within seven years of the last replacement, except for loss of natural tooth replacement of bridges, crowns, dentures, inlays, or onlays if they can be repaired or restored 
• replacement of full or partial dentures within five years of the last replacement, except for loss of natural tooth replacement of lost or stolen appliances or retainers 
• services not incurred by the insurance termination date 
• services payable by workers' compensation, whether you are eligible or are covered 
• services received outside the U.S. except for emergency treatment for pain 
• services rendered by a family member or someone who lives with you or provided free without insurance 
• sterilization fees 
• treatment of fractures, cysts, TMJ or related conditions (TMJ exclusion doesn't apply in Mississippi) 
• treatment of halitosis; and any related procedures 
• treatment provided without charge 
• war or military service