2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 101
Orthodontic Treatment means the corrective movement of teeth to treat a handicapping malocclusion of the
mouth.
Plan Year means the period from January 1 - December 31 each year.
Seasonal Employee means an Employee who is hired into a position that recurs annually at about the same time
each year for which the customary annual employment is 6 months or less.
Special Enrollee is an eligible Dependent that does not elect coverage under this Dental/Vision Plan during their
original 31-day eligibility period and who later enrolls in the Dental/Vision Plan due to a Special Enrollment Event.
Spouse is defined in the "Eligibility for Participation" section of the Group Health Care Plan.
Usual and Customary Charge (U&C) means charges made for medical or dental services or supplies essential to
the care of the individual will be subject to a Usual and Customary determination. Usual and Customary allowances
are based on what is usually and customarily accepted as payment for the same service within a geographical area.
In determining whether charges are Usual and Customary, consideration will be given to the nature and severity of
the condition and any medical or dental complications or unusual circumstances which require additional time, skill
or experience.
Vision Materials means lenses, frames and contacts.
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