Blue Cross Blue Shield FEP Dental
Class D Orthodontic
Class D Orthodontic
Services Not Covered
Refer to Section 7 for a list of general exclusions:
- Repair of damaged orthodontic appliances
- Replacement of lost or missing appliances
- Services to alter vertical dimension and/or restore or maintain the occlusion. Such procedures include, but are not limited to, equilibration, periodontal splinting, full mouth rehabilitation, and restoration for misalignment of teeth.
- Over-the-counter or mail order Orthodontic treatments