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<br />ALTERNATIVE PROCEDURES <br /> <br />There may be two or more methods of treating a dental condition, The amount of Covered Expense will be limited to the charge for <br />the least costly procedure or treatment which: <br />(1) the dental profession recognizes to be Professionally Adequate, in accord with widely accepted standards of <br />dental practice; and <br />(2) the Company determines to be both Adequate and Appropriate, in view of the Covered Person's total current oral <br />condition. <br /> <br />To determine its liability for a dental procedure submitted for consideration, the Company may request the pre-operative dental x-rays <br />and any other pertinent information. Based on its review of this information, the Company will decide which procedure would <br />provide Professionally Adequate restoration, replacement or treatment. <br /> <br />The Covered Person may receive the more expensive procedure or treatment. However, the Company's liability for Covered Expense <br />will be limited to the least expensive procedure which it determines to be Professionally Adequate care. <br /> <br />To frod out in advance what charges or alternative procedures will be considered Covered Expenses, a Covered Employee may use <br />the Dental Claim Procedure for Predetermination of BenefIts, described in this Policy, <br /> <br />GLll-13-AP <br /> <br />19 <br /> <br />09/01/01 <br />