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LIMITATIONS AND EXCLUSIONS �overed Expenses will not include, and Dental Expense Benefits will not be payable, for: (1) any procedure begun: (a) before the Covered Person was covered under this Policy, subject to the Prior Carrier Credit Provision, if included in this Policy; or (b) after termination of the Covered Person's coverage under this Policy. (2) treatment or service which: (a) is not recommended by a Dentist or is not provided by or under the direct supervision of a Dentist; (b) is not a Necessary Dental Procedure, required for the care and treatment of a dental condition, as determined by the Company; (c) is not specifically listed as covered by this Policy; (d) does not meet accepted standards of dental practice; (e) is considered experimental or unproven in nature; or (f) is provided by a physician or other health care provider, but is beyond the scope of his or her license. (3) charges which exceed Covered Expenses, as defined in this Policy. Benefits will not be payable when: (a) total benefit payments would exceed the annual maximum benefits payable under this Policy; or (b) services exceed the frequency limitations contained in this Policy. (4) procedures which are subject to a Benefit Waiting Period or a Late Entrant Limitation, until that Benefit Waiting Period or Late Entrant Limitation has been satisfied. (5) Orthodontic Procedures. • (6) any treatment or services which: (a) are for mainly cosmetic purposes (facings or veneers on crowns or pontics distal to the second bicuspid will be considered cosmetic); or (b) are related to the repair or replacement of any prior cosmetic procedure. (7) services related to the repair or replacement of third molars (wisdom teeth) with prostheses. (8) bone grafts or any regenerative procedure in an extraction site. (9) any procedure related to a dental disease or injury to natural teeth or bones of the jaw, which is considered a covered service under any group medical plan. (10) orthognathic recording, orthognathic surgery, osteoplasty, osteotomy, LeFort procedure, stomatoplasty or magnetic resonance imaging (MRIs). (11) initial placement of any prosthetic appliance or fixed bridge; unless such placement is needed to replace one or more functioning natural teeth extracted while the Covered Person is covered under this Policy, subject to the Prior Carrier Credit Provision, if included in this Policy. Any such appliance or fixed bridge must include the replacement of the extracted tooth or teeth. • GL 1- 16B -EX FL Has TMJ, (I -III) 20 09/01 /01