A pre-determination is a proposed course of treatment submitted to Ellement by your dentist or orthodontist (by your provider) to determine allowable procedures, the eligible amount payable, and the maximum allowance for the calendar year (January to December).
We strongly recommend you submit a pre-determination well in advance of any proposed treatment if the estimated cost is $300 or more. If necessary, your dentist (provider) may be required to submit dental x-rays or documents to support the planned treatment. If so, the original x-rays will be promptly returned to your dentist after the review is complete.
A pre-determination is a proposed course of treatment submitted to Ellement by your dentist or orthodontist (by your provider) to determine allowable procedures, the eligible amount payable...
If you become totally disabled due to a non-occupational injury or sickness you will receive a disability benefit, provided you are under the continual treatment of a qualified and licensed physician.​
