EXPENSES NOT COVERED
No payment will be made for expenses resulting from:
1 . Self-inflicted injuries or illness while sane or insane .
2 . Injury resulting directly or indirectly from insurrection, war, service in the armed forces of any country or participation in a riot .
3 . Any injury or illness for which the person is entitled to benefits under any Workers’ Compensation Act .
4 . Examinations required for the use of a third party .
5 . Charges levied by a physician or dentist for time spent travelling, broken appointments, transportation costs, room rental charges, advice given by telephone or other means of telecommunication, or the completion of dental reports and forms .
6 . Cosmetic surgery or treatment (when so classified by the underwriter) unless such surgery or treatment is for accidental injuries and commenced within 90 days of an accident .
7 . Services, treatments or supplies eligible under this Plan and payable under any government plan, whether or not the claimant is covered under such a plan . The underwriter will only consider that amount of an eligible expense which is over and above the amount that would be payable by the government plan .
8 . The replacement of an existing dental appliance which has been lost, mislaid or stolen .
9 . Dental services and supplies rendered for full-mouth reconstruction, for a vertical dimension correction, or for a correction to temporomandibular joint dysfunction.
10 . Orthodontic treatment .
11 . Transportation to and from the dentist or dental specialist (e .g . endodontist, periodontist, etc .)
12 . Dental treatment received from a dental or medical department maintained by an employer, an association, or a labour union .
13 . Restorative treatment (dentures and fixed bridges) .
14 . Treatment which is not generally recognized by the dental profession as an effective, appropriate, and essential form of treatment for the dental condition .
15 . Implants, or any services rendered in conjunction with implants .