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Show Page HILL. TOP .TIMES 16 1!7 September Most Dental Care Restricted Under CHAM PUS Basic Program James By 1st Lt. A. Berg Dental care under the CHAMPUS Basic Program is restricted to those instances in which clinical evidence establishes that an oral disease or infection is significantly complicating a medical or surgical condition other than one involving the teeth and their supporting structures. Dental services are limited to those necessary to eliminate the oral disease or infection. Hiis does not include dental care necessitated by trauma. having on the management of the pregnancy. The statement must also include the estimated date of delivery. Dental Care reasonable hospital costs related to dental care. A DD Form 1251, Statement, is not required for hospital admission relative to dental care unless the beneficiary resides within a radius of a military facility designated by Department of Defense as "dentally underserved." U.S. Air Force Hospital, Hill, is not so designated. Non-Adjuncti- ve CHAMPUS does cost-shar- e non-adjuncti- Non-Availabili- ty ve Form 1863-- (yellow) with Section I completed by the sponsor or patient. e For trauma cases, a statement from the sponsor specifically describing the accident as to what happened, who was involved and when it took place. Questions may be referred to the Health Benefits Advisor, USAF Hospital Hill, ext. 1634. o DA 2 ARE YOU THE 40-mi- le Orthodontic Work The only orthodontic work approvable as a benefit under CHAMPUS is that which is required as a necessary adjunct to medical or surgical treatment as stated above. g The for orthodontic treatment under the for the program Handicapped may be continued for those patient programs approved prior to Sept. 1, 1974. cost-sharin- Dental Care During Pregnancy dental care during pregnancy is only payable Adjunctive when a direct clinical relationship between the oral disease and the pregnancy is established and determined to be exerting an adverse clinical affect on the management of the pregnancy. Authorization for dental care for pregnancy ceases upon termination of the pregnancy with exception of teeth which CHAMPUS authorized extraction during the latter stage of pregnancy which may be replaced within a reasonable period subsequent to delivery. Supporting Statement A supporting statment by the attending physician must contain information which clearly identifies the specific oral and which condition (may require dental consultation) describes the adverse clinical effect that the oral condition is NEIGHBORHOOD "CANDYMAN"? on Colorado Dental Services, CHAMPUS Basic Division, has responsibility for approving requests for dental care. adjunctive world-wid- e All non-emergen- receive must care dental cy by Colorado Dental Services prior to initiation of treatment. Emergency care is defined as the elimination of severe pain or acute infection. Definitive care following emergency treatment must be pre-authoriz- which have Claims for services requiring not been approved in advance will not be paid. d All authorized dental care is on an outpatient basis. Requests and claims for authorized dental care should be submitted to: Colorado Dental Services, CHAMPUS Basic Division, 1600 Downing St., Denver, Colo. 80218. Phone is 1 AUTOVON: and Commerical; Area Code 303, include the following information: on cost-share- 943-111- 1; 832-111- detailed medical statement from a physician (for other A than trauma cases). An itemized treatment plan by a dentist with fees for each service. KEEP DRUGS AWAY FROM CHILDREN Radiograph showing the teeth involved. k O Red Cross. The Good Neighbor. muiclanc) NAME BRAND INSTRUMENTS (Low Prices) LARGE SHEET MUSIC DEPT. o Custom Gun Shop (Ogden's Largest Selection) 5367 S. 1950 W. O COMPLETE ACCESSORY DEPT. o LESSONS-REPAIRS-RENTA- Roy Phone HRS Daily Except Sunday LS 825-100- 6 10-- 6 399-141- 8 3906 Washington Blvd. Ogden & EXTENSIVE BLACK POWDER SUPPLIES ACCESSORIES. KITS REVALVERS RIFLES SHOTGUNS n a n pniMniMiniil D&D OftlMLPVUIU'l l BARN Get Into Great Shape! rtj French Pocket Jeans! SUPER SANDWICHES v . 2 fg? t Steak & Everything Mushrooms f) T A rMEN" S A-M- 4. Phone Ahead We'll Have Them Ready & ICE COLD BEER j "owo ctnrtn STORE HOURS: P M- - Dally 10 1 0 A.M.-- 8 P.M. Ff Way t f JJ HOURS MON-SA- (Out W. Gate VS Now Under New UUlUn btKVILt Squire LAm Roast Beef Cheese &uraer 1.59 s AND BOYS' CLOTHIER Onions Cheese S MW t 140 N MAIN - T 11:00 - 9:00 COMPLETE RELOADING DEPARTMENT: Let us help you with all your reloading problems. Dahnken of Ogden Ifyou 're looking for a new place in town to cat. Dn LAPID) SERVICE FOR OUR MILITARY CUYSTOMERS: We will receive personal guns being shipped to you. A i i i Diamonds, Management watches, small appliances, giftwares, cameras, film, stereos, and radios. jewelry, (OPEN SHOWROOM - NO CARD NEEDED) Major Catalog Ready Sept. 15th South on Main St.) PI FAR Fin n jm.?Q?Qf 2446 Washington Blvd. 399-114- 5 |