Page 11 - 2018 MDT Benefits & Notices
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Member Driven Technologies (MDT) 2018
Outpatient Diabetes MT, DME, P&O appliances 100% after IN NETWORK deductible 80% after out-of-network deductible
O/P Occ/SP/Physical Therapy (60) 100% after IN NETWORK deductible 80% after out-of-network deductible
Allergy Testing & Therapy 100% after IN NETWORK deductible 80% after out-of-network deductible
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