Page 58 - APPENDICES for Neill McLauchlin
P. 58

In-network: $0 copay
      Out-of-network: $0 copay


      Limits apply



      Eyeglass frames (only)
      In-network: $0 copay
      Out-of-network: $0 copay

      Limits apply




      Eyeglass lenses (only)
      In-network: $0 copay
      Out-of-network: $0 copay

      Limits apply



      Upgrades
      In-network: $0 copay

      Out-of-network: $0 copay

      Limits apply






      MEDICALLY-APPROVED NON-OPIOID PAIN MANAGEMENT SERVICES



      Chiropractic services
      Not covered




      Acupuncture
      Not covered




      Massage therapy

      Not covered




      Alternative therapies
      Not covered







      MORE BENEFITS
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