Page 58 - Appendices for Barbara Pender
P. 58
HEARING
Hearing exam $0 copay Limits apply
Fitting/evaluation $0 copay Limits apply
Hearing aids - all types $450-750 copay Limits apply
PREVENTIVE DENTAL
Care to prevent or nd problems with your teeth and gums.
Oral exam $0 copay Limits apply
Cleaning $0 copay Limits apply
Fluoride treatment Not covered
Dental x-rays $0 copay Limits apply
