Page 72 - Appendices for Barbara Pender
P. 72
HEARING
Hearing exam $0 copay Limits apply
Fitting/evaluation $0 copay Limits apply
Hearing aids - all types $449-699 copay Limits apply
PREVENTIVE DENTAL
Care to prevent or nd problems with your teeth and gums.
Oral exam $5-16 copay
Cleaning $20 copay Limits apply
Fluoride treatment $5 copay Limits apply
Dental x-rays $0-10 copay Limits apply
