Page 57 - APPENDICES for Vic Bosiger
P. 57

HEARING




       Hearing exam                           $25 copay





       Fitting/evaluation                     $0 copay                               Limits apply




       Hearing aids - all types               $0 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                     $0 copay                               Limits apply





       Dental x-rays                          $0 copay                               Limits apply
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