Page 70 - APPENDICES for Stephen Spero
P. 70
Limits apply
Periodontics
$0 copay
Limits apply
Extractions
$0 copay
Limits apply
Prosthodontics, other oral/maxillofacial surgery, other services
$0 copay
Limits apply
VISION
Routine eye exam
$0 copay
Limits apply
Contact lenses
$0 copay
Limits apply
Eyeglasses (frames & lenses)
$0 copay
Limits apply
Eyeglass frames (only)
$0 copay
Limits apply
Eyeglass lenses (only)
$0 copay
Limits apply
