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$0 to $24 copay for Medicare covered exams to diagnose and treat diseases and conditions of the eye including an annual glaucoma screening for people at risk

Nike Uptempo White Black Grey

$0 copay for up to 1 supplemental routine eye exam(s) every year

Nike Uptempo White Black Grey

Nike Uptempo White Black Grey

Nike Uptempo White Black Grey

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$0 copay for up Nike Uptempo White Black Grey to 1 pair(s) of contact lenses every year

Nike Uptempo White Black Grey

040 HMO Benefits in Florida

(lenses and frames) every year

conditions are met. This limitation does not apply to inpatient psychiatric services furnished in a general hospital.

You get up to 190 days of inpatient psychiatric hospital care in a lifetime. Inpatient psychiatric hospital services count toward the 190 day lifetime limitation only if certain Nike More Uptempo Volt

Nike Uptempo White Black Grey

copay for one pair of Medicare covered eyeglasses (lenses and frames) or contact lenses after cataract surgery.

Nike Uptempo White Black Grey

$0 copay for up to 1 pair(s) of eyeglasses Nike Uptempo 97 Release Date

Nike Uptempo White Black Grey

Nike Uptempo White Black Grey

$50 plan coverage limit for supplemental eyewear every year

If the doctor provides you services in addition to Outpatient Diagnostic and Therapeutic Radiology Services separate cost sharing of $0 to $24 may apply

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