Class Only Model Document ***
Feb 02, 2021 · Preventive care/screening/ immunization No charge; Deductible Waived Not covered You may have to pay for services that aren't preventive. Ask your provider if the services you need are preventive. Then check what your plan will pay for. If you have a test Diagnostic test (x-ray, blood work) No charge 40% Coinsurance None Imaging ................
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