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10193

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$60 for polaroid lenses.

10193

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$60 por lentes Polaroid.

10194

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$55 for high index lenses.

10194

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$55 por lentes de alto índice.

10195

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$15 for single vision super shield (scratch protection) coating.

10195

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$15 por recubrimiento Super Shield para lentes monofocales (protección contra raspones).

10196

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

$25 for multifocal vision super shield (scratch protection) coating.

10227

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

Biofeedback. (Note: The member's copayment is waived for this covered service.)

10227

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

Biorretroalimentación. (Nota: Se exime al miembro del copago por este servicio cubierto).

10228

Member for

7 years 11 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:12

(These benefits may be reduced by any benefits that have already been provided for TMJ disorder treatment under a prior Blue Cross Blue Shield coverage in the same eligible period.)