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1 of 5
2 of 5
3 of 5
4 of 5
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To see examples of how this plan might cover costs for a sample medical situation, see the next section.–––––––––––
5 of 5
coinsurancecoinsurance
coinsurance
prenatal care)
ultrasounds and blood work) (anesthesia)
Cost Sharing
What isn’t covered
coinsurancecoinsurance
coinsurance
including disease education)
(blood work)
(glucose meter)
Cost Sharing
What isn’t covered
coinsurancecoinsurance
coinsurance
(including medical supplies)
(x-ray)(crutches)
(physical therapy)
Cost Sharing
What isn’t covered