Dental HMO Copayment Schedule |
|
For your copayment responsibilities for services received January 1, 2009
through December 31, 2009, see 2009 HMO
copayment schedule.
For your copayment responsibilities for services received January 1, 2010 through December 31, 2010, all 2010 HMO copayment schedule.
A complete description of benefits, limitations and exclusions is included in
the certificate of coverage.
Note: The copayments you pay under Dental HMO coverage may change every
January 1.
|