Dental HMO Copayment Schedule |
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For your copayment responsibilities for services received January 1, 2009
through December 31, 2009, see 2009 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.
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