|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
888-720-8889 PHONE
888-720-7261 FAX
EMAIL
|
| |
|
|
|
Outpatient DXL
Diagnostic x-ray and lab (DXL) tests ordered or performed by
a Doctor are payable at amount shown in the Benefits Table, per
covered person, when hospital confinement is not required. Routine
exams are not covered under this benefit. $300 maximum benefit
per person per calendar year.
Back
|
|