Nike Vapormax Grey Red Black

35% of the cost for Medicare covered Mental Health visits

If the doctor provides you services in addition to Outpatient Diagnostic Procedures Tests and Lab Services separate cost sharing of $15 to $49 may apply

Nike Vapormax Grey Red Black

50% of the cost for Medicare covered lab services

Nike Vapormax Grey Red Black

$15 to $49 copay for Medicare covered exams to diagnose and treat diseases and conditions of the eye including an annual glaucoma screening for people at risk

Nike Vapormax Grey Red Black

Nike Vapormax Grey Red Black

copay for each Medicare covered individual therapy visit

20% of the cost for one pair Nike Air Vapormax Plus Triple Grey

of Medicare covered eyeglasses (lenses and frames) or contact lenses after cataract surgery.

50% of the cost for Medicare covered outpatient X rays

Nike Vapormax Grey Red Black

$40 copay for each Medicare covered individual therapy visit with a psychiatrist

´╗┐Blue Cross Blue Shield of South Carolina Medicare Blue Saver PPO Benefits in South Carolina

Nike Vapormax Grey Red Black

Nike Vapormax Grey Red Black

50% of the cost for Medicare covered Nike Vapormax Triple Black 3.0

Nike Vapormax Grey Red Black

Nike Vapormax Grey Red Black

50% of the cost for Medicare covered therapeutic radiology services

35% of the cost for Medicare covered partial hospitalization program services

$25 copay for up to 1 supplemental routine eye exam(s) every year

If the doctor provides you services in addition to Outpatient Diagnostic and Therapeutic Radiology Services separate cost sharing of $15 to $49 may apply

$40 Nike Air Vapormax Chukka Slip On Feet

$40 copay for each Medicare covered group therapy visit with a psychiatrist35% of the cost for Medicare covered Mental Health visits with a psychiatrist

50% of the cost for Medicare covered diagnostic radiology services

$40 copay for each Nike Vapormax Grey Red Black Medicare covered group therapy visit

diagnostic procedures and tests

Nike Vapormax Grey Red Black

Nike Vapormax Grey Red Black

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