Chiropractors, including 1 x-ray examination per calendar year.$300 maximum every 2 years, including $50 maximum per eye exam.$200 maximum every 2 years, including $50 maximum per eye exam.$150 maximum every 2 years, including $50 maximum per eye exam.$1,500 lifetime maximum for hospital beds.Reasonable and customary services and charges.Medical equipment and services have a $5,000 annual maximum Medical equipment and services have a $2,500 annual maximum Medical equipment and services have a $2,500 annual maximum and a $20,000 lifetime maximum combined with in-home nursing $5,000 annual maximum and a $25,000 lifetime maximum.$2,500 annual maximum and a $20,000 lifetime maximum combined with medical equipment and services.Air ambulance $5,000 maximum per incident.Full coverage of reasonable and customary dispensing fees up to the plan reimbursement.Up to $5.00 paid towards dispensing fee on prescriptions.Smoking cessation medication ($250 lifetime maximum).
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