CDPHP Member Enrollment Form and SBC - Dutchess Community ...
CDPHP Member Enrollment Form and SBC - Dutchess Community ...
CDPHP Member Enrollment Form and SBC - Dutchess Community ...
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$20 co-pay/visit Not Covered None.$20 co-pay/visit$20 co-pay/visit forchiropractor <strong>and</strong>acupunctureNot CoveredNot CoveredNone.Acupuncture is limited to emesis developing after surgeryor chemotherapy in adults, or persistent nausea associatedwith pregnancy.No ChargeNot CoveredNone.$20 co-pay/visit Not CoveredCopayment waived if performed at a designatedlaboratory/preferred center.$20 co-pay/visit Not Covered Copayment waived if performed at a preferred center.<strong>SBC</strong>-Id : 1402 2 of 8
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