Summary Plan Description
Diagnostic X-Ray and Laboratory Services—90%
Benefits are provided for radiology (x-ray), pathology, laboratory tests, and other imaging and diagnostic services prescribed by a physician for the diagnosis of an illness or injury. All services must be related to a definitive set of symptoms, except as provided for under "Physical Examinations" on page 60.
Diagnostic x-ray and laboratory services performed or referred by a chiropractor are not covered under this benefit (please see "Chiropractic Care" on page 50).
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