Physical Examinations—100%
This Benefit Is For Participants, Spouses and
Domestic Partners
Benefits are provided for a routine physical
examination and related screening laboratory
and x-ray services when performed by a physician.
There is an annual maximum of $400
for the participant and $300 for the spouse or
domestic partner. If expenses exceed the $400
or $300 annual maximum, this plan will not
pay the additional costs. Screening tests and
routine immunizations may also be covered as
described in "Screening Tests" on pages 74-75
and "Routine Immunizations" on page 74.
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