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Services or materials that the patient, without cost, obtains from any governmental organization or program; Replacement or repair of lenses and/or frames that have been lost or broken; Cosmetic extras, except as stated in the Policy’s Table of Benefits. ... Access Document
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OMEGA CALIBRES LIST BY CATEGORY
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04 06 165final - Michigan
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NATIONAL VISION ADMINISTRATORS SPONSOR PLAN DESCRIPTION ...
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Provider Manual Series Table Of Contents Iv Date - Mass.Gov
(completed eyeglasses, repair parts, and other services) from the optical supplier. The required form is specified in the instructions in Subchapter 5 of the . Vision Care Manual. Prescriber – any optometrist, ophthalmologist, or other practitioner licensed and authorized to ... Document Viewer
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