condition that requires immediate  
medical attention.$0 copay 
DIAGNOSTIC SERVICES, LABS AND IMAGING 
Diagnostic mammography $0 copay 
Diagnostic radiology $0 copay 
Lab services $0 copay 
Diagnostic tests and procedures $0 copay 
Outpatient X-rays $0 copay 
Radiation therapy $0 copay 
HEARING SERVICES 
Medicare-covered hearing $0 copay 
Routine hearing HER945