policy- HCP24-3086 CARD NUMBER: 2626100003448541 L1-JON MYCHAL RIVERA
APRIL 08, 2004 CARD NUMBER: 2626100003448541 ACC- 3086-13300 EXP : NOV 17, 2025 120K PER ILNESS
DENTAL COVERAGE - CLEANING TWICE A YEAR PERMANENT PASTA- 2 THEETH EXTRACTION TEMPORARY PASTA
OB GYNE- MAGBASE CONSULT SA ACCREDITED NA DOCTOR
CONSULTATION
PREGNANCY CONSULTATION PRE AND POST NATAL
NOT COVERED ANG LABORATORY AND DIAGNOSTIC
EYE GLASSES - CONSULTATION IS COVERED
CLINIC- ACCREDITED MEDICAL CITY - MARKET MARKET