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One periodic oral exam every six months.

One cleaning every six months.

One fluoride treatment every six months.

Bitewing x-rays once every six months.

One exam each calendar year for a member age 55 or older.

Fitness Benefit - All members may take part of the fitness benefit. For each membership, up to a total of $150 each calendar year is reimbursed for fees paid for a health club membership or for fitness classes at a health club. The member can claim this maximum fitness benefit for any combination of fees incurred by the subscriber and/or other members enrolled under the same family membership. However, each member claiming all or part of the fitness benefit must have paid at least four months health club fees for that calendar year.

(These benefits may be reduced by any benefits that have already been provided for the same covered services under a prior Blue Cross Blue Shield coverage in the same eligible time period.)

These exam benefits are provided in accordance with the same age-based schedule described for Routine Adult Physical Exams. (Refer to Routine Adult Physical Exams for a description of covered services.)

(These benefits may be reduced if benefits have already been provided for these covered services under a prior Blue Cross Blue Shield coverage in the same calendar year.)

(These benefits may be reduced if benefits have already been provided for these covered services under a prior Blue Cross Blue Shield coverage in the same calendar year.)