no charge for children under 17 Specialist Visit 25% coinsurance $14 copayment $12 copayment $20 copayment $25 copay per visit $15 copay per visit Physical Therapy 25% coinsurance 20% coinsurance 20% coinsurance $20 copayment $25 copay per visit $15 copay per visit Radiology - General (e.g.X射线,MRI,CT扫描,超声检查)25%共同保证20%共同保险20%共同保险$ 10共付$ 10共付20%每日的共同保险/日$ 15 $ 15每日实验室测试(血液调查)25%共贷款25%共同保险$ 0 20%Coinsurance $ 10 COUNSURANCE $ 10 COUNSUR COPARE/DEPTE COPANE $ 15 COPAINT COPAINCE $ 15 COPAINT COPAINTAR EPERANE DEPT APERANE DEPT APERAINCE $ 15 COPAINED(DEPT)每天(15%)每天(15%)共同保证20%共同保证10%共同保险10%共同保险$ 25共付额10%共同保险