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PREFERRED PROVIDER NETWORK ARRANGEMENTS …

GEMS Optometry NETWORK Agreement Page 1 of 4 Please insert Practice Number: ..Mail merge number and name of initial here .. Annexure B PREFERRED PROVIDER NETWORK ARRANGEMENTS APPLICABLE TO THE GEMS RUBY, EMERALD VALUE, EMERALD AND ONYX BENEFIT OPTIONS This annexure sets out the NETWORK ARRANGEMENTS for Covered Services to be provided to the Members of the Ruby, Emerald Value, Emerald and Onyx benefit options of the Scheme. 1. Covered Services The Covered Services for purposes of this arrangement will be the optometry healthcare services as specified in the Rules and Benefit Schedule for the Ruby, Emerald value, Emerald and Onyx benefit options of the Scheme.

GEMS Optometry Network Agreement Page 1 of 4 Please insert Practice Number: ....Mail merge number and name of Optometrist.....and initial

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