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<title>nos garanties sant&eacute; PG 42901</title>
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<table width="640" border="0" cellspacing="0" cellpadding="0" align="center">
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    <td height="52"><img src="images/garantie.gif" width="220" height="50"></td>
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    <td height="5"><img src="images/filet4.gif" width="500" height="7"></td>
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      <p><font face="Arial, Helvetica, sans-serif" size="1">Pour tous les autres 
        soins, consultez-nous, nous vous renseignerons au 04 77 43 20 50. <br>
        Le d&eacute;tail complet de nos prestations est &agrave; votre disposition 
        sur simple demande. <br>
        RO : R&eacute;gime Obligatoire de S&eacute;curit&eacute; Sociale<br>
        Les pourcentages et les forfaits de cette garantie sont calcul&eacute;s 
        sur la base des tarifs fix&eacute;s par les organismes S&eacute;curit&eacute; 
        Sociale et incluent leurs remboursements.</font></p>
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</table>
<br>
<table width="639" border="0" cellspacing="0" cellpadding="1" align="center">
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><img src="images/hospi.gif" width="300" height="50"></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="63"><img src="images/brio.gif" width="54" height="61"></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="63"><img src="images/chic.gif" width="54" height="61"></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="63"><img src="images/recital.gif" width="54" height="61"></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">HONORAIRES, 
      FRAIS DE S&Eacute;JOUR</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" size="1" face="Arial, Helvetica, sans-serif">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">Suppl&eacute;ments 
      d&#146;honoraires KC et Anesth&eacute;sie</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">150%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">150%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">170%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">Suppl&eacute;ments 
      d&#146;honoraires PROFESSEURS</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">170-190%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">170-190%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" face="Arial, Helvetica, sans-serif" size="1">200-220%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">CHAMBRE 
      PARTICULI&Egrave;RE</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">24,39 
      &euro; &agrave; <br>
      32,78 &euro;</font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1"><br>
      selon conventions</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">24,39 
      &euro; &agrave; <br>
      32,78 &euro;</font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1"><br>
      selon conventions</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">45,73 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">FRAIS 
      D'ACCOMPAGNANT</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">19,82 
      &euro;</font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1"> 
      </font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">19,82 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" face="Arial, Helvetica, sans-serif" size="1">19,82 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">FORFAIT 
      JOURNALIER hospitalier &agrave; partir du 1er jour</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">MAISON 
      DE REPOS, CONVALESCENCE ET PSYCHIATRIE</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font size="1" face="Arial, Helvetica, sans-serif">&nbsp;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">Chambre 
      particuli&egrave;re, limite 60 jours par an</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">21,34 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">21,34 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">Forfait 
      journalier, limite 60 jours par an</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font color="#FFFFFF" face="Arial, Helvetica, sans-serif" size="1">10,67 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">TRANSPORT 
      accord RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><font face="Arial, Helvetica, sans-serif" size="1"><img src="images/maladie.gif" width="163" height="32"></font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100"><font size="1" face="Arial, Helvetica, sans-serif">&nbsp;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">ACTES 
      EN K DE DIAGNOSTIC ET TRAITEMENT</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">125%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">ANALYSE-AUXILIAIRES 
      M&Eacute;DICAUX-RADIOS-accord RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">CONSULTATIONS 
      VISITES</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">125%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">PHARMACIE</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">VACCINS 
      forfait annuel</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">76,22 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><font size="1"><img src="images/dentaire.gif" width="163" height="32"></font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="5">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">sur 
      devis avec imprim&eacute; dentaire compl&eacute;t&eacute;.</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">SOINS</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">PROTH&Egrave;SES 
      DENTAIRES FIXES</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" height="15" width="100">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" height="15" width="100">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" height="15" width="100">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      accord RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">182,94 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">213,43 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">243,9</font><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">2 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      refus RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">114,34 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">137,20 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">167,69 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">PROTH&Egrave;SES 
      DENTAIRES MOBILES accord RO, refus RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" colspan="3" height="15"><font face="Arial, Helvetica, sans-serif" size="1">sur 
      avis dentiste conseil</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">ORTHODONTIE 
      accord RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">304,90 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">335,39 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">381,1</font><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">2 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><font size="1"><img src="images/optique.gif" width="163" height="32"></font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="18">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="18">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="18">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">Dans 
      la limite de </font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">152,45 
      &euro;</font><font face="Arial, Helvetica, sans-serif" size="1"> par enfant 
      et par an</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">LUNETTES</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15" >&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15" >&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15" >&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Verres + montures</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">400%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">435%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">470%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" height="15" bgcolor="#FFCC00" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Forfait monture</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">76,22 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">LENTILLES 
      ET VERRES DE CONTACT</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15" >&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      accord RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">400%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">400%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">435%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" height="15" bgcolor="#FFCC00" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      refus RO</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">45,73 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">76,22 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="middle" colspan="2" width="300" bgcolor="#FFCC00" ><img src="images/acoustic.gif" width="163" height="32" align="middle"></td>
    <td  bgcolor="#99CC33" align="center" valign="middle" width="100"><font face="Arial, Helvetica, sans-serif" size="1">140%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="middle" width="100"><font face="Arial, Helvetica, sans-serif" size="1">165%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="middle" width="100"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">300%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><font size="1"><img src="images/orthoped.gif" width="163" height="32"></font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15" >&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Petit appareillage</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">120%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">120%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">200%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Grand appareillage</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">120%-155%</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">120%-155%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">200%-235%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" ><font face="Arial, Helvetica, sans-serif" size="1"><img src="images/42901.gif" width="163" height="32"></font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">ASSISTANCE 
      PLUS - vie pratique</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">oui</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">oui</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">oui</font></td>
  </tr>
  <tr> 
    <td align="left" valign="top" colspan="2" width="300" bgcolor="#FFCC00" height="25" ><font face="Arial, Helvetica, sans-serif" size="1">NAISSANCE</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="25"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">38,11 
      </font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">&euro; 
      &agrave; <br>
      76,22 &euro;</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="25"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">76,22 
      </font><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">&euro; 
      &agrave; <br>
      152,45 &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="25"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1"><font color="#FFFFFF">91,47 
      </font><font color="#FFFFFF">&euro; &agrave; <br>
      182,94 &euro;</font></font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Chambre particuli&egrave;re par jour</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">30,49 
      &euro;</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">TRAVAILLEUSES 
      FAMILIALES</font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">40%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">CURE 
      THERMALE </font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15">&nbsp;</td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15">&nbsp;</td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Honoraires </font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">100%</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">100%</font></td>
  </tr>
  <tr> 
    <td align="left" valign="bottom" colspan="2" width="300" bgcolor="#FFCC00" height="15" ><font face="Arial, Helvetica, sans-serif" size="1">&#149; 
      Forfait </font></td>
    <td  bgcolor="#99CC33" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" size="1">non</font></td>
    <td  bgcolor="#FFCC00" align="center" valign="top" width="100" height="15"><font color="#000000" face="Arial, Helvetica, sans-serif" size="1">121,96 
      &euro;</font></td>
    <td  bgcolor="#0000CC" align="center" valign="top" width="100" height="15"><font face="Arial, Helvetica, sans-serif" color="#FFFFFF" size="1">152,45 
      &euro;</font></td>
  </tr>
</table>
<br>
<table width="630" border="0" cellspacing="0" cellpadding="0" align="center">
  <tr> 
    <td><font face="Arial, Helvetica, sans-serif" size="1"><b>Document 2002 non 
      contractuel</b>. Les prestations d&eacute;crites ci-dessus sont limit&eacute;es 
      aux frais r&eacute;els et aux accords <br>
      conventionnels d&eacute;partementaux ou nationaux conclus avec les tiers 
      par la mutuelle. <br>
      Elles ne comprennent aucun remboursement compl&eacute;mentaire cons&eacute;cutif 
      &agrave; un accident du travail, et pour la maternit&eacute; se limitent 
      aux prestations pr&eacute;vues pour la naissance. Les pourcentages de cette 
      garantie sont calcul&eacute;s sur la base des tarifs conventionnels ou homologu&eacute;s 
      par les organismes de S&eacute;curit&eacute; Sociale en vigueur au 6 octobre 
      2001.</font></td>
  </tr>
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