48 Transportation and Lodging The Plan will cover the cost of reasonable and necessary travel costs when you get prior approval and need to travel more than 75 miles from your permanent home to reach the Facility where the Covered Procedure will be performed. Help with travel costs includes transportation to and from the Facility and lodging for the patient and one companion. If the Member receiving care is a minor, then reasonable and necessary costs for transportation and lodging may be allowed for two companions. You must send itemized receipts for transportation and lodging costs in a form satisfactory to us when claims are filed. Call us for complete information or refer to IRS Publication 502. For lodging and ground transportation benefits, the Plan will cover costs up to the current limits set forth in the Internal Revenue Code. Non-Covered Services for transportation and lodging include, but are not limited to: • Child care, • Mileage within the city where the Covered Procedure is performed, • Rental cars, buses, taxis, or shuttle service, except as specifically approved by us, • Frequent Flyer miles, • Coupons, Vouchers, or Travel tickets, • Prepayments or deposits, • Services for a condition that is not directly related, or a direct result, of the Covered Procedure, • Phone calls, • Laundry, • Postage, • Entertainment, • Travel costs for donor companion/caregiver, • Return visits for the donor for a treatment of an illness found during the evaluation, • Meals. Infertility Services Please see “Maternity and Reproductive Health Services” later in this section. Inpatient Services Inpatient Hospital Care Covered Services include acute care in a Hospital setting. Benefits for room, board, and nursing services include: • A room with two or more beds. • A private room. The most the Plan will cover for private rooms is the Hospital’s average semi-private room rate unless it is Medically Necessary that you use a private room for isolation and no isolation facilities are available. • A room in a special care unit approved by the Claims Administrator. The unit must have facilities, equipment, and supportive services for intensive care or critically ill patients.