27 Approved Participating Provider All Other Providers Outpatient Facility Professional and Ancillary (non-Hospital) Services No Copayment, Deductible, or Coinsurance. 20% Coinsurance after Deductible. These charges will NOT apply to your Out-of- Pocket Limit. Travel Expenses • Transportation and Lodging Limit Covered, as approved by us, up to $10,000 per Benefit Period Participating only. Benefits are not available from All Other Providers. Unrelated donor searches from an authorized, licensed registry for bone marrow/stem cell transplants for a Covered Human Organ or Tissue Transplant Procedure No Copayment, Deductible, or Coinsurance. 20% Coinsurance after Deductible. These charges will NOT apply to your Out-of- Pocket Limit. • Donor Search Limit Covered, as approved by us, up to $30,000 per transplant. Live Donor Health Services • Inpatient Facility Services No Copayment, Deductible, or Coinsurance. 20% Coinsurance after Deductible. These charges will NOT apply to your Out-of- Pocket Limit. • Outpatient Facility Services No Copayment, Deductible, or Coinsurance. 20% Coinsurance after Deductible. These charges will NOT apply to your Out-of- Pocket Limit. Donor Health Service Limit For Human Organ and Tissue Transplants, Medically Necessary charges for getting an organ from a live donor are covered up to our Maximum Allowed Amount, including complications from the donor procedure for up to six weeks from the date of procurement.