19 Benefits In - Network Out - of - Network • Home Dialysis 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Home Infusion Therapy / Chemotherapy 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Specialty Prescription Drugs for Infusion / Injection – Other than Chemotherapy 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Other Home Health Care Services / Supplies 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Private Duty Nursing (Including continuous complex skilled nursing services) 10% Coinsurance after Deductible 30% Coinsurance after Deductible Home Health Care Benefit Maximum Unlimited In - and Out - of - Network combined. The limit includes Private Duty Nursing and Therapy Services * (e.g., physical, speech, occupational, cardiac and pulmonary rehabilitation) given as part of the Home Care benefit. *If Therapy Services are provided for a Mental Health or Substance Use Disorder condition (based on the primary diagnosis on the claim form), benefits will be paid under the Mental Health and Substance Use Disorder benefits and the Home Health Care limit w ill not apply. Home Infusion Therapy See “Home Health Care.” Hospice Care • Home Hospice Care 10% Coinsurance 30% Coinsurance • Bereavement 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Inpatient Hospice 10% Coinsurance 30% Coinsurance • Outpatient Hospice 10% Coinsurance 30% Coinsurance • Respite Care 10% Coinsurance 30% Coinsurance Human Organ and Tissue Transplant (Bone Marrow / Stem Cell) Services Please see the separate summary later in this section. Infertility Services See “Maternity and Reproductive Health Services.”