30 Approved In - Network Provider All Other Providers • Lodging maximum $50 per day for double occupancy Not Covered Unrelated donor searches from an authorized, licensed registry for bone marrow/stem cell transplants for a Covered Human Organ or Tissue Transplant Procedure 10% Coinsurance after Deductible Not Covered • Donor Search Limit Unlimited, In - Network only. Benefits are not available Out - of - Network Live Donor Health Services • Inpatient Facility Services 10% Coinsurance after Deductible Not Covered • Outpatient Facility Services 10% Coinsurance after Deductible Not Covered 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.

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