26 Benefits In - Network Out - of - Network Surgery Benefits are based on the setting in which Covered Services are received. • Bariatric Surgery 10% Coinsurance after Deductible 30% Coinsurance after Deductible • Bariatric Surgery Lifetime Maximum One (1) surgery per Lifetime Temporomandibular and Craniomandibular Joint Treatment Benefits are based on the setting in which Covered Services are received. Therapy Services Benefits are based on the setting in which Covered Services are received. Benefit Maximum(s): Benefit Maximum(s) are for In - and Out - of - Network visits combined, and for office and outpatient visits combined. • Physical Therapy Unlimited • Occupational Therapy Unlimited • Speech Therapy Unlimited • Manipulation Therapy 12 visits per Benefit Period • Cardiac Rehabilitation Unlimited • Pulmonary Rehabilitation Unlimited The limits for physical, occupational, and speech therapy will not apply if you get care as part of the Mental Health and Substance Use Disorder benefit (based on the primary diagnosis on the claim form). Note: The limits for physical, occupational, and speech therapy will not apply if you get that care as part of the Hospice benefit. Note: When you get physical, occupational, speech therapy, or cardiac rehabilitation, or pulmonary rehabilitation in the home, the Home Health Care Visit limit will apply instead of the Therapy Services limits listed above. Transplant Services See “Human Organ and Tissue Transplant (Bone Marrow / Stem Cell) Services”. Urgent Care Services (Office & Home* Visits) *Home visits are not the same as Home Health Care. For Home Health Care benefits please see the "Home Health Care" section.