30 Outpatient Facility Services • Precertification required No Copayment, Deductible, or Coinsurance No Copayment, Deductible, or Coinsurance 50% Coinsurance after Deductible . These charges will NOT apply to your Out - of - Pocket Limit. Outpatient Facility Professional and Ancillary (non - Hospital) Services No Copayment, Deductible, or Coinsurance No Copayment, Deductible, or Coinsurance 50% 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. In - Network only. Benefits are not available Out - of - Network. 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 No Copayment, Deductible, or Coinsurance 50% 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 In - and Out - of - Network combined. Live Donor Health Services • Inpatient Facility Services No Copayment, Deductible, or Coinsurance No Copayment, Deductible, or Coinsurance 50% Coinsurance after Deductible. These charges will NOT apply to your Out - of - Pocket Limit. • Outpatient Facility Services No Copayment, Deductible, or Coinsurance No Copayment, Deductible, or Coinsurance 50% 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.