16 Chemotherapy See Therapy Services. Chronic Pain Management Services Benefits are based on the setting in which Covered Services are received. Clinical Trials Benefits are based on the setting in which Covered Services are received. Dental Services (Limited to services for accidental injury, or to prepare the mouth for certain medical treatmen ts) Benefits are based on the setting in which Covered Services are received. Diabetes Equipment, Education, and Supplies Screenings for gestational diabetes are covered under Preventive Car e. Benefits for diabetic education are based on the setting in which Covered Services are received. 20% Coinsurance after Deductible 40% Coinsurance after Deductible 50% Coinsurance after Deductible Diagnostic Services Reference Labs No Copayment, Deductible, or Coinsurance No Copayment, Deductible, or Coinsurance 50% Coinsurance after Deductible All Other Diagnostic Services Benefits are based on the setting in which Covered Services are received Dialysis See Therapy Services. Durable Medical Equipment (DME), Medical Devices, and Supplies