Home Infusion See “Home Health Care.” Therapy Hospice Care • Home Hospice No Copayment, No Copayment, No Copayment, Care Deductible, or Deductible, or Deductible, or Coinsurance Coinsurance Coinsurance • Bereavement No Copayment, No Copayment, No Copayment, Deductible, or Deductible, or Deductible, or Coinsurance Coinsurance Coinsurance • Inpatient Hospice No Copayment, No Copayment, No Copayment, Deductible, or Deductible, or Deductible, or Coinsurance Coinsurance Coinsurance • Outpatient Hospice No Copayment, No Copayment, No Copayment, Deductible, or Deductible, or Deductible, or Coinsurance Coinsurance Coinsurance • Respite Care No Copayment, No Copayment, No Copayment, Deductible, or Deductible, or Deductible, or Coinsurance Coinsurance Coinsurance Human Organ and Please see the separate summary later in this section. Tissue Transplant (Bone Marrow / Stem Cell) Services Inpatient Services Facility Room & Board Charge: • Hospital / Acute 20% Coinsurance after $500 Copayment per 50% Coinsurance after Care Facility Deductible admission then 40% Deductible Coinsurance after Deductible • Skilled Nursing 20% Coinsurance after $500 Copayment per 50% Coinsurance after Facility Deductible admission then 40% Deductible Coinsurance after Deductible • Rehabilitation 20% Coinsurance after $500 Copayment per 50% Coinsurance after Deductible admission then 40% Deductible Coinsurance after Deductible • Skilled Nursing 150 days per Benefit Period, In- and Out-of-Network combined Facility / Rehabilitation Services (Includes Services in an Outpatient Day 20