Type of Service | In-Network Coinsurance | Out-of-Network Coinsurance | Additional Requirements |
|---|---|---|---|
Home Health Care | 20% | 40% | Certification required. |
Rehabilitation Services | 20% | 40% | Certification required. |
Habilitation Services | 20% | 40% | Maintenance or exercise therapy is excluded. |
Skilled Nursing Care | 20% | 40% | Certification required. |
Durable Medical Equipment | 20% | 40% | Coverage limited to basic equipment; prior approval recommended. |
Hospice Services | 20% | 40% | Certification required, benefits available up to six months. |
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