Inpatient Hospitalization (Facility) 50% after Deductible $2,950 per day 50% after Deductible 40% after Deductible 40% after Deductible 50% after Deductible Outpatient Hospital Services (Facility) 50% after Deductible $1,200 50% after Deductible 40% after Deductible 40% after Deductible 50% after Deductible Minor Diagnostic 4 (Lab and X-ray) 50% after Deductible $75 Covered扣除扣除额的100%扣除后$ 20 $ 30