Medical equipment and services have a $2,500 annual maximum and a $20,000 lifetime maximum combined with in-home nursing $5,000 annual maximum and a $25,000 lifetime maximum.$2,500 annual maximum and a $20,000 lifetime maximum combined with medical equipment and services.Air ambulance $5,000 maximum per incident.Full coverage of reasonable and customary dispensing fees up to the plan reimbursement.Up to $5.00 paid towards dispensing fee on prescriptions.Smoking cessation medication ($250 lifetime maximum).