Transportation when recommended by a medical doctor to and from the nearest medical or surgical specialist, or to and from the nearest hospital for special hospital services, is subject to a ground transportation deductible of 500 kilometres per calendar year for each insured member. If transportation is in a private automobile, the eligible expense will be $0.15 per kilometre. Payment is based on the lowest cost transportation available. The maximum transportation benefit is $1,000 per Insured Person per calendar year. The cost for transportation outside Newfoundland and Labrador will only be considered if the treatment is not available in Newfoundland and Labrador. The patient must be referred by a specialist in Newfoundland and Labrador, who would have to give reason for such referral. Transportation must originate in the Province of Newfoundland and Labrador.