Northwest Carpenters Health and Security Plan

Hospital Services and Supplies 

90% Network and 80% Non-Network

Inpatient Hospital

Benefits are provided for the following services and supplies:

  • A semiprivate room and hospital services and supplies to treat an illness or injury.
  • Intensive and coronary care units.
  • Operating rooms and equipment.
  • Nursing services (other than the services of a private-duty nurse or attendant).
  • Diagnostic or therapeutic items or services that are ordinarily furnished by the hospital for the care and treatment of the patient.
  • Anesthesia including administration and materials.
  • Drugs, biologicals, supplies, appliances, and equipment for use in the hospital that are ordinarily furnished by the hospital for the care and treatment of the patient.

Benefits are not provided for:

  1. A bed or room set aside for a patient while the patient is in a special care unit.
  2. Fees for a hospital, ambulatory surgical center or other surgical facility for surgical services commonly and primarily performed in a clinic or physician’s office.

Outpatient Hospital

Benefits are provided for:

  • Services and supplies otherwise provided on an inpatient hospital basis.
  • Facility fees for outpatient surgery, a same-day surgical center or an ambulatory surgical center.
  • Treatment including x-ray, radium therapy and other radioactive substances, chemotherapy, and laboratory and diagnostic radiology and imaging.
  • Care in a hospital emergency room. There is a $50 copayment for each visit to the emergency room. The $50 copayment is waived if the patient is admitted as an inpatient directly following treatment in the emergency room.
Benefits are not provided for fees for a hospital, ambulatory surgical center or other surgical facility for surgical services commonly and primarily performed in a clinic or physician’s office.

Last Updated: 04/25/2023