Hospital

Hospital

If a member or eligible dependent is confined to a licensed hospital and requests semi-private or private accommodation, coverage is limited to payment of 100% of the hospital’s charge for a semi-private room. Charges for any portion of the cost of ward accommodation, utilization or co-payment fees, or similar charges are not eligible.

An expense will be incurred if the member requests semi-private or private accommodation while in hospital. Upon presentation of the drug card to the hospital, the hospital will bill the Plan Administrator, Johnson Inc. ., for the eligible expenses covered under the Hospital Benefit. The member will be required to pay the hospital the remaining expenses not covered by the Plan.