Medical, Dental & Pharmacy
- Medical
- Ambulatory Surgical Services
- Children's Services
- Chiropractic
- Clinic Services
- Community First Services and Supports (CFSS)
- Early Intensive Development and Behavioral Intervention (EIDBI)
- Equipment and Supplies
- HCBS
- Hearing Services
- Home Care Services
- Hospice Services
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Laboratory/Pathology, Radiology, and Diagnostic Services
- Language Interpreter Services
- Long-Term Care
- Medication Reconciliation
- Mental Health Services
- Optical Services
- Personal Care Assistance (PCA) Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitation Services
- Renal Dialysis
- Restricted Recipient Program
- School-Based Community Services
- Substance Use Disorder
- Telehealth Services
- Transportation
- Tribal and Federal Indian Health Services
- Dental
- Pharmacy
Ambulatory Surgical Services
An Ambulatory Surgical Center (ASC) is a facility licensed and certified as an outpatient surgical center to provide surgical procedures that do not require overnight inpatient hospital care, including nonprofessional or facility services.
Eligible Providers
A freestanding ASC that has met the requirements of an ASC.
Eligible Members
All PrimeWest Health members are eligible. Refer to Benefits section for coverage determination.
Terminated Procedures
- Surgical procedure(s) that are terminated after a patient has been prepped and taken to the operating room, but before the induction of anesthesia, will receive partial ASC payment for the procedure(s).
- Surgical procedure(s) that are terminated after the induction of anesthesia due to medical complication(s) will receive total/full ASC payment for the procedure(s).
PW_11-18_485
Updated_11/19/2019
