For Providers

Please call Carpenters Trusts (800-552-0635) with questions or concerns.

We value our relationship with the professional provider community in Washington State and across the country. The information on this site should assist you with providing the best service to our participants and their families. Please contact Carpenters Trusts with questions or concerns.

Medical Benefits

Administrator Aetna Life Insurance Company
888-632-3862
https://www.aetna.com/health-care-professionals.html
PPO Aetna Choice POS II
Eligibility To confirm eligibility, contact Aetna and provide the ID number on the patient’s Aetna/Carpenters Trusts card.
Precertification A number of services require precertification with Aetna, including but not limited to services listed below. The full Precertification List is available here.
  • Dorsal column (lumbar) neurostimulators
  • Electric or motorized wheelchairs and scooters
  • Gastrointestinal (GI) track imaging through capsule endoscopy
  • Gender reassignment surgery
  • Hyperbaric oxygen therapy
  • Non-participating freestanding ambulatory surgical facility services, when referred by a participating provider
  • Proton beam therapy
  • Organ transplants
  • Drugs and medical injectables
The following services require precertification with Carpenters Trusts (800-552-0635):
  • Durable medical equipment
  • Home health care
  • Home infusion therapy
Utilization Management Utilization review by Aetna is required for any service requiring precertification. This requirement applies to both network and non-network providers. If you are a non-network provider, call Aetna at 888-632-3862.
Copayments Network (PPO) Services Non-network (non-PPO) Services
$10 for Office Visit
$0 for Hospital Inpatient Admission
$50 for Emergency Room (waived if admitted)

The provider can bill the patient for deductibles, copayments, coinsurance, or non-covered expenses.
$20 for Office Visit
$200 for Hospital Inpatient Admission
$50 for Emergency Room (waived if admitted)

Patient billing practice is subject to the provider's policy.
Claims Submission Paper Claims Electronic Payer ID
Aetna Life Insurance Company
P.O. Box 981106
El Paso, TX 79998-1106
60054 0153

Dental Benefits

Administrator Delta Dental of Washington
800-238-3439
https://www.deltadentalwa.com/provider.aspx
PPO Delta Dental PPO or Delta Dental Premier
Eligibility To confirm eligibility, contact Delta Dental of Washington and provide the ID number on the patient’s Delta Dental of Washington card.

NOTE:
Dental benefits are not available under Retiree Coverage.
Benefits Benefits are provided for preventive and restorative dental services, dental implants and orthodontia. The plan will pay 100% of covered services, subject to the plan’s dental fee schedule.
Claims Submission Paper Claims Electronic Payer ID
Delta Dental of Washington
P.O. Box 75983
Seattle, WA 98175-0983
91062

Vision Benefits

Administrator VSP
800-238-3439
PPO VSP Vision Care
Eligibility To confirm eligibility, contact VSP and provide the ID number on the patient’s Aetna/Carpenters Trusts card.

NOTE:
Vision benefits are not available under the Eastern Washington, Idaho, Montana, and Wyoming benefit package. Also not available under Retiree coverage.
Benefits The plan pays benefits for eye examinations, prescription lenses, frames and contact lenses. If services are received from a non-network provider, benefits are limited to a schedule of benefits.
Claims Submission If services are obtained from a non-network provider, the patient must pay for services and supplies and submit a claim form to VSP for reimbursement.