Your asrTrust plan does not cover room upgrades during acute hospital stays, and it does not cover private rooms in any hospital facility. Here’s a quick overview of when the plan may help pay the difference between ward/standard and semi-private room charges.
Quick snapshot of hospital room coverage
| Type of hospital stay | Semi-private room covered? | Plan pays (maximum) |
| Acute care (public general hospital / active treatment bed) | No | $0/day – any room upgrade is your cost |
| Rehabilitation or convalescent hospital or wing (in a rehab/convalescent bed) | Yes, may be eligible | Up to $200/day toward a semi-private upgrade |
| Chronic hospital/wing (usually while awaiting long-term care placement) | Yes, may be eligible | Up to $30/day toward a semi-private, for up to 180 days (starting with first paid claim) |
| ALC bed (Alternative Level of Care) (usually while awaiting long-term care placement) | Yes, may be eligible | Up to $30/day toward a semi-private upgrade, up to 120 days/year (starting with first paid claim) |
A few helpful notes
- Acute care: If you request a semi-private room during an acute-care hospital stay, your asrTrust plan does not cover the upgrade.
- Rehab/convalescent care: Semi-private rooms may be covered up to $200/day in approved rehab/convalescent settings.
- Chronic/ALC: Semi-private rooms may be covered up to $30/day in chronic/ALC situations. Time limits apply (chronic: 180 days; ALC: 120 days/year).
- Co-pay help (chronic/ALC only): If you occupy a chronic care or ALC bed and are charged a co-pay, the plan may help—up to $60/day up to 180 days (chronic) and $47.53/day up to 120 days (ALC), within the time limits.
- If you didn’t request an upgrade: If the hospital places you in semi-private or private room without you asking, you generally shouldn’t be charged for the upgrade.
- Best tip: Before you agree to any charges, ask the hospital what type of bed/unit you’re in (acute vs rehab/convalescent vs chronic/ALC).
Practical tips
- Ask before you sign. If you’re offered a semi-private room, ask whether your stay is acute, rehab/convalescent, or chronic/ALC.
- Call GreenShield. For planned admissions or transfers, a quick call can help avoid surprise bills.
- Keep the invoice. If you’re billed for an eligible room charge, make a copy of the invoice and submit with your claim to GreenShield.
- Use the booklet definitions. “Rehab,” “convalescent,” “chronic,” and “ALC” have specific meanings in the plan.
Where to confirm details
For full details (definitions, limits, exclusions, and claim requirements), please refer to your plan benefit booklet on the asrTrust website, or contact GreenShield at 1-877-266-5494 to confirm eligibility before you agree to any room upgrade charges.
Posted: June 2, 2026
