November 29th 2022

Medical Benefits


Law Enforcement Officers and Firefighters Retirement System RCW 41.26.030

Many members have been calling on what medical services they can receive. Please section 19 of this RCW, and please note subsection I:


(19) "Medical services" for plan 1 members, shall include the following as minimum services to be provided. Reasonable charges for these services shall be paid in accordance with RCW 41.26.030.


  • (a) Hospital expenses: These are the charges made by a hospital, in its own behalf, for
  • (i) Board and room not to exceed semiprivate room rate unless private room is required by the attending physician due to the condition of the patient.
  • (ii) Necessary hospital services, other than board and room, furnished by the hospital.
  • (b) Other medical expenses: The following charges are considered "other medical expenses," provided that they have not been considered as "hospital expenses".
  • (i) The fees of the following:
    • (A) A physician or surgeon licensed under the provisions of chapter 18.71 RCW;
    • (B) An osteopathic physician and surgeon licensed under the provisions of chapter 18.57 RCW;
    • (C) A chiropractor licensed under the provisions of chapter 18.25 RCW.
      • (ii) The charges of a registered graduate nurse other than a nurse who ordinarily resides in the member's home, or is a member of the family of either the member or the member's spouse.
      • (iii) The charges for the following medical services and supplies:
    • (A) Drugs and medicines upon a physician's prescription;
    • (B) Diagnostic X-ray and laboratory examinations;
    • (C) X-ray, radium, and radioactive isotopes therapy;
    • (D) Anesthesia and oxygen;
    • (E) Rental of iron lung and other durable medical and surgical equipment;
    • (F) Artificial limbs and eyes, and casts, splints, and trusses;
    • (G) Professional ambulance service when used to transport the member to or from a hospital when injured by an accident or stricken by a disease;
    • (H) Dental charges incurred by a member who sustains an accidental injury to his or her teeth and who commences treatment by a legally licensed dentist within ninety days after the accident;
    • (I) Nursing home confinement or hospital extended care facility;
    • (J) Physical therapy by a registered physical therapist;
    • (K) Blood transfusions, including the cost of blood and blood plasma not replaced by voluntary donors;
    • (L) An optometrist licensed under the provisions of chapter 18.53 RCW.
    Click here to read the complete RCW.


    leoff1-resource-guide

    Click here to read the LEOFF1 Disability Boards Best Practices.