AlaskaCare Employee News | February 2020

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February 2020 | #87

Copay Information for Office Visits in the
Standard and Economy Plans

Do you avoid going to the doctor early in the year because you haven’t met your deductible yet? We want to make sure you can get care whenever you need it. Beginning January 1, 2020, if you elect the Standard or Economy medical plan, you and your dependents will now pay a flat copay amount for in-network primary care and specialty care office visits.

Instead of paying the full cost of your office visit before you meet your deductible and a percentage of the cost (coinsurance) after you do, you will only pay a flat copay for all office visits. These copays cost less than what you would typically pay for a visit through your deductible or coinsurance. Copays do not apply to your deductible, but they do apply to your annual out-of-pocket maximum. 

Plan In-Network Primary Care
Office Visit Copay
In-Network Specialty Care
Office Visit Copay
Standard Plan $25 $35
Economy Plan $45 $55

IMPORTANT! Keep in mind that copays only apply to in-network providers, and only cover the office visit. Facility charges, ancillary services, and other services such as labs that are not billed as part of an office visit will be subject to a deductible and coinsurance.

Find a network provider or check to be sure that your current provider is in-network by calling Aetna at (800) 821-2251 or by using the online DocFind tool.

Getting to Know your Benefits

20/20 Vision in 2020

It’s 2020 – the perfect year to take care of your eyes and it’s as simple as seeing your eye doctor annually. A comprehensive eye exam can not only ensure your eyes are in tip-top shape, but it also checks your overall health. Did you know an eye exam can detect early signs of serious health conditions such as diabetes and hypertension? Your eyes can reveal a lot about your overall wellness. Make 2020 the year you take charge of your health. Who knows, maybe you’ll have 20/20 vision by the end of 2020?

As an eligible AlaskaCare member, you have access to exclusive member savings on a variety of items such as hearing aids, contact lenses, eyeglasses, sunglasses, contacts, and LASIK when you use an in-network provider. You can access the details and rebates at

Exclusive member savings:

  • Contact lenses
  • Eye glasses

To find an in-network provider, visit

Support for Your Chronic Condition

The Aetna In Touch Care℠ (ITC) program provides personalized support to help you manage a health event or chronic condition. The program uses a combination of digital and one-on-one support that’s right for you.

The program offers:

  • Ongoing, one-on-one phone calls with a nurse who serves as a trusted resource for you and your family
  • Digital support that provides a variety of resources to help you better manage your health
  • Customized health action plans based on your needs and preferences

To start using Aetna’s ITC digital support, log in to the secure member website, Aetna Navigator®, then to your health dashboard. First-time users will need to register before using ITC.

With ITC, you'll benefit from many digital health and wellness related programs and resources:

  • Personal Health Record: Organize and store your health history and information, plus get health alerts and notifications.
  • Health Assessment: Get a custom, step-by-step plan based on questions about your health and habits.
  • Health Decision Support: Learn about your health care and treatment options.
  • Online Coaching Programs: Find dynamic health coaching programs that give you personalized support.
  • Aetna Health Dashboard: View your health information and find entry points to health and wellness programs and resources.

Maternity Programs

Aetna—Beginning Right Program

Beginning Right, is a maternity management program that provides you with special attention for a healthy pregnancy and baby. This free and confidential program is designed to provide you with the personal support that is so important to expectant families—all from the comfort, privacy and convenience of your own home.

Benefits of the Beginning Right program:

  • Prenatal, labor, and delivery care, newborn care and more
  • Information for Dad or partner
  • One-on-one nurse support for quitting smoking
  • Screening for pregnancy risks or issues
  • Screening for depression
  • Follow-up calls after delivery
  • Extra support, if you need it

Get special attention for pregnancy risks.
Some women have health issues or risks that could hurt their pregnancy. If you do, nurse case managers are here to work with you to lower those risks. We’ll teach you the signs and symptoms of preterm labor, and new treatment options available to you.

Why not give your baby the healthiest start possible?
Sign up today. It’s easy:

  • Call Aetna toll-free at (800) CRADLE-1 (800-272-3531), weekdays from 8 a.m. to 7 p.m. EST, or
  • Login to your Aetna member account and look under “Health Programs”.

Oral Health, Total Health Program

The Oral Health, Total Health program offers more ways to care for your teeth and mouth—and keep the rest of your body healthy, too.

Pregnant women who have periodontal (gum) disease are more likely to have a premature and underweight baby. Bacteria can enter the bloodstream through the mouth, and the body’s response to the infection can trigger early labor. If you are expecting, enroll in the Oral Health, Total Health program to help prevent gum disease. Even if you’ve already had two cleanings for the year, you’ll be eligible for another cleaning or checkup during your third trimester. This added preventive visit is covered, regardless of normal plan frequency limits.

This way, you can receive a dental cleaning during your third trimester, no matter what.

Learn more and enroll
To enroll in the Oral Health, Total Health program, access the form online by logging in to myModa. Once you’ve signed in, simply click on “Oral Health, Total Health” in the myHealth tab.

Please Welcome the Following Providers to the Aetna Network!

  • Anchorage
    • Caballero Kobzoff, MD LLC
    • Freedom Physical Therapy

  • Fairbanks
    • Wonderlich Dermatology
    • Fairbanks Foot and Ankle

  • Wasilla
    • John Oliver, MD PC
    • Erin Rockey, NP
    • Midnight Sun Optometry

  • Ketchikan
    • Power of Wellness Health Services

Using network providers can provide substantial benefits to members through the elimination of what's known as balance billing. The AlaskaCare plans limit payment of covered services to the recognized charge for the service provided. An out-of-network provider may bill you for the difference, or the balance, between the recognized charge and the actual charge. This is often referred to as balance billing and is solely the member’s responsibility to pay. Network providers have agreed to accept, as payment in full, the negotiated charge. Therefore, you are not subject to balance billing when you use a network provider.

Using network providers can also generate substantial savings to members by limiting charges to negotiated provider discounts. For assistance finding an in-network provider call the Aetna Concierge at (855) 784-8646 or search on-line using the Aetna DocFind tool.

For more information about the benefits of network usage, please visit our FAQ.


Recipe of the Month

Pumpkin, Sweet Potato & Black
Bean Chili


Exercise of the Month

The Walk Out


Health Fact of the Month

Sleep is the way your body refuels.
Getting a good eight hours of sleep every night should be a goal year-round.

Health Benefit Contact Information

Division of Retirement and Benefits
Member Services: (907) 465-4460 | Toll-Free: (800) 821-2251

Medical Benefits: Aetna
Member Services: (855) 784-8646

Dental Benefits: Moda/Delta Dental
Member Services: (855) 718-1768

Pharmacy Benefits: OptumRx
Member Services: (855) 409-6999

Specialty Pharmacy: BriovaRx
Enrollment Services: (855) 427-4682

Health Flexible Spending Accounts (HFSA): PayFlex
Member Services: (800) 416-7053

Surgery Plus
Member Care Advocate: (855) 715-1680

Vision & Audio Benefits: Aetna VSP
Member Services: (855) 784-8646

Member Services: (855) 835-2362