AlaskaCare Employee News | February 2020
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February 2020 | #87
Copay Information for Office Visits in the
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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.
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 | ||||||
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Please Welcome the Following Providers to the Aetna Network!
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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. |
Pumpkin, Sweet Potato & Black |
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The Walk Out |
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Sleep is the way your body refuels. Getting a good eight hours of sleep every night should be a goal year-round. |