AlaskaCare Employee News | Spring 2021

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Spring 2021 | #101


COVID-19: What Your AlaskaCare Health Plan is Doing for You

The COVID-19 outbreak has caused us all to adjust and changes to our daily routines. Here at AlaskaCare, we made temporary changes and limited benefit expansions to your health plan to support the public health COVID-19 response, reduce the strain on the medical system, and to assist you in accessing the care you need. You can find up to date information about the temporary changes to your benefits at AlaskaCare.gov.

The Division is monitoring the status of the Alaska COVID-19 outbreak and will provide updates regarding the effective dates of the remaining temporary changes when more information becomes available.

Beginning May 1, 2021, the following temporary changes are no longer effective:

  • Cost Share Waiver for COVID-19 Inpatient Admissions and Emergency Transportation
    What does this mean for you? If you receive inpatient services or emergency transportation due to a COVID-19 diagnosis, your standard deductible and coinsurance will apply. As always, AlaskaCare will continue to cover medically necessary treatments or supplies required to treat COVID-19.

The following benefits are permanently available to AlaskaCare members.

  • COVID-19 Testing: If you receive laboratory tests to diagnose or treat COVID-19, AlaskaCare is waiving your deductible and coinsurance. To qualify, your laboratory tests must be deemed medically necessary under the terms of the plan and they must be FDA-approved. The co-insurance and deductible are also waived for your office visit if the primary diagnosis code for the visit is COVID-19 or the diagnostic tests are billed with the office visit.

  • COVID-19 Vaccines: The AlaskaCare health plan covers the cost for FDA approved COVID-19 vaccines, subject to the recognized charge, under both the medical and pharmacy plans, at any authorized site of care. AlaskaCare members receive the vaccine at no cost.

The COVID-19 vaccine is now available for anyone living or working in Alaska who is age 16 or older.

Check availability with Alaska COVID vaccine providers in your community covidvax.alaska.govCall the COVID Vaccine helpline if you need assistance making your vaccine appointment (907) 646-3322.

If you are located outside of Alaska, check with your local health authorities to find out more about vaccine eligibility and availability in your area.


Teladoc

AlaskaCare Employee plan members have access to medical care wherever you are and whenever you need it through Teladoc.

Not Feeling Well?

You can connect with a doctor via phone or video call 24 hours a day, 365 days a year. Teladoc doctors can diagnose and prescribe treatment for many health issues like sinus problems, respiratory infection, allergies, flu symptoms, and many other non-emergency illnesses.

Visit

Request a consult through the Teladoc website, app, or over the phone. A doctor will call you back in minutes. Talk to the doctor, take as much time as you need…. there’s no limit. Your Teladoc copay for general medical and dermatology consults is $0!

Resolve

Teladoc is a convenient and affordable way to receive care wherever you are and whenever you need it. If medically necessary, a prescription will be sent to the pharmacy of your choice.

Feel Better. It’s that easy! Register today.

Using telemedicine may help you avoid exposure to potentially sick people in public places and may also allow you to obtain treatment while remaining at home.


Planning Ahead with Supplemental Life Insurance

Each year during Open Enrollment, you have the choice to select optional Voluntary Supplement Benefits (VSB). These à la carte offerings provide coverage for those unexpected emergencies and allow you to pick and choose coverage to fit you and your family’s needs. Supplemental life insurance provides the peace of mind that your family’s short term or long-term financial needs could be met if you are no longer here. Transitions are challenging enough when events go as planned, however when financial hardship is layered on top, things can feel more difficult than ever.

Choosing supplemental life insurance coverage brings confidence that your family is prepared for the unexpected. Should something happen, your family will have additional financial security to cover expenses large and small, such as household bills or college tuition.

Your premiums are paid through payroll deductions and are subtracted from your gross wages before taxes are deducted—an added advantage to you.

You can also choose to add these additional VSB options during Open Enrollment:

  • Supplemental Accidental Death and Dismemberment
  • Short-Term Disability
  • Long-Term Disability
  • Critical Illness Insurance

Health Plan Appeals

Planning for your health care needs and associated costs can be challenging. When a bill comes in the mail after a visit to the doctor because a service was denied, it may be a surprise. The AlaskaCare health and dental plans provide members with the right to appeal claims and precertifications that have been denied.

If your AlaskaCare health plan denies payment for a treatment that you believe should be covered, you have the right to challenge that decision through the appeal process.

Do you need more information about when and how to file an appeal?

Visit the AlaskaCare Health & Dental Appeal Guide webpage on the Department of Administration Retirement and Benefits website. The page includes frequently asked questions as well as appeal guides and forms for Aetna, Delta Dental of Alaska, and OptumRx.


Paperless Explanation of Benefits

Prefer to receive your Aetna Explanation of Benefits (EOBs) online instead of by mail? You can securely access your current and past EOBs at your convenience, day, or night. Print them as needed—less paper is good for the environment. Go paperless today!

Follow these simple steps:

  1. Sign into the Aetna member portal.
  2. Click on the dropdown next to your member name in the top right corner of the screen, and select Profile and Preferences.
  3. Under preferences, select Paperless.
  4. Click on the Go Paperless box.

Once you select paperless delivery, Aetna will send you an email notification whenever you have an EOB available for review. If you change your mind and want to receive your EOB by mail again, simply update your preferences or contact the Aetna Concierge at (855) 784-8646.


Welcome New Providers!

Aetna’s Alaska Network Continues to Grow! Please help us in welcoming these new providers:

Anchorage

  • Forget Me Not Healthcare Clinic
  • Alaska Digestive & Liver Disease
  • Pivotal Care Partnership
  • Kids First Pediatric Therapy
  • Connect Speech & Language
  • Pediatric Gastroenterology
  • Achieve Medical Alaska 

Wasilla

  • Pediatric Resource Center of Alaska
  • Achieve Medical Alaska

Fairbanks

  • Fireweed Pediatrics
  • Alcan Medical Group

Walmart nation-wide is now an in-network provider for your VSP vision care.

By utilizing the in-network providers within the AlaskaCare plan, members save substantially. Network providers have preemptively agreed on services charges, therefore allowing you to know your exact charges, with no surprises. To find an in-network provider, or to see if your provider is in-network, call the Aetna Concierge at (855) 784-8646 or use the online DocFind tool.


We Value Your Feedback!

As an employee of the State of Alaska, your input is valued and important. Below, please see a list of ways to contact us with your feedback. Also, a full list of AlaskaCare health plan and partner contact information can be found on our website.

AlaskaCare – Plan Administrator

  • Toll Free: (800) 821-2251
  • In Juneau: (907) 465-4460
  • TDD: (907) 465-2805
  • Fax: (907) 465-3086
  • Email: doa.drb.mscc@alaska.gov
 

Come Visit Us:

State Office Building
6th Floor
333 Willoughby Avenue
Juneau, AK 99801 

Send Us a Letter:

State of Alaska
Division of Retirement and Benefits
P.O. Box 110203
Juneau, AK 99811-0203

 

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

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

Teladoc
Member Services: (855) 835-2362


Please note: AlaskaCare Employee News is switching its distribution cycle from monthly to quarterly.