AlaskaCare Employee News | Quarterly Newsletter | Fall 2023

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Fall 2023 | #109

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Save the Date! AlaskaCare Employee Open Enrollment

AlaskaCare Employee Open Enrollment is just around the corner! The Open Enrollment period for the 2024 plan year begins Wednesday, November 1, and ends Wednesday, November 22, 2023. During open enrollment, you can review your benefit elections to make sure they are still the best fit as well as make changes for the upcoming benefit year.

NEW! Starting January 1, 2024, your AlaskaCare plan is adding coverage for acupuncture. You can find more information regarding this benefit here.

NEW to the supplemental voluntary benefits this year is MetLife Pet Insurance.  Beginning August 1, 2023, employees have access to the State of Alaska’s discount (10%) with MetLife Pet Insurance. Each policy is individualized. Please reach out directly to MetLife for all questions related to Pet Insurance. To get a quote and/or enroll, visit https://quote.metlifepetinsurance.com or call 1-800-GETMET8

AlaskaCare is committed to improving and expanding your benefits to help you stay healthy and affordably access the care you need, when and where you need it. We know AlaskaCare’s nearly 6,000 employees and their families are unique. That’s why we provide a range of options, including three medical plans, two dental plans and several additional benefits you can elect to participate in. You can choose the right mix of benefits to meet your needs.

Need Assistance to Enroll?

If you need assistance to complete your enrollment once the enrollment period opens on November 1, 2023, contact the AlaskaCare Member Education Center. You can reach us toll-free at (800) 821-2251 or in Juneau at (907) 465-4460 or at DOA.DRB.Benefits@alaska.gov.

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New in 2024: Acupuncture

Effective January 1, 2024, your AlaskaCare plan is adding coverage for acupuncture for certain indications such as pain management, headache, post-operative and chemotherapy-induced nausea and vomiting, lower back pain, pain from osteoarthritis of knee/hip, and chronic neck pain when it’s medically necessary and part of a written plan of care. This new acupuncture benefit was designed to help you receive the holistic care you need.

What is Acupuncture?

Acupuncture is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles may be manipulated manually or stimulated with small electrical currents (electroacupuncture). It’s an alternative health care treatment that’s often integrated with traditional medical care. Studies suggest that acupuncture may help ease chronic pain and certain other conditions, and is a reasonable option for people with chronic pain to consider.

Is acupuncture right for me?

To determine whether you could benefit from acupuncture:

  • Talk with your doctor. Your doctor can help you decide if acupuncture is right for your symptoms.
  • Contact the Aetna Concierge at (855) 784-8646 to determine the conditions for which acupuncture is considered medically necessary.

Note: Maintenance treatment, where the member's symptoms are neither regressing nor improving, is considered not medically necessary.  Acupuncture is not a proven and accepted therapy for all conditions, and coverage excludes experimental and investigational procedures.

Coalition Health Centers

The Coalition Health Centers welcome AlaskaCare Employee Health Plan eligible members and dependents in Anchorage, Fairbanks, and Wasilla.

The Centers offer wellness and preventive care, as well as walk-ins for acute care.  Services received at Coalition Health Centers are not subject to your plan’s annual deductible. Preventive and wellness visits have a $0 copay, and office visits for illness/injury have a $25 copay.

Coalition Health Center schedule:

  • Monday through Friday
  • 7:30 a.m. – 6:30 p.m. (By appointment)
  • 8:30 a.m. – 4:30 p.m. (Walk-ins welcome for acute care)

www.coalitionhealthcenter.com

Coalition Health Center locations:

  • Anchorage Coalition Health Center
    701 East Tudor Road
    Anchorage, AK
    (907) 264-1370
  • Fairbanks Coalition Health Center
    570 Riverstone Way #3,
    Fairbanks, AK 99709
    (907) 450-3300
  • Wasilla Coalition Health Center
    North Fork Professional Building
    1700 East Bogard Road,
    Building A, Suite 103
    Wasilla, Alaska 99654
    (907) 206-460

Free At-Home COVID-19 Tests this Fall on COVIDTests.gov

Every U.S. household may place an order to receive four free COVID-⁠19 rapid tests delivered directly to your home. You can order them here. You should take an at-home test if you begin having COVID-19 symptoms like fever, sore throat, runny nose, or loss of taste or smell. You should also test at least 5 days after you come into close contact with someone with COVID-19. A test should also be administered when you're going to gather with a group of people, especially those who are at risk for severe disease or may not be up-to-date on their COVID-19 vaccines. 

The U.S. government will continue to make COVID-⁠19 tests available to uninsured individuals and underserved communities through existing outreach programs. Please contact an HRSA health centerTest to Treat site, or ICATT location near you to learn how to access low- or no-cost COVID-⁠19 tests provided by the federal government.

Need help placing an order for your at-⁠home tests?
Call 1-800-232-0233 (TTY 1-888-720-7489).

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2023 Health Fairs - Thank You for Making them a Success!

AlaskaCare partnered with the Pacific Healthcare Coalition (PHC) to host several events all over the state this fall. Events were held in Palmer, Fairbanks, Soldotna, Anchorage, and Juneau over a period of 3 weeks in September and October, and by all accounts, the events were a great success.

Altogether, over 2,000 comprehensive lab tests and almost 900 flu vaccines were administered to State of Alaska retirees and employees at no cost to our AlaskaCare members. Representatives from Aetna, Optum, Delta Dental, and other AlaskaCare vendors were on hand to assist with registration tasks and answer member questions. And perhaps best of all, our AlaskaCare team was able to interact with many of our members face to face and get to know you even better. We were pleased to see so many familiar faces in attendance. We would like to thank everyone that came out to help make these events so successful and we hope to be able to do it all again in 2024!

 

Employee Wellness Program

Getting to Know Your Benefits: Employee Assistance Program

For AlaskaCare eligible employees, the Employee Assistance Program (EAP) offers a confidential counseling service, free of charge to you and your dependents, administered by Aetna.

This service provides assessment, treatment and referral services, and covers up to eight counseling sessions per problem per benefit year. The program is geared to provide assistance with difficulties that you may encounter at work, emotional problems, stress, family or relationship problems, and drug and alcohol abuse. Some of the areas the EAP can help with include personal balance, emotional wellness, communication skills, stress management, and grief issues. Your call or visit to the EAP counselor is completely confidential. Unless you choose to tell others, no one needs to know about your EAP counseling sessions. EAP counseling offices are located away from your work site. Discussions with an EAP counselor will not be revealed to anyone without your written permission unless required by law.

EAP staff is available 24 hours a day, 7 days a week, 365 days a year. Call (855) 417-2493 [toll free] to reach the EAP staff today.

 

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 Get Ready for Flu Season

Influenza (flu) is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness. Serious outcomes of flu infection can result in hospitalization or death. Some people, such as older people, young children, and people with certain health conditions, are at high risk of serious flu complications.  There are two main types of influenza (flu) virus: Types A and B. The influenza A and B viruses that routinely spread in people (human influenza viruses) are responsible for seasonal flu epidemics each year.

You can take Action to Protect Against Flu

  1. Get a flu shot: The best way to prevent flu is by getting vaccinated each year. It can reduce flu illnesses, doctors’ visits, and missed work and school due to flu.
  1. Preventive Steps: Take actions every day to help stop the spread of germs.  Avoid close contact with people who are sick.  Stay home when you are sick.  Washing your hands often will help protect you from germs.  Avoid touching your eyes, nose and mouth.
  1. Treatment: Most people with flu have mild illness and do not need medical care or antiviral drugs. If you get sick with flu symptoms, in most cases, you should stay home and avoid contact with other people except to get medical care.  If, however, you have symptoms of flu and are in a high-risk group or are very sick or worried about your illness, contact your health care provider.  There are prescription medications called antiviral drugs that can be used to treat flu illness.
​​The CDC's comprehensive website with general information on influenza transmission, symptoms, prevention, treatment and more can be found here: Influenza Information

 

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 Availability of Summary of Benefits and Coverage (SBC)

The health benefits that are available to you from the State of Alaska AlaskaCare Employee Health Plan represent a significant component of your compensation package. They also provide important protection for you and your family in the case of illness or injury. In accordance with law, our employee plan provides you with Summary of Benefits and Coverage (SBC) documents to help you understand and compare medical plan benefits.

Each SBC document summarizes and compares essential information including what is covered, what isn’t, what you need to pay for diverse benefits, and where to get answers to questions. The SBC documents are updated when there is a change to the benefits information. To get a free copy of the most current SBC documents for our State of Alaska medical plan options and the Uniform Glossary that defines many terms in the SBC, go to AlaskaCare.gov, or for a paper copy, contact the Division of Retirement and Benefits toll free at (800) 821-2251 or (907) 465-4460 in Juneau.

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Health Flexible Spending Account (HFSA)

The AlaskaCare Health Flexible Spending Account (HFSA) provides an opportunity for you to save by setting aside money for health care expenses on a pre-tax basis. You decide the amount you want to contribute each month, up to the Internal Revenue Service (IRS) limit. You can also use your HFSA to pay for qualified health care expenses not covered by your insurance.

How a HFSA Works

During each benefit year, you contribute a predetermined amount from each paycheck to the account. When you incur medical expenses, you file claims and are reimbursed with tax-free dollars from the account. You benefit from reduced taxes because you don’t pay taxes on the dollars you contribute to your accounts.

How to Enroll in a HFSA

Setup of a HFSA is offered during the annual Open Enrollment period or a qualified status change event. You must elect this benefit each year to continue from one year to the next.

How to Receive Reimbursement

To be reimbursed for eligible medical expenses, claims for reimbursement to the HFSA may be submitted in one of the following ways:

Streamlining

If you do not have any other health coverage, you can elect to have your HFSA set up with “streamlining.” Streamlining automatically sends the unpaid portion of your eligible medical claim (deductible, your portion of the coinsurance, etc.) directly to your HFSA account for reimbursement.

Non-Streamlining

Direct Claims Submission

With this option, you submit your claims to PayFlex on the Request for Reimbursement form after receiving your EOB from the plan or any other health plan in which you participate.

Over-The-Counter (OTC) Claims Submission

With this option, you submit claims to PayFlex on the HFSA OTC Claims form regardless of whether you have elected streamlined or direct claims submission.

Great Reasons to Enroll in a HFSA

  • You contribute pretax dollars from your paycheck (up to the IRS limit) throughout the year, but your full contribution is available for use at the start of the plan year.
  • If you and your spouse both have a HFSA, you can each contribute up to the IRS limit.
  • You can use the funds to pay for qualified health care expenses for you, your spouse and/or your tax dependents.

Such expenses may include:

  • Copays, coinsurance and deductibles
  • Dental expenses like orthodontia and crowns
  • Vision expenses like laser eye surgery and contacts
  • Over-the-counter (OTC) items prescribed by your health care provider

Things to Keep in Mind …

  • At the end of 2023, you may carry over up to $610 of unused funds in your HFSA to the next benefit year, but unused amounts over $610 are forfeited.
  • Services for eligible expenses must be received while you are covered by the plan—coverage stops during periods of leave without pay and at termination. Your HFSA coverage also stops when you move to a bargaining unit which does not participate in the Select Benefits/AlaskaCare health plan.
  • Services must be received prior to the end of the benefit year, December 31, and claims for the benefit year must be filed within 90 days of the end of the benefit year.
  • You can view the IRS contribution limits, a list of common eligible expense items, and full instructions for seeking reimbursement on the PayFlex member website.

For questions you can call PayFlex directly at (888) 678-8242, Mon-Fri 4am – 4pm AST, and Sat 6am – 11am AST, or visit www.payflex.com

 

feedback

 

We Value Your Feedback! State of Alaska employee input is valued and important. Below is 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
 

Physical Address: 

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

Mailing Address:

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: Aetna VSP
Member Services: (855) 784-8646

Teladoc
Member Services: (855) 835-2362