Health Plan FAQs
- What do I need to do for the change in the Third Party Administrator (TPA) for AlaskaCare?
- Why will I receive two ID cards?
- My ID card hasn’t arrived, what should I do?
- Is my plan changing?
- Why were my dental benefits changed?
- What changes if any are there in the Vision plans?
- VSP diabetic eyecare plus program
- How do I find a network vision provider?
- Locate a network VSP doctor
- Check claim history
- View benefits
- Learn about important aspects of eyecare
- Why is the deductible and out-of-pocket maximum increasing?
- How can I get a current copy of the Health Plan booklet showing all plan changes?
- Will I be taxed on my health benefits?
- What services will require precertification?
- What is precertification?
- What if my provider isn't in the network?
- Do I have to change my provider?
- What if I have previously used Aetna Navigator?
- How do I install the iTriage app on my mobile device?
- Download or update the free iTriage App from your App store/Google Play Store
- Create a "MyiTriage" account (found in the lower left of the standard app)
- Choose "My Insurance" and then select "Aetna" as your insurance carrier.
- Enter your Aetna Member ID and Group Number as they appear on your ID card. If entered correctly, Member ID and Group Number will be validated
- Select “Link Aetna Navigator Account” and add your Aetna Navigator login and password*
Members currently engaged in medical management or wellness services will be contacted by an Aetna representative to coordinate existing care. This includes anyone in the disease management program, wellness coaching, specialty medication program, and case management. Keep an eye out for your new AlaskaCare medical and dental ID cards before the new year and be sure to check out our Web site for news and updates.
To improve our network and customer service, AlaskaCare selected Aetna to administer all medical and pharmacy claims and Moda Health to administer all dental claims. In the past, these services had been provided by a single company. You will receive a medical ID card from Aetna and a dental ID card from Moda to use when visiting your in-network provider.
Medical/Rx ID Card
If your ID card hasn’t arrived, you can view and print your Medical/Prescription ID card or download the mobile app that displays the ID card on your smartphone. Note: Aetna Navigator registration required.
You can use your Social Security number to register or call the Aetna health concierge (855) 784-8646 for assistance.
Dental ID Card
To print your Moda Health/Delta Dental of Alaska ID card or download the MyModa mobile app, register on the MyModa Web site or call Moda at (855) 718-1768.
Please refer to the AlaskaCare Health Plans Transition Guide Plan Changes section.
Please refer to the AlaskaCare Health Plans Transition guide "Additional Information" section.
The standard vision plan currently offered by AlaskaCare will be eliminated on December 31, 2013, but members will still be able to elect vision coverage through the enhanced VSP managed care plan. This plan provides higher value benefits, with lower premium rates and no annual benefit maximum. Additionally, the enhanced plan offers a new service:
Because of the standard vision plan’s discontinuance, current standard vision plan participants will be automatically enrolled in the enhanced VSP managed care plan unless a different election is made at open enrollment. VSP vision plan information at VSP.com »
Registering on the VSP Web site is the best way to find a network vision provider. Registering will allow you to:
If you choose not to register and search the VSP site as a guest, VSP cannot guarantee the doctors on the list will participate in your plan. In addition, VSP cannot guarantee all doctors on your plan will appear on the list.
The deductible and out-of-pocket maximums were increased effective July 1, 2013, however due to the shortened benefit year they were pro-rated, or reduced by 50%. Beginning January 1, 2014, the full annual rates go into effect.
The deductible and out-of-pocket maximum rates for each plan had remain unchanged in over 13 years and were no longer reflective of each plan's actual costs and experience. As a result, the deductible and out-of-pocket maximum rates for each plan were adjusted for inflation and plan experience as necessary.
A new plan booklet will be released on or after January 1, 2014 for the new benefit year.
The plan meets the criteria under Internal Revenue Code §125 and its accompanying Treasury Regulations, which govern cafeteria plans as offered under the Select Benefits Health Plan. This allows for premiums that are taken from your pay check to be deducted prior to taxes being calculated.
Please refer to the AlaskaCare Health Plans Transition Guide precertification section.
Precertification is the review process used to determine whether the requested service, procedure, prescription drug or medical device meets the Plans’ clinical criteria for coverage. It does not mean a reliable representation of payment for care or services.
If your current provider is not listed as an in-network provider, you can ask your physician to contact AlaskaCare for a participation application. If you would like the provider to receive an application, please complete a Provider Nomination form [PDF 37K]. However, until your current physician becomes a provider in the network, you may wish to consider changing to a network physician in order to better control your costs and avoid balance billing.
No. But seeking care from a network provider will protect you from balance billing by your provider.
To determine if your medical provider is a network provider, contact the Aetna Concierge team at (855) 784-8646 or use the "Find a Doctor" button in the left column of this Web site.
By ensuring you are using an in network provider, you can take advantage of the significant discounts we negotiate to help lower your out-of-pocket costs for medically necessary care. This can help you get the care you need at a lower price.
You may register using your SSN or Aetna ID number and the system will provide your previous user name. If you don't remember your old password, click, "I forgot my username and/or password." Then the system will walk you through your security questions to reset the password. If you don't recall the answer to your security question, click on the "Need Help?" option. Do not select "I need to register as a subscriber or dependent for another Aetna plan."
The "Need Help?" option will provide an email and phone number for Technical Support. Technical Support has the ability to reset your entire profile, allowing you to create a new username and password.
*If you don’t already have an Aetna Navigator account, you will be able to create one on this page.