Welcome Pack
We are excited to welcome you to the AlaskaCare Health Plan administered by HealthSmart.
The Welcome Pack contains important information about the AlaskaCare plans claims administration. To read the Welcome Pack in its entirety, please download the complete AlaskaCare Welcome Pack [PDF 1.7M]. This Web page contains notable excerpts from the PDF file.
- ID Cards
- Partner Information
- Claim Filing
- Network Providers
- Prescription Drugs
- HealthSmart Care Management Solutions
- Wellness Services
- Claim Pre-Certification
- Case Management
- Disease Management
- Health Coaching
- Nurse Line
Overview
ID Cards
ID cards are sent in a separate mailing. Up to two ID cards will be issued under the member’s name which may be used by you or your eligible dependent. It is important for you to present your new AlaskaCare ID card to your providers when receiving care or filling prescriptions. The ID card contains important information such as your member identification number, precertification instructions, and claims filing instructions.
If you have not received your ID card and need services, obtain a temporary ID card. You will need your member identification number for this process. If you do not have your member ID you can contact HealthSmart to obtain this number.
Partner Information
Costco Pharmacy Benefit Partnership powered by Envision RxOptions
Retail and mail-order prescription drug benefits will be provided through the Costco Pharmacy Benefit Partnership. This program combines the purchasing power of Costco Wholesale with Envision RxOptions, a top-rated national pharmacy benefit manager, giving you many options for purchasing your prescriptions.
Beech Street
The Beech Street network provides AlaskaCare members with a nationwide network of doctors and hospitals that have agreed to discounted rates and fee schedules. The AlaskaCare Health Plans do not require you visit Beech Street network providers. However, by using Beech Street network providers you are reducing your out-of-pocket expense and overall costs to the AlaskaCare Health Plans. In addition, you will not be billed by these providers for any charges that exceed the contracted amount.
Vision Service Plan (VSP)
Vision Service Plan currently sponsors a network of doctors and clinics in support of the AlaskaCare Managed Care vision plan. VSP will continue to provide these same services.
Note: If you selected the Standard Vision Plan, your vision care is administered by HealthSmart.
Magellan Health Services
Magellan Health Services provides the AlaskaCare Employee Assistance Plan (EAP).
The EAP is a confidential, pre-paid assessment and counseling service designed to provide you and your family with assistance in managing everyday concerns. The enclosed brochure provides information about the services available from the EAP and direct contact information.
Information and Instructions
This section contains important information and instructions for filing claims, locating providers, filling prescriptions, accessing the mail-order pharmacy program, using your ID card, and more. Please read this section carefully and retain the information for future reference. If you have questions or need assistance, HealthSmart customer service representatives are available to assist you.
Claim Filing
Most healthcare providers, including all network providers, will bill the AlaskaCare Health Plans on your behalf. To do this, you will need to present your ID card to your healthcare providers. The ID card contains all of the necessary information to initiate the claims filing process for you and your eligible dependents.
If your provider will not bill on your behalf, you may file claims with HealthSmart by mailing your completed AlaskaCare Benefits Claim Form to the address located at the top of the claim form.
Locating Network Providers
We have an online application for this: Use the Provider Search
Prescription Drugs
AlaskaCare members may obtain prescription drugs at over 62,000 participating pharmacies nationwide and also by mail. You must use a participating pharmacy or the mail order pharmacy, presenting your AlaskaCare ID card to receive the best benefit.
HealthSmart Care Management Solutions
Our goal is to deliver health and wellness information in a way that’s accurate, meaningful and easy to understand. We have a team of dedicated nurses who will work to meet and exceed your expectations. You will have expedited enrollment and the option to participate in the programs that best meet your needs.
Wellness Services
HealthSmart’s wellness program includes access to a wellness coach and registered nurses, as well as telephone and email coaching. In addition, our online wellness programs include a variety of tracking tools and a health risk assessment. We also provide monthly wellness challenges, maternity management, help with smoking cessation and much more!
Claim Pre-Certification
You should contact HealthSmart to precertify hospital admissions, skilled nursing facilities, home health care, mental health or chemical dependency treatment and MRIs of the knee or spine.
Case Management
If you or a family member has a serious ongoing medical condition or injury, HealthSmart will provide a medical case manager to assist you. The medical case management program is designed to help identify medical resources and provide professional support for members working though a challenging or extended medical situation. The program is optional and you are not required to participate.
Disease Management
HealthSmart’s disease management program is designed to assist those who are affected by chronic conditions such as diabetes, heart disease, asthma, lung disease, congestive heart failure and emotional health. Our programs address these conditions through strategies of education and compliance management, while encouraging members to take active control of their health.
Health Coaching
HealthSmart provides health coaching to AlaskaCare members. This program can provide support in achieving your health goals. If you have questions or need assistance, please visit our One-on-One Personal Wellness Coaches page or contact us for information on joining our coaching program.
Nurse line
A 24-hour nurse line is available if you want to discuss your symptoms and clarify whether you should visit a doctor for a health condition you may have. The nurse line is staffed by registered nurses who can answer your questions 24-hours a day, 365 days a year: (855) 356-2073. For quick reference, this telephone number appears in the right-hand sidebar of this Web site.
Reference: ghlb/akcare/HealthSmart/WelcomePackEmployee.pdf