Bookmark and Share

Retiree Health Plan General Questions


General

  1. What do I need to do for the change in the Third Party Administrator (TPA) for AlaskaCare?
  2. Members currently engaged in medical management services will be contacted by an Aetna representative to coordinate existing care. This includes anyone in the 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.

  3. Why will I receive two ID cards?
  4. 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.

  5. My ID card hasn’t arrived, what should I do?
  6. 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.

  7. How do I install the iTriage app on my mobile device?
    1. Download or update the free iTriage App from your App store/Google Play Store
    2. Create a "MyiTriage" account (found in the lower left of the standard app)
    3. Choose "My Insurance" and then select "Aetna" as your insurance carrier.
    4. 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
    5. Select “Link Aetna Navigator Account” and add your Aetna Navigator login and password*

    *If you don’t already have an Aetna Navigator account, you will be able to create one on this page.

  8. Is my plan changing?
  9. Please refer to the AlaskaCare Health Plans Transition Guide Plan Changes section.

Coverage

  1. Why isn’t preventive care covered by my AlaskaCare Retiree Health Plan?
  2. Preventive care was not part of the original benefits covered by the AlaskaCare Retiree plan when it was created in 1975. The Division of Retirement and Benefits understands that there is strong interest in adding these benefits to the retiree health plan and is exploring options to do so while remaining cost neutral.

  3. Why aren’t dependents covered to age 26 under the Retiree health plan?
  4. The rule requiring health plans to extend dependent coverage up to age 26, regardless of financial dependency, student status, employment or marital status, doesn't apply to AlaskaCare retiree health benefits because the plan is exempt from Affordable Care Act requirements. The Division of Retirement and Benefits understands that there is strong interest in adding these benefits to the retiree health plan and is exploring options to do so without while remaining cost neutral.

  5. Why are my benefits changing?
  6. Our goal is to provide high-quality health benefits at a sustainable cost. The changes taking effect on January 1, 2014 will result in enhanced benefits to members and more effective plan management to support our goal.

  7. Why were my dental benefits changed?
  8. Please refer to the AlaskaCare Health Plans Transition guide "Additional Information" section.

  9. Is my plan changing?
  10. Please refer to the AlaskaCare Health Plans Transition Guide Plan Changes section.

  11. What services will require precertification?
  12. Please refer to the AlaskaCare Health Plans Transition Guide precertification section.

Network

  1. I’m a retiree; why should I use Alaska Regional or another preferred hospital?
  2. Retiree members who choose Alaska Regional or a preferred hospital outside Alaska will experience high-quality care while saving money.

  3. What if my provider isn't in the network?
  4. 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.

  5. Do I have to change my provider?
  6. 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.

Affordable Care Act

  1. How will the Cadillac tax affect me?
  2. Only those health plans that cost more than $10,200 per year for an individual and $27,500 per year for a family will potentially be impacted by the tax.

    The AlaskaCare Retiree health plan is not exempt from the Cadillac tax. Based on the current valuation, our benefits consultants estimate that the retiree plan would not meet the Cadillac tax threshold until 2038.

    Dental, Vision, Long Term Care (LTC), accident/disability, and fixed indemnity plans paid with post-tax dollars are excluded from the Cadillac tax calculations. Retiree Dental, Vision and LTC premiums are paid with post-tax dollars, and are therefore excluded.

Medicare

  1. Why do I need to purchase Medicare Part B?
  2. The AlaskaCare Retiree health plan was created by statute to provide health coverage to eligible retirees and their dependents in 1975. Alaska Statute Sec. 39.35.535(b) requires that the retiree health plan become supplemental to federal old age benefits available at age 65. This statute has been in effect since 1975. The Retiree Insurance Information Booklet section titled, "Effect of Medicare", states: “If you do not enroll in Medicare coverage the estimated amount Medicare would have paid will be deducted from your claim before processing by this plan.”

  3. Do I need to get Medicare part D?
  4. You are not required to enroll in Medicare Part D as your AlaskaCare Retiree plan drug coverage is the same or better than the Medicare plan. By not enrolling in Part D, you can avoid unnecessary premiums and coordination between Medicare and AlaskaCare for your prescription drugs.

  5. Do I need to get Medicare part C?
  6. You are not required to take part in Medicare part C. Part C plans are Medicare Advantage plans provided by private insurers for members who live outside the State of Alaska. They cover the same services as Medicare Part A and B combined as well as some supplemental benefits. The AlaskaCare plan acts as a supplemental plan for Medicare eligible retirees.

Top of page