We are excited to welcome you to the AlaskaCare Health Plan administered by HealthSmart (formerly Wells Fargo TPA).
The Retiree 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
- Claim Pre-Certification
- Medical Case Management
- Nurse Line
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 (formerly Wells Fargo TPA) to obtain this number.
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.
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.
Univita provides claim and administration services for the Long Term Care plans.
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 (formerly Wells Fargo TPA) customer service representatives are available to assist you.
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 (formerly Wells Fargo TPA) 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
AlaskaCare members may obtain prescription drugs at over 62,000 participating pharmacies nationwide and also by mail. The AlaskaCare Health Plan does not require that you use a participating pharmacy however; doing so will ensure your claims are filed for you and at the lowest possible cost to you and the plan.
You should contact HealthSmart (formerly Wells Fargo TPA) to precertify hospital admissions, skilled nursing facilities, home health care, mental health or chemical dependency treatment and MRIs of the knee or spine.
Medical Case Management
If you or a family member has a serious ongoing medical condition or injury, HealthSmart (formerly Wells Fargo TPA) 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.
The dental, vision, and audio plan is an option that you may have elected when you retired. HealthSmart (formerly Wells Fargo TPA) is the claims administrator for this program and claims are filed by using the AlaskaCare Benefit Claim form.
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.