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Medical Benefits - Wellness and Minor Care

Through the Wellness and Minor Care Plan, you and your eligible dependents can obtain the following services:

• Routine and Minor Care: 
  Including treatment for colds, flu, minor illness or accident, general minor medical care and x-rays or lab tests.
   
• Preventive Care For Adults: 
  Including physical exams, mammograms and prostate-specific antigen testing, annual pap smears and associated lab and x-rays.
   
• Preventive Care for Children age 2 and over: 
  Including physical exams, sports physicals and immunizations.

The cost for service is $10 per person per visit, or $25 if three or more family members visit the clinic at the same time for services.  Charges for services will not apply to your annual deductibles, reimbursement percentages, or out-of-pocket limits.

Remember, if you obtain services outside the scope of services available through the Wellness and Minor Care Plan, deductibles, and other plan provisions of the major medical health plan will apply.   For Medicare-eligible participants, expenses normally covered by Medicare are not covered under the Wellness and Minor Care Plan.

The current Wellness and Minor Care providers are:                   

• Primary Care Associates in Anchorage and Eagle River

• Dimond Medical Clinic in Anchorage

• Wasilla Medical Clinic in the Valley

• Fairbanks Urgent Care Center in Fairbanks

Effective November 1, 2002, Medical Park Family Care no longer provides Wellness and Minor Care Services to Plan participants.  If you prefer to continue to use Medical Park Family Care, you may do so, but the claims will be processed under the major medical health plan, subject to deductibles, and other plan provisions.  For details see the October 2002 newsletter regarding changes to the Wellness and Minor Care program. 

Primary Care Associates

Primary Care Associates has agreed to provide discounts on other services available at their Anchorage and Eagle River clinics.  For example, if you seek treatment at Primary Care Associates for chronic services covered under the major medical plan,

• you will save money because your out-of-pocket costs will be lower in most cases,
• and you will not have to deal with any usual and customary restrictions.

Please be aware that HealthSouth Surgery Center, HealthSouth Diagnostic Center, and HealthSouth Physical Therapy have offices in the same building as Primary Care Associates, but they are non-preferred providers for outpatient hospital services.  Primary Care Associates recognizes Alaska Regional Hospital and Chugach Physical Therapy are the Preferred Providers for inpatient and outpatient hospital services for our Plan.  Primary Care Associates has agreed not to utilize non-preferred providers including HealthSouth Surgery Center, HealthSouth Diagnostic Center or HealthSouth Physical Therapy for services on behalf of Plan participants. 

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