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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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