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Questions about your benefits?
Call UNITE HERE HEALTH
Phone hours:
Monday to Friday
8:30am to 4:30pm AKDTFind a doctor
Choose a provider in your plan's network. It saves you money. Here are your in network options:
- Find a MultiPlan network provider by state
State MultiPlan PPO Network Alaska Beech Street Washington First Choice Health Network Idaho First Choice Health Network Montana First Choice Health Network All other states PHCS - Visit a PPO provider in Anchorage, Alaska
If you’re in Anchorage, you can only go to a Coalition provider on the list below for these services:Hospital services
Alaska Regional Hospital
2801 Debarr Rd
Anchorage, AK 99508
907-276-1131Emergency medicine
Denali Emergency Medicine
Associates
2801 Debarr Rd #505
Anchorage, AK 99508
907-258-9272Physical therapy
Ascension Physical Therapy
6200 Lake Otis Pkwy #104
Anchorage, AK 99507
907-770-6693Hand therapy
Alaska Hand Rehabilitation
4015 Lake Otis Pkwy #200
Anchorage, AK 99508
907-563-8318Chugach Physical Therapy
2740 Lake Otis Pkwy
Anchorage, AK 99508
907-272-8615For all other services in Anchorage, (such as a regular doctor) you can go to any PPO Provider you want.
- Visit a Coalition Health Center
There is no copay.Anchorage Fairbanks Address 701 E Tudor Rd
Anchorage, AK 99503575 Riverstone Way
Unit 1
Fairbanks, AK 99709Hours Appointments:
Monday to Friday
7:30am to 6:30pmWalk-ins:
Monday to Friday
8:30am to 4:30pmWalk-ins:
Monday to Friday
8:30am to 4:30pmPhone number (907) 264-1370 (907) 450-3300 Ages 5 years and older 2 years and older - Go to a Primary Care Associates facility
You have a Wellness and Minor Care Program available to you. It is
provided by Primary Care Associates. Services are for ages 1 and up.
Your costs:- $20 copay for most services
- No copay for preventive services like physicals (annual exams)
Locations:
Appointments Only
4100 Lake Otis Parkway
Suite 322
Anchorage, AK 99508
907-562-1234Walk-ins Only
4100 Lake Otis Pkwy.
Suite 100
Anchorage, AK 99508
907-563-400612350 Industry Way
Suite 160
Anchorage, AK 99515
(on the corner of Huffman & Old Seward)
907-345-434317101 Snowmobile Lane
Suite 102
Eagle River, AK 99577
907-694-7223 - Use Teladoc
You can get care 24 hours a day, 7 days a week. Use your computer, cell phone, or mobile device to see a doctor. Visit www.teladoc.com to set up your account.
Learn about your benefits
Get to know your benefits. It will help you know what is available to you. To find out about your benefits:
Call us at (844) 427-8501
Participant guide
Download a copy of your participant guide
English: Bronze | Silver | Gold
Spanish: Bronze | Silver | Gold
Summary of Benefits and Coverage (SBC)
Download a copy of your Summary of Benefits and Coverage (SBC). It
gives you a quick outline of some of your benefits and costs.
English: Bronze | Silver | Gold
2022 English: Bronze | Silver | Gold
Spanish: Bronze | Silver | Gold
2022 Spanish: Bronze | Silver | Gold
Benefits at a Glance
View your Benefits at a Glance:
English: Bronze | Silver | Gold
2022 English: Bronze | Silver | Gold
Spanish: Bronze | Silver | Gold
2022 Spanish: Bronze | Silver | Gold
Summary Plan Description (SPD)
View your Summary Plan Description (SPD). It explains all your benefits.
Summary of Material Modifications (SMM)
2021 - November
2021 - Annual Welfare
2021 - August
2020 - December
2020 - September
2019 - May
Where to get your medicine
You can go to any pharmacy in the CVS/Caremark network. Some of your network pharmacies are:
| Carrs/Safeway | Fred Meyer |
| Costco | Target |
| CVS | Walgreens |
Visit www.caremark.com or call (866) 818-6911 to find a pharmacy near you. See the chart below to see how much you will pay for medicine.
Your pharmacy costs
| Prescription drug feature | Bronze | Silver | Gold |
|---|---|---|---|
| Preventive prescriptions or supplies |
No charge | ||
| Prescriptions at a retail pharmacy |
50% coinsurance ($5 minimum) |
40% coinsurance ($5 minimum) |
30% coinsurance ($5 minimum) |
| Diabetic oral medicine, insulin and supplies |
$5 copay at a retail pharmacy; $10 copay by mail order |
||
| Prescriptions by mail | 50% coinsurance ($10 minimum) |
40% coinsurance ($10 minimum) |
30% coinsurance ($10 minimum) |
| Out-of-pocket maximum |
$2,350 per person; |
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For compound medications that cost $500 or more, you must get prior authorization. Important: If you get a brand drug when a generic drug is available, you will have to pay the full cost of the difference between the brand drug and generic drug. |
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How to make payments for dependents
If you enroll your spouse and/or children as dependents, you will pay a
dependent premium each month.
Here are important details for you to remember:
- Your payment is due on the 20th of the month. The payment is for next month’s coverage.
- You can only pay for the month that is due. We do not accept advance payments.
Make your payments:
- By mailing us a check
Make checks payable to: UNITE HERE HEALTH
Mail checks to:
UNITE HERE HEALTH
P.O. Box 809328
Chicago, IL 60680-9328 - Online through the member portal
- By phone using a credit card
Find a dentist
You can go to any dentist you want. Dental benefits are only for employees.
Your dependents don’t have dental coverage.
| Dental plan feature | Details |
|---|---|
| Deductible | $50 |
| Annual maximum | $1,000 per calendar year |
| Picking your dentist | You can go to any dentist you want. |
| What you pay | You pay your deductible and 50% coinsurance* |
| Who's covered? | Employees only |
| Specialists | You can see specialists without referrals. |
| *Services received will be covered up to the Usual & Customary Charge (UCC). Any amounts above the UCC will not be covered. You may receive a balance bill from the provider. |
|
Prior authorization
You must get prior authorization before you get certain services. That’s
approval before you get care. For prior authorization, contact Medical
Rehabilitation Consultants (MRC) at (800) 827-5058.
Download a list see to what services need prior authorization.
Important forms
Call us at (844) 427-8501 if you need help with these forms.
Life insurance beneficiary: English | Spanish
Prescription reimbursement claim form
Authorization for release of protected health information
