Home Contract  ByLaws  Constitution  Aetna  Forms  Directory Site Map    
blue line
blue line


Medical Insurance

The third party administrator (TPA) that the State employs to pay your healthcare bills is  AETNA. This change was effective as of January 1, 2014. Your medical bills are administered in accordance with AETNA’s policies and procedures.

You need to pre-certify for many of the medical procedures. Under AETNA there are 26 procedures that require pre-certification. Your provider is required to accomplish the pre-certifications if he/she/they are “in-network”. If the provider is not in-network, you will have to do the pre-certification and if you have the procedure done out of network, the amount that will be paid by Select Benefits will be a lesser amount. You should make sure your provider is a members of the AETNA network.  If you have a procedure scheduled make sure that you have pre-certified. The penalty for not pre-certifying can be very costly.

 

****

AlaskaCare
Editorial on the AlaskaCare Health Plan. It discusses changes to who takes the financial risk of paying health claims, determining how much to charge for premiums, and who handles the appeals and grievances. Time for state to retake control of AlaskaCare  Feb 15, 2015


 

  
SU Quick Links
bullet About SU
bullet Chapters
bullet Conferences
bullet Contract Negotiations
bullet Directory
bullet Employee Representatives
bullet Frequently Asked Questions
bullet Legislation
bullet Media
bullet Medical Forms
bullet Medical Insurance
bullet Meeting Minutes
bullet Member Profiles
bullet Member Services
bullet News
bullet Alaska Care
bullet Retirement Issues
bullet Scholarships
bullet Training Opportunities
bullet Union Offices
   
bullet AK Retirement Benefits
bullet APEA-AFT Legal Trust
bullet AFT Member Benefits
bullet AFT Public Services
bullet Alaska AFL-CIO
bullet Alaska Legislature
bullet Alaska Labor Relations
bullet Roberts Rules of Order
spacer
spacer
 
   SU Home  APEA-AFT  AFT   Public Opinion Message  SU Webmaster     

 

right corner