ODS Alaska Medical Plans
Check out the key features of our PPOPreferred Provider Organization: A provider contracted within a network. By choosing a preferred provider, the member's out-of-pocket
expenses will be less than if he or she chooses a physician outside the network. and HSA plan designs below.
|
Benefits | Rates
Beneficial Plan - Preferred Provider Organization (PPO) |
| The Beneficial plan is best for
those looking for a higher level of
benefits and a lower total out-of-pocketA specified amount of applicable claims expenses in
a plan year that must be met before benefits are paid
in full. Once the member has met his or her out-ofpocket
maximum, the plan begins covering eligible
expenses at 100 percent. The out-of-pocket
maximum starts over every plan year.
cost. |
| Deductible |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$1,000 / $2500 (individual)
$3,000 / $7000 (family) |
$20 |
First 3 at $20 |
20% |
|
Benefits | Rates
Preferred Plan - Preferred Provider Organization (PPO) |
| The Preferred plan is suited to individuals shopping for a lower premium cost. |
| Deductible Choices |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$5,000 / $7,500 (individual)
$15,000 / $22,500 (family) |
$20 |
First 3 at $20 |
20% |
|
Benefits | Rates
Health Savings Account (HSA) Choice |
| HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs |
| Deductible |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$1,200 (individual)
$2,400 (family) |
20% |
20% |
30% |
|
Benefits | Rates
Health Savings Account (HSA) Select |
$2,800 (individual)
$5,600 (family) |
50% |
50% |
50% |
Note: Alaska Statutes exempt ODS from providing dental, vision and hearing coverage in our standard Medical Plans.
Value Added Services
The following services are provided to ODS plans at no additional cost.
myODS
With myODS (available to all ODS & Delta Dental members), our customized member website, you can:
- View your member handbook online
- View claims status and history, including deductibles
and out-of-pocket balances
- Print an Explanation of Benefits (EOB)
- Change your address
- E-mail customer service
The following services are provided to ODS medical plans at no additional cost.
eDoc America
eDocAmerica (included with all fully insured ODS medical programs and available as an option for self-insured medical programs) provides unlimited communication with board certified
physicians via secure e-mail.
This service gives you access to physicians who can
answer questions about and assist you with healthcare
choices.
Registered Nurse Advice Line
The Registered Nurse Advice Line (packaged with eDoc America) provides 24/7 access to a registered
nurse (RN) who can answer your healthcare questions regarding symptoms,
medications, medical tests, procedures and staying healthy.
Personal Health Rx
Personal Health Rx (included with all ODS pharmacy programs) gives members
online access to detailed claims history, benefit information and tax
reports.