For Medical and Pension inquiries, please contact Zenith American Solutions
Zenith American Solutions
Toll Free 1-833-942-2315
For Questions regarding Health & Welfare claims issues, please contact:
Zenith American Solutions @ 1-833-942-2315
Or you can reach them by email for any number of topics:
For questions regarding Eligibility, COBRA, or Employee Co-Shares, email: [email protected]
For questions regarding your Pension, email: [email protected]
For questions regarding Medical and/or Dental Claims, email: [email protected]
For questions regarding Medical Coverage or to order a replacement Medical card, please contact Aetna: Membership Services 1-800-478-8329 or visit http://www.akufcwtrust.com.
Providers can call 1-888-632-3862.
Also check www.aetna.com for more information on network providers, etc.
For questions regarding Vision service providers, please contact:
VSP toll free at 1-800-877-7195 or visit their website at www.vsp.com.
For questions regarding drug coverage or to order a replacement prescription card, please contact:
AVIA Partners toll free at 1-800-273-9166 or visit their website at: www.aviapartners.com.
New Retiree Supplemental Insurance Program contact:
Via Benefits toll free at 1-800-578-3805 or visit their website at: My.ViaBenefits.com/AlaskaUFCW.
For qualifying mail-order pharmacy prescription service, please contact:
The Carrs-Safeway Mail Order Pharmacy phone number is 907-339-2960 or toll free at 1-800-730-2627. The Mail Out Pharmacy (Alaska Managed Care Pharmacy) is available only in Alaska and Washington State. If you are on a maintenance prescription, the mail out pharmacy is very convenient - your prescription is filled for 3 months at a time and mailed directly to your door.
Health and Welfare/Pension Website
We are pleased to notify you that the Alaska United Food and Commercial Workers Pension and Health and Welfare Trusts have established a web site to provide you with immediate access to your plan information. The site, locate at wwww.akufcwtrust.com includes the following Trust related material:
Health and Welfare
1. Forms - Medical, Documents and Notices
2. Plan Booklet and summary Material Modifications
3. Links to Health Plan Provider Networks and Other Useful Sites
4. HIPAA Privacy Notice and Information
5. Local Union's Contact Information
Pension
1. Forms - Retirement, Documents and Notices
2. Plan Booklet
3. Links to Other Useful Sites
4. Local Union's Contact Information
Transcarent Surgery Care Program
Transcarent is a surgery benefit program available to you as part of your health plan. It doesn't cost you anything to use the program. When you need planned (not urgent) surgery, you may be able to have it done at a top-rated facility in the U.S. by using the Transcarent program. It depends on the type of surgery and the specialties available through your plan.
1. You'll have access to top-quality providers in the Transcarent network for certain planned surgeries, such as knee replacement or back surgery. Transcarent providers are ranked in the top tier nationally for their surgical specialty based on factors such as high patient safety and satisfaction rates and low complications and infection rates.
2. Travel costs, such as transportation, hotel room and meals will be covered for you and a companion, depending on the distance of the facility from your home.
3. You'll have help. Care Coordinators guide you through the entire process, from selecting a provider, to scheduling surgery, billing, and after-surgery care.
4. Procedures that are considered in-scope are pre-planned surgeries that aren't urgent, such as joint replacement, general surgery, or spinal fusion.
Give them a call at 1-855-423-1294 or check out website is www.transcarent.com and you will be set up with a Transcarent care coordinator who will help you choose the best available option for you. When you call, be sure to mention that your company code is UFCWA and that you are from the ALASKA UFCW Health and Welfare Trust.
Dental Benefits for UFCW Members
We would like to remind you that the Affordable Dental Care offices accept our UFCW Dental Plan as payment in full. This means you pay nothing for dental care provided within the limits of your plan. Simply call an office below and inform them you are a Local 1496 member. The staff will confirm your eligibility and schedule an appointment.
Anchorage Wasilla Fairbanks
(907) 222-0400 (907) 376-3368 (907) 374-3888
Affordable Dental Care Affordable Dental Care Affordable Dental Care
4001 Lake Otis Parkway 701 E. Parks Highway 503 14th Avenue
Suite 200 Suite 209 (At Airport and Cushman)
** This offer applies to members and retirees covered by the Alaska UFCW Health and Welfare Trust Dental Plan, up to the Maximum allowance of the plan and after your deductible has been paid.
Preferred Provider (PPO) Network, Coinsurance Level and Out-Of-Pocket Maximum Changes
What is not changing
When you use a PPO Provider, after satisfying the annual deductible, benefits for that calendar year are payable at 80% of the PPO contracted rate for most covered medical expenses. After the annual Out-Of-Pocket maximum of $4,500 per person/$9,000 per family is reached, the benefits are paid at 100% of the PPO contracted rate for the balance of that year. This is not changing.
***In Anchorage and the Mat-Su Valley, Alaska Regional Hospital and Mat-Su Regional Medical Center are the PPO hospitals in those areas. Elsewhere, the PPO providers (hospitals, physicians, etc) are those in the Aetna Choice POS II (Open Access) Network.
What is Changing
Most covered medical services by a non-PPO provider were covered at 80% of the plan’s Usual, Customary and Reasonable (UCR) allowance. After the annual out-of-pocket maximum of $6,000 per person/$12,000 per family was reached, benefits were paid at 100% of the UCR allowance for the balance of that year. Beginning with service dates on and after June 1, 2017, any covered medical services by a non-PPO provider will be paid at 60% of the UCR allowance until the out of network annual out-of-pocket maximum lint of $12,000 per person/$24,000 per family is reached, at which time, benefits will be payable at 100% of the UCR allowance.
What you need to understand
What is not changing
When you use a PPO Provider, after satisfying the annual deductible, benefits for that calendar year are payable at 80% of the PPO contracted rate for most covered medical expenses. After the annual Out-Of-Pocket maximum of $4,500 per person/$9,000 per family is reached, the benefits are paid at 100% of the PPO contracted rate for the balance of that year. This is not changing.
***In Anchorage and the Mat-Su Valley, Alaska Regional Hospital and Mat-Su Regional Medical Center are the PPO hospitals in those areas. Elsewhere, the PPO providers (hospitals, physicians, etc) are those in the Aetna Choice POS II (Open Access) Network.
What is Changing
Most covered medical services by a non-PPO provider were covered at 80% of the plan’s Usual, Customary and Reasonable (UCR) allowance. After the annual out-of-pocket maximum of $6,000 per person/$12,000 per family was reached, benefits were paid at 100% of the UCR allowance for the balance of that year. Beginning with service dates on and after June 1, 2017, any covered medical services by a non-PPO provider will be paid at 60% of the UCR allowance until the out of network annual out-of-pocket maximum lint of $12,000 per person/$24,000 per family is reached, at which time, benefits will be payable at 100% of the UCR allowance.
What you need to understand
- Your coverage level has not changed if you use a PPO provider.
- Generally, if you used a non-PPO provider, and you switch to using a PPO provider, your coverage level will not have changed, and you are likely to have a lower out-of-pocket cost because your share (20%) will be based on a lower, discounted PPO provider rate.
- In Anchorage and the Mat-Su Valley, Alaska Regional Hospital and Mat-Su Regional Medical Center are the PPO hospitals in those areas. Elsewhere, the PPO providers (hospitals, physicians, etc.) are those in the Aetna Choice POS II (Open Access) Network.
- If you do not have access to a PPO provider within 75 miles of your home, your benefits will not change, as you do not have an opportunity to choose a PPO provider.
- If you choose to use a non-PPO provider and a PPO provider is available within 75 miles of your home, you will have higher out-of-pocket expenses.
Surgery Coverage
Effective with services on or after June 1, 2017, non-emergency orthopedic surgery expenses will be covered ONLY if provided through a PPO provider or through the Plan’s BridgeHealth surgical benefit. Non-Emergency orthopedic surgery expenses are not covered by this plan unless the doctor and facility are in our PPO provider network or the service is approved through BridgeHealth. All orthopedic surgeries should be pre-authorized through Aetna, and a determination of whether the provider is a PPO provider is extremely important.
Surgery Center of Anchorage
Effective April 1, 2017, as part of the plan’s PPO hospital relationship with Alaska Regional Hospital, you now have access to the Surgery Center of Anchorage as an in-network surgical option. The plan also has contracted with New Frontier Anesthesia, the anesthesiologist group at the Surgery Center of Anchorage, for discounted anesthesia service.
Coalition Health Center
Effective April 1, 2017, participants and eligible dependents can access the Coalition Health Center in Anchorage and Fairbanks for primary care, wellness visits, and minor injuries and illnesses. Visits to the CHC are subject to only a $20 co-pay – the annual deductible is waived. The location in Anchorage is at Tudor Park Center 701 E. Tudor Rd, Suite 120 (907-264-1370) and the Fairbanks location is Ridgeview Business Park, 575 Riverstone Way, Unit 1 (907-450-3300). They are open from 7:30 am to 5:30 pm. Same-day appointments available and walk-ins welcome. For more information, go to www.coalitionhealthcenter.com.