When you need outpatient care, such as lab work, x-rays, dialysis, chemotherapy, or radiation therapy, it’s important to understand how your benefits work. Where you go for care can directly affect how much the Plan pays and how much you’ll owe.
Coverage Rules
If you receive outpatient services at a hospital or facility located within 75 miles of Alaska Regional Hospital or Mat-Su Regional Hospital:
- The Plan will only cover 60% of eligible charges
- A penalty reduction applies, which means higher out-of-pocket costs for you
Why This Matters
- The closest hospital isn’t always the most cost-effective
- Choosing another facility could mean better coverage and lower bills
- A quick check before you schedule can help you avoid surprise costs