Does the Plan co-ordinate prescription drug benefits with other health plans?
Yes, when you are covered by more that one health plan, submit claims to the primary payor first. The Alaska Electrical Health & Welfare Plan is usually primary on the employee and secondary on the spouse. The birthday rule generally determines which plan is primary on covered children. The plan of the parent whose birthday falls earlier in the year is the primary payor. If the other health plan is primary, use the other plans prescription drug card and/or submit the claim to the other plan first. Once the primary plan makes its payment, you may file a secondary claim with the Administrative Office to access secondary coverage under the Alaska Electrical Health & Welfare Fund. When the Alaska Electrical Health & Welfare Plan is secondary, the Plan will pay 100% of the portion of the claim that is not paid by the primary plan.