You must present your Health Alliance identification card for each purchase. Your card contains information needed to process your prescription. The pharmacist will ask you to pay your prescription copayment at the time it is filled. Please keep your identification card with you at all times. If you do not have your identification card when purchasing a covered item, you will be asked to pay the full retail price and to submit an itemized claim to PCS for reimbursement less your copayment amount.
Claim forms are available upon request.
Non-emergent ambulance transports are covered only with prior authorization from Health Alliance. Ancillary Care Providers are used for additional services related to care, such as lab work, durable medical supplies and hospital services. If you receive emergency services in or outside the Service Area from a non-participating provider, you must notify Health Alliance within 48 hours or as soon as reasonably possible. Health Alliance also contracts with tertiary care centers for In-Network care of complex medical conditions. Because different centers specialize in and are contracted for different services, your doctor should contact Health Alliance to determine the most appropriate tertiary provider for your specific condition if the need arises.