State Government Insurance Programs Offered

Alaska Comprehensive Health Insurance Association (ACHIA)

888-290-0616

Alaska Comprehensive Health Insurance Association (ACHIA) Provides six comprehensive Alaska Health Insurance plans (PPO’s) with varying deductibles. A traditional non-PPO plan is available which pays 80% of the total charges after the annual deductible of $1,000 is satisfied. ACHIA pays claims at 100% after deductible and out-of-pocket maximum requirements are reached. For those shopping for an Alaska Health Isurance quote, keep in mind the following requirements Must be a citizen of the U.S. or a legal resident living in the state of Alaska satisfying at least one of the following: 1. Denied health insurance coverage in the last six months, or received restrictive riders resulting to a reduced coverage, or 2. Diagnosed with a qualified pre-existing condition, or 3. Do not have health insurance, exhausted COBRA coverage, ineligible for any group coverage from private or public sources, held coverage under a group health plan in the past 18 months without having a break exceeding 90 days, or 4. Receiving Trade Adjustment Assistance (TAA).

Pre-Existing Condition Insurance Plan (PCIP)

877-505-0510

For many, it wont be necessary to go to the traditional market to search for a traditional Alaska health insurance quote. PCIP offers an affordable health plan which provides coverage for inpatient and outpatient hospital services, physician services, prescription drugs, x-rays and laboratory services, chemotherapy, anesthesia, prosthesis, durable medical equipment, oral surgery, nursing services, home health, hospice, physical therapy, ambulance, substance abuse treatment, mental health services, maternity, PKU, Pap smear, and mammograms. Pre-Existing Health Conditions are covered. Plan eligibility: must have no health insurance coverage at least six months prior to application, must be a U.S. citizen or a legal U.S. resident, must be a resident of Alaska, and must have difficulties in getting insurance because of a preexisting condition.

Medicaid

907-465-3347 800-780-9972

Medicaid offers coverage to low-income individuals and families who cannot pay for their medical care. Applicants for this program should meet financial and other eligibility requirements. Benefits for this program include physician services, inpatient hospital, outpatient services, home health services, dental & vision, laboratory & x-ray, ambulatory surgery centers, non-emergency transportation, nursing, family planning, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program services, Medicare Premium Assistance. Eligibility: 1. Must be U.S. citizens or legal residents living in Alaska. 2. Must not exceed income limits.

Denali Kid Care

Toll Free Outside Anchorage 888-318-8890 Anchorage Area 907-269-6529

Provides quality and affordable Alaska health insurance coverage for children 18 years old and below and for pregnant women who meet requirements. Services covered include: Doctor’s visits, Check-ups and screenings, Vision exams and eyeglasses, Dental checkups, Cleanings and fillings, Hearing tests and Hearing aids, Speech therapy, Physical and Mental health therapy, Substance abuse treatment, Chiropractic care, Foot doctor’s services, Hospital care, Laboratory tests, Prescriptions, and Medical transportation. Eligibility: Must be a U.S. citizen and a resident of Alaska. Income limits: Children 0–18 with health insurance: 150% of the FPL. Children 0–18 with no health insurance: 175% of the FPL. Pregnant women with proof of pregnancy from your health care provider with or without health insurance: 175% of the FPL.

Chronic and Acute Medical Assistance (CAMA)

800-780-9972

A specialized plan designed to assist Alaskans with specific illnesses receive proper medical care. Eligibility: 1. Must have a qualifying medical condition. 2. Must have no third party resources to cover treatment for medical condition. 3. Must have limited financial resources manage health care. 4. Must be a U.S. citizen or legal resident living in Alaska

Indian Health Services (IHS)

(Alaska Area) 907-729-3686

Indian Health Service (IHS) provides medical and public health services to American Indians and Alaska Natives. IHS provides a broad range of inpatient and outpatient services through health facilities which include hospitals, health centers, field clinics located near population centers. Eligibility Members of a Federally recognized Tribe are eligible for IHS health services. You may qualify if you are not excluded by law, and: 1. Are of Indian and/or Alaska Native descent; or 2. Are an Indian of Canadian or Mexican origin; or 3. Are a non-Indian pregnant woman carrying an eligible Indian’s child. Coverage can be up to 6 weeks post partum; or 4. Are a non-Indian who belongs to an eligible Indian’s household and the medical officer decides that services are needed for public health safety.

Medicare

800-633-4227

Medicare is administered by the federal government and provides health insurance coverage to Americans aged 65 and above or those younger than 65 but have a disability or end-stage renal disease. Coverage has four parts: Part A: provides inpatient care in hospitals and rehabilitative centers. Part B: provides doctor and some preventive services and outpatient care. Part C: provides Medicare benefits through Medicare Advantage. Part D: provides prescription drug coverage. Eligibility: 1. Must be a U.S. citizen or permanent U.S. resident. 2. Must be 65 years or older, with you or your spouse having worked in a Medicare-covered employment for at least ten years; or have a qualified disability or end-stage renal disease, regardless of age.

Health Coverage Tax Credit

866-628-4282

Health Coverage Tax Credit covers up to 80% of premiums for qualified trade-impacted workers or TAA recipients. This is a federal tax credit created by Congress through the Trade Act of 2002 which aims to make health coverage more affordable and accessible for those who may not afford it. Benefits for HCTC plans include doctor visits, prescription drugs, inpatient and outpatient care, preventive care, medical care, mental health, and substance abuse care. Eligibility: 1. Must be 55 years or older and receiving pension from Pension Benefit Guaranty Corporation; or receiving Trade Adjustment Assistance. 2. Must have a qualified health insurance plan and must be paying for more than 50% of the premiums. 3. Must NOT be in prison, be listed as a dependent in tax returns, belong to certain state plans, be a recipient of 65% COBRA subsidy.