Understanding How Specialists in Anchorage Are Covered

  • The information below applies to Heritage Plus members only

    Most orthopedic, ear, nose, and throat (ENT), specialists in Anchorage, Alaska, are not contracted with Premera. This means that these specialists are not in the Premera network. Premera will cover some of these non-contracted specialists at the in-network benefit level. If you use a specialist that is covered at the out-of-network level, you may pay a higher out-of-pocket cost. Keep in mind, all non-contracted specialists can bill you for charges over and above the Premera allowed amount for their services.

    You will get the most value from your medical benefits and avoid added out-of-pocket costs when you use specialists who have a contract with Premera (see list below).

    In-network, Contracted Specialists (lowest out-of-pocket cost to you)
    These specialists have a contract with Premera. That means that they have agreed not to charge you more than the in-network cost share for their service.
    • Dr. Robert E. Gierenger, Orthopedic Specialist
    • Dr. Doug A. Vermillion, Orthopedic Specialist
    • Dr. Ronald J. Boisen, Gastrointestinal Specialist
    • Dr. Daryl M. McClendon, Gastrointestinal Specialist
    • Dr. Brian F. Sweeney Jr, Gastrointestinal Specialist
    • Dr. Michelle Randolph, Gastrointestinal Specialist
    • Dr. Jeffrey Molloy, Gastrointestinal Specialist
    • Dr. Douglas B. Haghighi, Gastrointestinal Specialist
    • Dr. Steven B. Ingle, Gastrointestinal Specialist
    • Dr. William H. McCray Jr., Gastrointestinal Specialist
    • Dr. David E. Peach, Gastrointestinal Specialist
    • Dr. Geronimo Sahagun, Gastrointestinal Specialist
    • Dr. Charles R. Shannon, Gastrointestinal Specialist
    • Dr. Eric R. Tompkins, Gastrointestinal Specialist
    • Dr. Michael R. Valantas, Gastrointestinal Specialist
     

    For the most up-to-date list you can search for in-network, contracted specialists on the Find a Doctor tool. Or call the customer service number on the back of your Premera member card.

    Non-contracted* Specialists Covered at In-network or Out-of –network Level 

  • Specialists covered at the in-network benefit level (lower out-of-pocket cost to you)

    Orthopedic Specialists 

    • Alaska Hand Elbow Shoulder Surgical Specialists
    • Alaska Hand Surgery Associates
    • Anchorage Fracture and Ortho
    • Dr. Bret L. Mason
    • Dr. Jeffrey S. Moore and Elisha T. Powell IV MD
    • Orthopedic Physicians Anchorage
    • Rhyneer Clinic
    Specialists covered at the out-of-network benefit level (higher out-of-pocket cost to you)

    Orthopedic Specialists 

    • Alaska Bone and Joint Institute
    • Alaska Orthopedic Specialists
    • Dr. John T. Duddy
    • Dr. John D. Frost
    • Dr. George F. Gates
    • Dr. Michael J. Geitz
    • Dr. Peter Schaab
    • Dr. W. L. Wickler
  • Ear, Nose, and Throat (ENT) Specialists 

    • Alaska Center for Ear Nose and Throat
    • Alaska Ear Nose and Throat
    • Dr. Creed Mamikunian
    • Geneva Woods ENT

    Ear, Nose, and Throat (ENT) Specialists 

    • Alaska Family ENT
    • Alyeska Center for Facial and Plastic Surgery
    • Anchorage Dizziness and Balance Center
    • Aurora ENT
    • ENT Associates of AK
  • * Specialists who do not have a contract with Premera can bill you for charges over and above the Premera allowed amount for their services.

     

    This list may change. Please call Customer Service at the number on the back of your Premera member card for the most up-to-date information on provider network status coverage.

    Please log in to your online account and refer to your benefit booklet for information regarding in- and out-of-network benefit payment levels and other plan details.