The information below applies to Heritage Plus members only
Most orthopedic, ear, nose, and throat (ENT), and gastrointestinal 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).
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
Ear, Nose, and Throat (ENT) Specialists
* Specialists who do not have a contract with Premera can bill you for charges over and above the Premera allowed amount for their services.
** These specialists have a contract with Premera. Please refer to the In-network, Contracted Specialists table at the top of the page for more information.
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.