Tag Archives: policy

Finding Doctors & Personalized Care

Finding Doctors Made Easy

Finding doctors and care that’s covered on your plan, like from a Primary Care Physician (PCP) or a clinic in your service area, is key to helping us pay for the care you get.

For some plans, like HMOs, you must go to a doctor in your provider network. And for some plans, like PPOs, although you can go to out-of-network doctors, going to doctors in your plan’s network can help you save.

Log In

The best way to find doctors in your network is to log in to Your Health Alliance, our one-stop member website. If you’ve never used Your Health Alliance before, you’ll have to register for an account first.

On Your Health Alliance, when you choose Find a Doctor or Hospital from the very top menu on your dashboard, you’ll see a list of all the providers you can use on your plan. From there, you can filter these or search by doctor or hospital name to find what you’re looking for.

Plan Details Search

If you can’t log in to Your Health Alliance, you can also find a doctor by looking at your plan’s network through our Plan Details Search.

You can find this feature by choosing learn how to use your benefits on HealthAlliance.org’s home page. This takes you to our Member Benefits & Forms page. The first bullet under Using Your Benefits, What Your Plan Covers, will take you to the search.

On the search, you just need to enter your member number from your ID card to see a list of all your plan’s documents, which will include your network of doctors. You can find your member number here:

Finding Your Member Number

Finding Doctors

You can also search for doctors on HealthAlliance.org. Choose Find a Doctor from the top menu to start your search.

Once you’re here, you can search for your network or by a doctor’s name, or you can look at a list of all our directories.

The best way to find your network is to search with your member number from your ID card. (The above image can help you find your member number.)

Or you can find your network by choosing your state and plan type and directory. If you have our insurance through your employer, you’ll choose employer groups. If you’re on a Medicare plan, you’ll choose that. If you shopped for and bought our insurance for yourself (and it’s not a Medicare plan), you’ll choose individual and families from the list.

Then you’ll choose your directory. Your directory is based on what type of plan you have. If you or your employer bought your plan from a public exchange, like Healthcare.gov or a state exchange, it will say public in your directory name. If you bought it directly from us, it will say direct.

It will also say your plan type, like HMO, PPO, or POS. If you bought a plan in a specific market, like Riverside or Methodist, it might say that, too. Your plan policy or plan documents can tell you what the name of your plan is to help you know which plan type you have.

Once you’ve chosen one of these, you can also add filters, like doctor or location info, to find certain providers.

Now that you’ve searched and found your network, you’ll see details for each of the doctors in your plan’s network, like address, if they’re taking new patients, and more. You can also add filters at this point to narrow your search.

And if you’re shopping for a new plan, we’ve made it easy to find doctors on those plans by connecting you to their networks while you’re shopping.

Still need help finding doctors or have questions about our providers? It’s no problem! Our Customer Service is here to help! Just contact us.

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Service Tailored to You

Candid, Not Canned

Are you looking for a health insurance company that’s happy to hear from you, wants to answer your questions and will treat you like a person instead of a policy? That’s Health Alliance.

We hate to toot our own horn, but not only did J.D. Power recently rank Health Alliance “Highest In Member Satisfaction Among Commercial Health Plans In The Illinois/Indiana Region,” we also have great members who let us know when we’re doing a good job and encourage us to keep making your experience better. Here’s a personal note from Health Alliance member Kathleen W., cheering us on!

Thanks, Kathleen! We’re happy to help!

After hours of frustrating navigation on Healthcare.gov, multiple calls to their 800 number, long hold times of 20 minutes and more, and dealing with agents who did little more than read the script that didn’t apply to me, I made a decision to call Health Alliance.

I was met with a very pleasant voice from a frontline agent who transferred me to the department I needed to answer my questions. I was lucky enough to talk to Char, who was absolutely fabulous!!!  She answered my questions, actually answered the questions I asked and didn’t read the answer from a script!

She was knowledgeable, friendly, and funny, and honestly, Char is why I chose Health Alliance. During a follow-up call to the 800 number I was transferred again to the same department and had the pleasure of speaking with another terrific agent! She too was knowledgeable and funny and made me glad that I chose Health Alliance!

I have over 20 years in call centers, experience in agent training and operations management, and I know great customer service when I hear it!  Keep up the great work!!

-Kathleen W., Health Alliance member

Give us a call at 1-888-382-9771 or visit HealthAlliance.org to discover more!

*Health Alliance Medical Plans received the highest numerical score among commercial health plans in the Illinois/Indiana region in the proprietary J.D. Power 2014 U.S. Member Health Plan Study (SM). Study based on 34,315 total member responses, measuring seven plans in the Illinois/Indiana region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed December 2013–January 2014. Your experiences may vary. Visit jdpower.com.

Baby Feet

Before the Burp Cloths, Learn These Baby Basics

If you or someone you love has had a baby, you know the joys that come with being pregnant. Soon-to-be moms and dads might also be nervous about what their health plan covers.

Heather Miller knows. Her team in our call center gets lots of questions from soon-to-be parents.

And she just gave birth to her son Kolton.

If she didn’t know the ins and outs from working at a health plan, Heather says she would have questions, too.

“My first questions would be, ‘Are my visits covered? What about my sonograms?’” she said.

Here’s what Heather says members need to know.

Before the baby is born, we cover:

  • Doctor’s office visits
  • Lab work
  • Sonograms

After the baby is born, we cover:

  • Being in the hospital (48 hours, or 96 hours after a C-section)
  • Most lab work
  • Follow-up visits

New parents typically have 31 days to add their newborn to their plan. Once they have, the baby is covered beginning on the date of birth.

Heather says to review your policy or log in at YourHealthAlliance.org for more details. If you still have questions, call the number on the back of your ID card.

“You’ll feel a little less nervous when you know what your plan covers before you start setting up those pre-baby visits,” she said.