After you receive care, your provider sends EBMS a request for payment. This is called a claim. After EBMS processes the claim, they send you an Explanation of Benefits (EOB). Always review EOBs because they provide important information, including:
• A service overview. You can see what services you received and when. You’ll also see what your provider charged and what your plan paid.
• Amount you owe. This is the amount you owe a provider after plan benefits are applied. An EOB is not a bill. If you receive a bill from your provider, the amount owed should match what’s on your EOB. If you have questions about your EOB, call the member number on your Benefits ID card (866-247-1443).
• Reason codes and additional information. You’ll see the codes used when applying benefits. You may also see comments regarding your claim and if there’s any action you need to take.
• Accumulators. You’ll get an overview of the amount of money you paid toward your plan’s out-of-pocket expenses, such as your annual deductibles and out-of-pocket maximum, in the calendar year.
Check your claims and EOB information anytime by going to miBenefits.EBMS.com.
A busy schedule makes it easy to put your wellness on the back burner. Vitality — a personalized wellness program offered free through your plan — is here to help you live healthier one choice at a time.
Wellness doesn’t have to be time-consuming. Small, consistent choices can add up over time: nourishing meals, short walks, deep breaths, or setting boundaries around your time and energy.
Vitality helps get or keep you on the right path with goal check-ins. Whether you take meditation breaks, garden, or drink plenty of water, you can earn 5-15 Vitality points each day. Those points equate to Vitality Bucks that you can redeem for gift cards or fitness devices.
Scan the QR code to get started or visit powerofvitality.com. You can also download the "Power of Vitality" app.
Managing work and home can be challenging, but you don’t have to do it alone. Your SupportLinc Member Assistance Program provides emotional well-being and life balance resources to keep you at your best.
Take advantage of:
When you need surgery, make the most of your benefits with Transcarent Surgery Care. When you use the program, your surgery costs are $0! If you have a high-deductible health plan, you also pay $0 after your deductible is met.
With Transcarent, you can expect:
• Access to high-quality surgeons: Receive care from top surgeons at facilities specializing in your condition.
• Exceptional support: From paperwork to appointments, a dedicated Transcarent care coordinator manages the entire surgery process for you. They’re there to answer all your questions.
• Travel aid: If a local surgeon isn’t an option and travel over 100 miles (one way) from your primary residence is needed, Transcarent will pay certain travel expenses for you and a companion.
Scan here to learn more about your Transcarent Surgery Care benefits and covered costs. Or go to pehtak.com/forms/transcarent-surgery. You can also call Transcarent at 855-265-2874.
Scan here to see all PAMC resources. Or visit providence.org/locations/ak/alaskamedical-center.
EBMS, your expert claims administrator, can help you find providers and answer benefits and billing questions. Call the number on your Benefits ID card - 866-247-1443.
For a list of preferred Aetna Signature and direct contract providers, scan the QR code or visit pehtak.com/preferred-providers.
Need help finding a provider? Call the member number on the back of your Benefits ID card (866-247-1443).
