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Insurance Plans - Alaska
Select the name of your insurance company to find out where to get forms
and to find contact information for your plan if you need to request prior
authorization or an exception.
This information was collected from the Web sites of the plans, and in some cases from e-mails and phone calls to the plans. It is provided here in an effort to make the information more conveniently available to you. We do not endorse any particular plan and we are not responsible if any plan has been inadvertently omitted from this list. We have not verified this information. In addition, we cannot be responsible for ensuring that the information is always up to date. Please notify us if you are aware that any of the information provided has changed. If you would like more detailed and current information, we suggest that you consult the Medicare Web site.
AETNA HEALTH INC
CONNECTICUT GENERAL
LIFE INSURANCE COMPANY
COVENTRY HEALTH AND
LIFE INS COMPANY
Where to Get
Forms: Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
FIRST HEALTH LIFE
& HEALTH INSURANCE COMPANY
Where to
Get Forms: Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
MEDCO CONTAINMENT INSURANCE
COMPANY OF NEW YORK
Where to Get
Forms: Your pharmacist will receive information from the plan
if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist
will receive information from the plan if your prescription is denied
because of a coverage problem.
Phone # to request Exception: Your pharmacist will receive
information from the plan if your prescription is denied because of a
coverage problem.
Fax #: Not Available
E-mail Address: Not Available
Updated: May 2006
MEMBERHEALTH, INC.
PACIFICARE LIFE AND
HEALTH INSURANCE COMPANY
SILVERSCRIPT INSURANCE
COMPANY
STERLING LIFE INSURANCE
COMPANY
Where to Get
Forms: http://www.foxrxcare.com/exceptions.htm
Phone # to request Prior Authorization: 1-888-369-7979
Phone # to request Exception: 1-888-369-7979
Fax #: 1-866-284-4509
E-mail Address: Not Available
Updated: May 2006
UNICARE
UNITED HEALTHCARE
INSURANCE COMPANY
Where to
Get Forms: Call 1-877-665-6609 and ask to have form faxed.
Phone # to request Prior Authorization: 1-877-665-6609
Phone # to request Exception: 1-800-207-2568
Fax #: 1-866-617-6685
E-mail Address: provider.relations@walgreens.com
Updated: May 2006
WELLCARE HEALTH PLANS
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