Bundled Surgery Services
Bundled surgery services can save money for both you and the Plan. With bundled services, the provider charges a single price for nonemergency surgeries and related ancillary services, such as radiology, anesthesia, implants, and post-surgery services.
When you use a Plan-approved bundled surgery provider for a qualifying surgery, you are eligible for the Alliance Coal Direct benefit level (i.e., 100% covered with no deductible). You may also be eligible for the travel benefits described in Travel Benefit. To receive these benefits, the surgical services must be coordinated by Care Coordination. As with any inpatient or outpatient surgeries, preauthorization is required to avoid a benefit penalty.
If you or a covered dependent need a nonemergency surgery, contact Member Services at (855) 979-5192 to ask if that surgery qualifies for bundled surgery services and which providers are approved for that type of surgery.