You can choose whether you want to use an Alliance Coal Direct provider or a Non-Direct provider. Alliance Coal Direct providers are hospitals, doctors, and other health care providers that have direct contracts with the Alliance Coal Health Plan. You'll receive a higher benefit level – generally 100% with no deductible – when you choose a provider that has an Alliance Coal Direct agreement for the service or supply you receive.
Non-Direct providers do not have direct contracts with the Plan. You’ll receive a lower benefit level with Non-Direct providers – generally 80/20 after a $400/$800 deductible.
To find an Alliance Coal Direct provider, click the button below using a computer or mobile device. If you cannot access this directory, please contact Member Services at (855) 979-5192 to receive a list of Alliance Coal Direct providers without charge.
For more information:
If your doctor or other outpatient providers are not Alliance Coal Direct, you can talk to them about opting in and/or share this provider ﬂier with them. All licensed physicians and outpatient providers in good medical standing are eligible to participate in Alliance Coal Direct Opt-In. The process is simple:
If your providers have questions about Alliance Coal Direct, they can call Provider Services at (855) 979-5194.
Please note: chiropractic services are not eligible for the Alliance Coal Direct benefit level. Regardless of which chiropractor you choose, eligible services are covered at 50% of Allowable Charges after the deductible.
For designated procedures, the Plan has identified Centers of Expertise listed on the "Centers of Expertise" page. When you use a Plan-approved Center of Expertise for these procedures, the Plan pays 100% of Allowable Charges, and you avoid a 40% benefit penalty.
If your hospital, doctor's office, or other provider needs more information than what is listed on your Health Plan ID card, they should refer to the "Information for Health Care Providers" page. They can also call Provider Services at (855) 979-5194.