Popular Articles

  1. What is the coverage gap?

    An exciting change has been made to your coverage – here’s what you need to know. Starting January 1, 2025, there is no longer a “Coverage Gap,” also called the “Donut Hole” Phase, in your prescription drug plan. This means that once you reach t...
  2. What Are My Covered Benefits?

    While your coverage depends on the plan you choose, certain things are always covered on plans sold on the Marketplace: Doctors visits, including well woman visits, care when you’re sick, and checkups to stay healthy. Emergency room trips. Hos...
  3. What is a Balance Plan?

    Balance plans are level-funded plans, which means your costs will never exceed a predetermined amount. This allows you to budget effectively. Balance plans also combine our experienced staff and administration for traditional Self-Funded plans wit...
  4. What is Medicare Part B?

    Medicare Part B is also called medical insurance, and it covers certain care from doctors, outpatient care, medical supplies and preventive care. Services like flu shots. Clinical research. Ambulances. Durable medical equipment. Mental healthc...
  5. What is the Part D late enrollment penalty?

    The Part D late enrollment penalty is a an amount added to your Part D monthly premium because you didn't sign up for drug coverage when it was available to you. If you go without a Part D plan or a Medicare Advantage plan with drug coverage for 6...
  6. What do I pay for Medicare Part D?

    For a Medicare Part D plan, you'll pay: A set monthly premium. A Part D deductible (if applicable). Copayments or coinsurance for your drug costs. All your other Medicare or Medicare Supplement costs. Medicare Part C plans may include Medicare...
  7. What is a Self-Funded Plan?

    With a S elf-Funded plan , you keep the risks and rewards of paying for your employees' healthcare. In comparison, F ully-Insured plans pass the risk and rewards on to the insurance company in exchange for a fixed premium. Save Money Companie...
  8. How do I change or terminate my plan?

    If you wish to  terminate  your plan,  please contact customer service using the phone number  on your ID card.  Different plan types have different termination  procedures,  and our customer service team can  assist  you with  terminati...
  9. FAQ's

  10. When will I receive my member ID card?

    For new Health Alliance members,  printed m ember ID cards are mailed within 10 business days of enrollment verification . Digital ID cards are made available through the Hally member portal at  www.Hally.com   and  on the MyChart mob...