Updated Articles

  1. What is an Employer Group Waiver Plan (EGWP)?

    EGWP’s or Employer Group Waiver Plans are Medicare Advantage plans offered by employers or unions to their retirees. The plans are provided and managed by private insurance companies. These plans are exempt from certain rules that apply to individ...
  2. I'm having trouble affording my medicine.

    If you're having trouble affording your medicine, contact your doctor, your case manager, or our pharmacy department at (800) 851-3379, option 4 to discuss your options and support. For Group Medicare Members: If you experience hardship from hig...
  3. Glossary

    Additional Terms and Definitions A Accreditation Shows that a health plan meets standards set by an official review committee or organization. Acute Care Short-term care for an illness or health problem. Adjudication The process of paying ...
  4. How does Medicare Part D coverage work?

    Each Medicare Advantage plan with prescription drug coverage or Part D plan has its own list of covered drugs, called a formulary. Our pharmacy department partners with physicians from other health systems who are specialized in their field to dec...
  5. What is a Biosimilar?

    A biosimilar is a highly similar product to the original biologic medication already approved by the Food and Drug Administration (FDA). Biosimilars are made with the same types of natural products and administered in similar ways. Biosimilars have ...
  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. Where can I find my member ID?

    To find your member ID, you can refer to your Health Alliance ID card.  The member ID is printed on the card with other important information like copayment/coinsurance details.  You can also get secure, instant access to your member ID by...
  8. Where is the pharmacy billing information? (Bin, PCN and Rx Group)

    You can find this information on your member ID card. If you need  assistance , please contact the Health Alliance Customer Service Department using the Contact Us resource under the Help section at the bottom of  www.HealthAlliance.org ...
  9. Where is the pharmacy billing information? (Bin, PCN and Rx Group)

    You can find this information on your member ID card. If you need  assistance , please contact the Health Alliance Customer Service Department using the Contact Us resource under the Help section at the bottom of  www.HealthAlliance.org ...
  10. How do I check the status of my prior authorization and claim request?

    Log into your member account on Hally.com or the MyChart mobile app. Once logged in, you should be able to view your prior authorization status by selecting Authorizations and check your claims status by selecting Claims from the main menu. ...