Who is Prime Therapeutics?

Prime Therapeutics is a trusted PBM that partners with health plans to provide cost-effective and accessible pharmacy benefits. Their focus on affordability and member well-being ensures that Alliant members receive the best possible support for their prescription needs.

How Brokers Can Assist with Pharmacy Benefits

When reaching out to Prime Therapeutics at (844) 451-8288 on behalf of a member, the caller must verify their identity by providing the following information: 

• Their first name and the first letter of their last name 
• Client’s Broker of Record first and last name
• Client’s Broker of Record phone number 
• Agency name 

Additionally, the caller will need to provide three member identifiers to proceed with the call:

• Member Name (required)
• Two of the following:
  • Date of Birth
  • Member ID
  • Member Address (partial is acceptable, e.g. street address or ZIP code)

What Information Can Brokers Request?

Brokers can access valuable details regarding a member’s pharmacy benefits, including:

• Medication Price Quotes – Get details on drug cost, copay, coinsurance, deductible, tier level, and out-of-pocket max (excluding member-specific accumulator amounts).
• Eligibility Status – Verify eligibility and coverage dates.
• Pharmacy Network Information – Confirm preferred pharmacies and their network status.
• Prior Authorization (PA) Requirements – Determine if a PA is needed and check the status of a PA or coverage requests.
• Claim Status – Completion of payment.
• Processing Information – Limited processing information that includes group, BIN, and PCN information.

We’re Here to Help

At Alliant Health Plans, we’re committed to making pharmacy benefits as seamless as possible for our brokers and members. By understanding these key details, you can better serve your clients and ensure they have the support they need.

For additional assistance, feel free to contact your Alliant Account Executive. We appreciate your partnership and the role you play in helping members navigate their health care benefits.

The post Supporting Your Clients with Pharmacy Benefits: A Broker’s Guide appeared first on Alliant Health Plans.

What this Means for You:

Easier Access to Comprehensive Coverage: With this partnership, your clients or employees can now enjoy the convenience of having all their health care needs covered under one roof. Our health plans can be easily paired with Principal’s supplementary benefits, making it simpler for employers to manage a complete benefits package.

More Complete Care: Whether it’s primary medical needs or additional coverage like vision and dental, our bundled packages ensure coverage from head to toe. This partnership makes it easier to get the all-around care your clients or employees deserve.

Special Discounts for Bundled Services:

To sweeten the deal, we’re offering significant discounts when you bundle services:

• Save on Health Plans: By adding select benefits from Principal, you or your employer could save up to 3%* on health plans.

About Principal:

Principal is a well-known provider of supplementary benefits that support overall health and well-being. From dental and vision coverage to life insurance, Principal offers a range of services designed to help you live your best life. For more details about what Principal has to offer, you can visit their website at Principal.com

How to Get Started:

Want to learn more about how this partnership can benefit you? Reach out to your broker or contact Alliant Health Plans directly. We’re here to help you understand the new bundled options available and how they can enhance your coverage.

We’re confident that our partnership with Principal will bring added value to your health care experience, providing the comprehensive coverage you need.

*Bundling Dental, Vision, and Life insurance plans with health coverage can result in potential savings of up to 3%, with a 1% discount applied for each bundled product.

The post Alliant Health Plans Partners with Principal to Offer Enhanced Health Care Coverage appeared first on Alliant Health Plans.

Alliant Health Plans (Alliant) uses Change Healthcare for its clearinghouse and electronic eligibility verification (270/271 feeds). The following functions managed by CHC are non-operational at this time:

• EDI Claims Submission (837 files)
• Electronic Remittance Advice (835 files)
• Electronic Eligibility Verifications (270/271 feed)

We are actively working to find solutions to replace the services handled by CHC. In the meantime, Alliant Health Plans has temporary solutions for claims, electronic remittance and eligibility as described below:

Claims Submissions

• Original, scannable, red-ink paper forms may be submitted by mail.

Alliant Health Plans
PO Box 2667
Dalton, GA 30722

Electronic Remittance (835 file)

• Paper Explanation of Payment (EOP) is available in the Alliant Health Plans Provider Portal

Eligibility Verification

• Alliant Health Plans Provider Portal
• Alliant Health Plans Automated telephone system (800-811-4793)
• Alliant Health Plans Client Services (800-811-4793)

The post Potential Member Disruption with Medical and Pharmacy Benefits:Change Healthcare Outage appeared first on Alliant Health Plans.