Alliance CompleteCare Benefits Overview
Alliance CompleteCare (HMO SNP) includes medical, dental and vision coverage, plus other services designed to contribute to your good health and well-being.
The Medical Benefits Chart in the Evidence of Coverage booklet provides complete information on all of your benefits and covered services, including conditions for limitations and exclusions.
Evidence of Coverage Booklet: English Spanish Chinese
The Summary of Benefits* is a chart with descriptions of some of the services covered, including co-pays.
The Provider Directory is a listing of the providers who will be available for 2014 in the Alliance CompleteCare network (combined English, Spanish and Chinese).
*Please note that plan benefits, formulary, pharmacy network, premiums, and/or co-pays may change on January 1 of each year.
High Risk Care Management (HRCM) Program
Alliance CompleteCare identifies and contacts HRCM Program candidates who meet certain criteria. Members who want to be assessed for the program may contact the Care Advisor Unit.
Our HRCM Program is designed to:
- Help the member move toward self-reliance and the best use of health care services
- Help to maintain the member’s quality of life
- Provide support and act as a resource to the member and provider;
- Help the member coordinate benefits and services
- Monitor the plan of care and services to ensure quality, timeliness, appropriateness, and cost effectiveness
We care about your health and well-being. Alliance CompleteCare offers a range of services, including a member portal with access 24 hours a day/seven days a week, transportation for medical appointments, and interpreter services.
Viewing Member Materials
Alliance CompleteCare member materials have been created in Adobe Acrobat portable document format (PDF). To view and utilize the link and search functions of these documents, you will need to have Adobe Acrobat version 6.0 or higher. If you do not have this software, or have a lower version, you can click on the Adobe Acrobat Reader Icon below to download the software free of charge. (By clicking on this link, you are leaving our website.)
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Last updated 04042014