Bundled Surgery Services

Bundled surgery services can save money for both you and the Plan. With bundled services, the provider charges a single price for nonemergency surgeries and related ancillary services, such as radiology, anesthesia, implants, and post-surgery services.

The list of bundled surgery providers currently approved by the Plan are listed on the document “Plan-Approved Bundled Surgery Providers."

When you use a Plan-approved bundled surgery provider for a listed surgery, you are eligible for the Alliance Coal Direct benefit level (i.e., 100% covered with no deductible). You may also be eligible for the travel benefits described in Travel Benefit. To receive these benefits, the surgical services must be coordinated by  Care Coordination. As with any inpatient or outpatient surgeries, preauthorization is required to avoid a benefit penalty.

If you or a covered dependent need a nonemergency surgery, contact Member Services at (855) 979-5192 to ask if that surgery qualifies for bundled surgery services.