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Intro
Health Care
Participation
Eligibility and Enrollment
When Coverage Begins
Changing Coverage Elections
Situations That May Affect Your Coverage
When Coverage Ends
Continuing Coverage
Other Information About the Health Care Program
Definitions
Appendix A: QMCSO Procedures
Appendix B: Notice of Privacy Practices
Appendix C: Health Insurance Marketplace and Alternatives to COBRA
Appendix D: Special Eligibility Rules
Medical
Highlights of the Plan
Benefit Summary
Medical Necessity
Allowable Charge
Alliance Coal Direct and Non-Direct Providers
Annual Deductible
Annual Out-of-Pocket Limits
Centers of Expertise
Travel Benefit
Bundled Surgery Services
Eligible Expenses
Expenses That Are Not Eligible
Preauthorization, Concurrent Review, and Care Coordination
How to File a Claim
Definitions
Appendix A: Human Organ, Tissue, and Bone Marrow Transplant Services
Appendix B: Designated Procedures for Centers of Expertise
Appendix C: Services and Products That Require Preauthorization
Prescription Drug
Highlights of the Plan
How the Plan Works
Coverage Tiers (Formulary)
Approved Preventive Drugs
Approved Disease-Management Drugs
Health-Center Drugs
Specialty Drugs
Step Therapy
Covered Expenses
Expenses That Are Not Covered
How to File a Claim
Definitions
Dental
Highlights of the Plan
Covered Expenses
What Is Not Covered
How to Receive Services and File a Claim
Vision
Covered Expenses
Expenses That Are Not Covered
How to File a Claim
Income Security
Retirement
Special Benefits
Scholars Program
2018 Winners
2017 Winners
2016 Winners
2015 Winners
2014 Winners
2013 Winners
2012 Winners
2011 Winners
2010 Winners
2009 Winners
Policies
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Important Notices
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