Highlights of the Plan

Providers

You choose any provider you wish.

Annual Deductible

None

Coverage

Preventive services
Basic services
Major services
Orthodontia

100%
80%
50%
50%

Maximum Annual Benefit

$1,500 per person for preventive, basic, and major services combined

Maximum Lifetime Orthodontia Benefit

$1,500 per person

Cost of Coverage

There is no premium charged for this benefit plan. You and your employer share in the total cost of covered services.

How to Reach Member Services

You can reach Member Services by calling (855) 979-5192

Filing Claims

Most providers will file claims for you. Present your Alliance Coal Health ID card to your dentist's office.

If you need to file a claim, send your completed claim form and itemized bills to:

Alliance Coal
Payor ID #93658
PO Box 211577
Eagan, MN 55121