Contract Health

 

What is Contract Health?

Contract Health Services are those services that KANA does not directly provide within KANA facilities. Before KANA will pay for Contract Health Services a KANA beneficiary must meet with a KANA provider who will authorize or order the service.

 

Who qualifies for Contract Health services?

In order to qualify for Contract Health Services you must be able to provide proof of residency in Kodiak for at least 30 days and be an Alaskan Native, enrolled in a federally recognized tribe; Or a descendant of a member of a federally recognized tribe; Or a pregnant mother of a child that is eligible for contract services (While pregnant and up to six weeks of post-partum care); Or an adopted step or foster child who is a dependant of at least 1 eligible beneficiary (Up to 19 years of age).

 

What services does Contract Health cover?

  • Authorized Emergent ER Visits
  • CT Scans
  • Emergent Ambulance Transports
  • Eye injury related visits
  • Labs
  • Mammograms
  • Physical Therapy (4 visits – patients required to see provider, if needed up to 8 visits per injury)
  • Surgical Consults
  • Travel costs for urgent/emergent services
  • Treadmill Tests
  • Ultrasounds
  • X-Rays

 

What is the Emergency Room Policy? 

If the service you receive is an emergency, Contract Health Services must be notified within 72 hours of the start of emergency services. If you are 65 years or older you have 30 days to notify Contract Health Services of emergency care.

Please remember: an Emergency is a situation that if not handled quickly may result in loss of life, limb, eye, and/or organs. If none of those are in immediate danger, the situation is not an emergency, but urgent care.

Kodiak Residents:

For all life-threatening conditions call 911 or proceed to the emergency room.

For urgent care/non-life threatening situations during KANA business hours, call the Medical clinic. For urgent care not during KANA business hours call Providence Kodiak Island Medical Center at 486-3281 to obtain Nurse Triage authorization. Then follow instructions provided by the Triage Nurse.

Village Residents:

For all life-threatening conditions contact your village Community Health Aid.

For urgent care/non-life threatening conditions contact your Community Health Aide. If they are not available during KANA business hours, call the Medical Clinic. For urgent care not during KANA business hours call Providence Kodiak Island Medical Center and be sure to tell them you are calling from a village and should not be transferred to the triage line.

Please call 486-9828 to report ER usage.

Why do I need to apply for Alternative Resources?

KANA is considered a “Payer of Last Resort” according to federal regulations. Beneficiaries are urged to make a “good faith” effort to apply for alternative resources before requesting KANA to use Contract Health funds.

Contract Health funds will not be authorized if you are eligible for, and have not applied for, alternative health resources such as:

  • Medicaid
  • Medicare
  • Denali Kid Care
  • Fisherman’s Fund
  • Workman’s Compensation
  • Or any other resources

If you have made an effort to apply for the programs, and have been denied then KANA will use Contract Health Funds.

The reason for this is because Contract Health funds are limited and we want to ensure that KANA’s contract Health Funds can help as many beneficiaries as possible who do not have alternative options.

3449 E Rezanof Dr, Kodiak, Alaska 99615  ~  Phone: 907.486.9800  ~  Fax: 907.486.9898