Medical Services | Kodiak Area Native Association

What are the contact details for after-hours medical advice?

For after-hours medical advice, please contact KANA’s Nurse Advice Line at (907) 486-9870.

What is the PRC process for IHS beneficiaries?

The healthcare services Indian Health Service (IHS) Beneficiaries receive at KANA facilities are called Direct Care. Purchased and Referred Care (PRC) may cover the cost for approved healthcare services which are not available at our facilities, such as emergency room or referred medical and dental services. When policies and procedures are followed and requirements are met, PRC provides funding to support these services for eligible IHS Beneficiaries.

What is the role of IHS vs PRC?

Indian Health Service is not an insurance. IHS requires PRC to be the payer of last resort, meaning all other options, including Medicare, Medicaid, V.A., Tribal, employer or private health insurance, must be used prior to IHS funds. Although IHS does not require patients to purchase insurance, we offer the assistance of our Patient Benefit Coordinator (PBC) to help you screen for possible eligibilities to the above programs. If you are eligible, KANA’s PBC can help you apply. Please call(907) 486-9870 for questions or assistance applying.

What should I do if I receive emergent medical services in Kodiak outside normal clinic hours?

Notify your KANA Case Manager within 72 hours (3 days, including weekends and holidays). Your Case Manager will determine if follow-up care is needed and place notes in your chart reporting the ER visit.

Are PRC benefits available outside Alaska?

PRC coverage while outside of Alaska is limited to emergent medical care and is covered under ANMC PRC.

What if I need services while traveling outside Alaska?

If you receive emergent medical services while traveling outside the State of Alaska, you must call ANMC PRC within 72 hours of services received.

Where can I find PRC wallet cards?

ANMC PRC offers informational wallet cards for your convenience. Cards are available at anmc.org/prc or by calling ANMC PRC at(800) 478-1636 or(907) 729-2470.

What is involved with referrals and PRC eligibility?

Your primary care provider will initiate a referral for the services that you require. Referral is a recommendation for treatment/test only. The PRC program must review the referral to make the determination for IHS approval of payment. All PRC eligibility requirements must also be met. Your referral will not be held or canceled if you do not meet PRC eligibility guidelines but you may be financially responsible for that referred service.