Members

Your Benefits. Your Tools. Your Health.

You have access to a full set of tools and resources to help you understand your benefits, make informed healthcare decisions, and get the most from your coverage.

Whether you’re checking your claims, finding an in‑network provider, managing pharmacy benefits, or tracking your deductible, PAI makes it simple to stay connected to everything you need. Our secure member portal is your personalized hub—built to give you clear, convenient access to your health plan information anytime, anywhere.

Helpful Resources for Your Health

Benefit Resources

Explore the tools below to quickly find forms, locate providers, manage your accounts, and learn more about your health.

Forms

Find the forms you need for claims, reimbursements, updates, and more—all in one convenient place.

AccrueHealth

Manage your FSA or HRA with ease. View balances, track transactions, submit documentation, and stay on top of your account.

Health Conditions

Learn more about common and chronic health conditions, along with practical tips for managing your health and staying well.

Find a Provider

Quickly locate in‑network doctors, specialists, hospitals, and facilities in your area to ensure you receive the highest value from your benefits.

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Pharmacist

Pharmacy Resources

Tools and information to help you understand your medications, compare costs, and make informed choices.

If your plan includes pharmacy benefits through OptumRx, you have access to convenient tools that help you compare medication costs, find participating pharmacies, and review covered drug lists. For the most accurate information for your specific plan, log in to My Benefits Manager℠ and navigate to PAI Pharmacy Benefits.

Some medications are fully covered under the Affordable Care Act (ACA) at no cost to you.   Coverage varies by plan—check your benefit details for specifics. Generic medications are typically covered at $0 cost share.

Unlock your perks and start saving

Plan Perks

Exclusive Discounts and Savings—Just for Being a PAI Member

There’s more to your PAI member ID card than health coverage. As a PAI plan member, you have access to a variety of discounts and value‑added services designed to help you save on everyday wellness needs. These perks are offered as an added benefit of membership—simply because you carry a PAI ID card.These discounts and services are separate from your medical benefits. Programs may change at any time, and pricing or discount rates may vary. Participating suppliers are solely responsible for the products and services they provide. Discounts cannot be combined with insurance benefits.

Hearing - Beltone

Hearing - TruHearing

Vision - QualSight LASIK

Vision - Vision Discount Program

Allergy - Allergy Control Products

Allergy - National Allergy

Wellness Guidelines

Preventive care helps you and your family stay healthy. Our Wellness Guidelines outline recommended screenings and immunizations for every stage of life, including:

  • Routine screenings and how often to get them
  • Recommended immunizations
  • Women’s, men’s, and children’s specific health screenings

Explore more tips for healthy living on our Live Well Blog or visit our health conditions page.

Medigap Guide

The Medigap Guide is an official government resource that explains Medicare Supplement Insurance (Medigap), what these policies cover, your rights when purchasing a policy, and how to choose and enroll in the one that’s right for you.

Understanding Your EOB

Know What Your Health Plan Covers — and What You May Owe

Know What Your Health Plan Covers — and What You May Owe

Making the most of your health coverage starts with understanding how your plan processes claims. Whenever you or your provider submits a claim, PAI generates an Explanation of Benefits (EOB) to help you understand what was billed, what your plan covered, and any remaining amount you may owe.

Your EOB includes clear details about:

  • The services you received

  • How the claim was processed

  • What your health plan paid

  • What charges (if any) you may owe to your provider

You can view or print your EOBs anytime through your Member Benefit Portal, giving you secure access to your claim history, deductible totals, plan documents, and more.

If you have questions about reading your EOB, call the customer service number on your ID card or send a message through the Member Portal.

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