PAI | Members

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.

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

With My Benefits Manager, PAI’s secure member portal, you can easily:

Check claims and view your Explanation of Benefits (EOBs)
Find in‑network doctors, specialists, and facilities
Manage pharmacy and prescription benefits
Track your deductible, out‑of‑pocket maximum, and coverage details
Review eligibility and benefit summaries
Access important plan documents anytime

My Benefits Manager is your personalized hub—designed to give you clear, convenient access to your health plan information whenever and wherever you need it. PAI makes it simple to stay connected to your benefits so you can focus on your health with confidence.

Health Conditions

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

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.

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.

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.