Join Membership

Included Items: 

Alaska Medical Clinics, LLC (through Alaska Urgent Care, LLC and Wasilla Medical Clinic) is offering Medical Memberships (direct healthcare agreement) to individuals who do not have insurance coverage through private insurance and do not qualify for Medicaid, Medicare, General Relief, or Medicaid Waiver. 

Exclusions: 

• 5 or 12 Primary Care visits per 12 months (12 months from the date of enrollment) at Alaska Urgent Care, LLC (300 E. Dimond Blvd. Ste 12A, Anchorage, AK 99515) and Wasilla Medical Clinic (1700 E. Parks Hwy #200, Wasilla, AK 99654). Members may use their membership at either location. Visits can include (but are not limited to) wellness visits, annual physicals, illness, injury, and medication refills. 
• Membership holders may add family members or others to the membership. 
• Each individual on the membership must meet the terms listed below. 
• Any minor children on a membership plan receive one school/sports/camp physical per year. 
• All adults on a membership receive one TB test (PPD) per year. 
• Certain labs that are indicated and ordered by a Health Care Provider are included. Labs included in membership plan: See membership lab sheet. 
• X-rays for any condition that requires an X-ray, determined by Provider. 
• Discounted prices for any additional visits or items that a member might need that are not covered by the membership. The discounted office visit price for any office visit that exceeds the allotted visits per the membership is $100/visit. 

• The Medical Membership does not cover services by any other healthcare practice, hospital, or organization. 
• The Medical Membership does not cover emergency care or emergency services. 
• The Medical Membership is for services performed at Alaska Urgent Care, LLC  and Wasilla Medical Clinic. 
• If an individual needs specialty treatment beyond the scope of Primary Care services, the individual may need to be referred out to a different health care facility to which the membership does not cover. 
• Any labs not listed in “Included Items”. Any labs excluded from membership will be billed at a discounted rate through Alaska Urgent Care, LLC  or Wasilla Medical Clinic.  
• Individuals participating in the Medical Membership are not entitled to the protections under AS 21.07 (Patient Protections Under Health Care Insurance Policies).

Additional Terms and Conditions: 

• Medical Membership is a monthly fee for the services outlined in this document. 
• A member may cancel their membership at any time. A cancellation request must be made in writing and given to the facility representative listed below. If an individual cancels their membership prior to the end of the 12-month period, but has used more benefits than the membership has covered up to that time, the individual is responsible for the cost of services provided that have not been covered by the fees of the membership up to that time. Example: If an individual enrolls in a membership plan for 12 visits per 12-month period and uses all 12 visits in one month and then cancels the membership after two months of enrollment, the individual will be responsible for the cost of the services provided that were not covered by the membership fees. If members have not received services for which they have paid, they will be refunded within 30 days of cancellation. 
• Alaska Urgent Care, LLC, and Wasilla Medical Clinic reserve the right to terminate the membership if: 
• A member’s behavior threatens the safety of the health care provider, staff of the clinic(s), or other patients; 
• A member engages in disrespectful, derogatory, or prejudiced behavior even after the health care provider or staff has requested that the member stop the behavior; 
• A member breaches the terms of this membership agreement; or 
• Nonpayment occurs.
• Medical Membership is not Health Insurance.
• Individuals who are covered by private insurance, VA, Medicare, Medicaid, or any other health insurance may not enroll in the Medical Membership. 
• Alaska Urgent Care, LLC  and Wasilla Medical Clinic will not decline to enter into or terminate a Medical Membership Agreement with a patient because of race, religion, color, national origin, age, sex, physical or mental disability, marital status, change in marital status, pregnancy, parenthood, or any other characteristic of a class of person protected by a state law that prohibits discrimination. 
• Alaska Urgent Care, LLC  and Wasilla Medical Clinic may decline to enter into or may terminate a Medical Membership agreement with a new patient if Alaska Urgent Care, LLC  and Wasilla Medical Clinic are unable to provide the patient with the health care services that they require. 
• Individuals participating in the Medical Membership may contact the following representative to request amendments, make a complaint, or request a cancellation: 

Christine Guay, RN, Office Manager 

christine@alaskamedicalclinics.com 

(907) 373-6058 

Medical Membership Plans and Pricing: 

• Each Membership plan includes all items listed under “Included Items”. 
• The prices listed below may be subject to change annually. Notice will be given at least 45 days in advance of any pricing changes. 
• Statements will be sent monthly after each month of services. 
• A member’s employer may pay the monthly fee of the Membership and any other additional fees that an individual member may owe. Any payments made by an employer do not constitute engaging in the business of insurance or underwriting. 

Membership Details

Primary Member (individual responsible for fees and billing communication)

See the Employer Information section if the individual responsible for payment is an employer. 

By initialing below, you are agreeing to receive text messages from Alaska Urgent Care, LLC  and/or Wasilla Medical Clinic.  

By initialing below, you are agreeing to be billed monthly for the membership fee. 

By initialing below, you are stating that you and any other individuals on the Medical Membership do not qualify for other insurances, including Medicaid and Medicare. 

By initialing below, you understand and agree to the terms, conditions, inclusions, and exclusions of the Medical Membership. 

Additional Members on Membership

Each individual listed below has access to the services offered in this membership.

By initialing below, you are stating that you and any other individuals on the Medical Membership do not qualify for other insurances, including Medicaid and Medicare. 

By initialing below, you are stating that you and any other individuals on the Medical Membership do not qualify for other insurances, including Medicaid and Medicare. 

By signing below, I,

agree to enter into the Medical Membership agreement with Alaska Medical Clinics, LLC (Alaska Urgent Care, LLC , LLC and Wasilla Medical Clinic) as outlined above. The terms of this agreement are effective on

Employer Information

Below is information for an employer who is responsible for paying the membership fee for the individual(s) listed above:

By signing below, you confirm that you are responsible for the monthly Medical Membership  Fee for the Primary Member Individual listed above. 

By signing and submitting this form, you are joining Alaska Medical Clinics Medical Membership. A representative will reach out within two business days with your Membership number. Your effective date of your membership is the date of form submission- one year from this date. You may begin receiving services immediately upon submission. You will receive your first invoice next month. NO PAYMENT IS DUE AT THIS TIME.

By submitting this form you are confirming that the information you are submitting is correct.

If an employer is responsible for membership fees, a representative from Alaska Medical Clinics will reach out to the employer within two business days.