I have the MRX, pocket-sized version. I got the pocket-sized model because I don't fly in heavy concentrations of other aircraft, and I wanted a PCAS that won't add significant weight, hassle to install or be difficult to operate.
I don't fly in Alaska, but where I do fly, it works. I leave it in ground mode, where it senses 0 altitude AGL. It stays in ground mode until you reach 300', so as to avoid unnecessary signal clutter from aircraft moving around on the ground, but it will pick up aircraft at altitudes higher than 300' and within 5 miles. Then, after getting over 300', it changes to in-flight mode, detecting transponder squawks from other aircraft up to 5 miles away, beginning with the aircraft that appears to be the greater threat (the one maintaining closing range with same altitude as your aircraft). Your question about distance from the airport I think has more to do with the altitude and distance of the squawking transponder of the other aircraft, not how far away you yourself are from an airport.
It's about as simple as one can get for this kind of device, which is a good thing. Upon hearing the high pitched beep and/or seeing the extra bright LED display light up with an alert, all it takes is a split second glance to see what the relative altitude of the other aircraft (up to three) is via a small, bright LED arrow. This single glance can quickly determine whether the other aircraft is ascending, descending or maintaining a constant altitude.
It has always picked up other planes long before I saw them with my own eyes, but I do not consider it a substitute for constant ocular vigilance. I would recommend it for it's simplicity, that it does what it's supposed to do, for it's lightweight and portability. There is always the option too, of making a permanent mount for it on top of your panel (best place for line-of-sight signal reception and display viewing) and having a permanent 12v cigarette plug-style adapter for a power source. I can hear the alarm even with my Rotax 503 lawnmower engine rattling a few feet away, but the I think it is more effectively plugged into an intercom/headset, for which there is an output jack for.
Here is a brief but good demo of the MRX in action