Insurance

Accepted Insurance Plans - Greater Phoenix

  • AETNA
    (except Aetna Exchange) 
    • HMO • ELECTRONIC AUTHORIZATION
    • PPO • NO AUTHORIZATION/REFERRAL
  • AHCCCS
    • BRIDGEWAY • REQUIRES AUTHORIZATION
    • CARE 1ST • PAPER REFERRAL REQUIRED
    • HEALTHNET AHCCCS • PAPER REFERRAL REQUIRED
    • MARICOPA • REQUIRES AUTHORIZATION NUMBER
    • MERCYCARE • PAPER REFERRAL REQUIRED
    • MERCY MARICOPA INTEGRATED • PAPER REFERRAL REQUIRED
    • UHC COMMUNITY PLAN • PAPER REFERRAL REQUIRED
    • UHC - LTC • PAPER REFERRAL REQUIRED
    • UNIVERSITY HEALTHPLAN • REQUIRES AUTHORIZATION
    • UNIVERSITY HEALTHCARE MARKETPLACE
  • ARIZONA FOUNDATION
    • NO AUTHORIZATION REQUIRED
  • Banner Health Network
    • BANNER EMPLOYEE CHOICE PLUS  • PCP PAPER REFERRAL
    • BANNER EMPLOYEE SELECT • NO REFERRAL REQUIRED
    • AETNA WHOLE HEALTH • ELECTRONIC REFERRAL
    • BCBS ADVANTAGE • PIMA AND MARICOPA COUNTY- PCP PAPER REFERRAL
    • BCBS ALLIANCE NETWORK HMO AND PPO  HMO REQUIRES REFERRAL
    • CIGNA LOCAL PLUS • NO REFERRAL REQUIRED
    • CIGNA CAC (COLLABORATIVE ACCOUNTABLE CARE) • NO REFERRAL REQUIRED
    • HUMANA COMMUNITY HMO AND PPO • ELECTRONIC REFERRAL
    • UHC MEDICARE ADVANTAGE- BHN NETWORK • ELECTRONIC REFERRAL
    • UHC COMMERCIAL- BHN NETWORK • ELECTRONIC/PAPER REFERRAL
  • BCBS - HMO/PPO/EPO
      • NO BCBS SELECT NETWORK
  • Care More
    • REQUIRES AUTHORIZATION NUMBER
  • CIGNA
    (except Health Ins. Marketplace)
    • HMO • PAPER REFERRAL REQUIRED
    • PPO • NO AUTHORIZATION/REFERRAL
  • HEALTHNET
    (except Community Care, Excel- IP Exchange Marketplace)
    • HMO • PAPER REFERAL REQUIRED
    • AZPC – ARIZONA PRIORITY CARE
      • REQUIRES AUTHORIZATION
  • HMN/AZ MEDICAL NETWORK
  • HONOR HEALTH ACO
    • HONOR HEALTH EMPLOYEES • FORMER JCL AND SHC
    • BCBS/AMERIBEN • SCOTTSDALE HEALTHCARE LINCOLN NETWORK
  • HUMANA
    (except Health Ins. Marketplace)
    • HMO • ELECTRONIC REFERRAL REQUIRED
    • PPO • NO REFERRAL REQUIRED
  • Imagine Health Smart Care (SRP Employee)
    • HMO • PAPER REFERRAL REQUIRED
  • MEDICARE
    • no authorization required
  • MEDICARE-RAILROAD - Palmetto GBA
    • no authorization required
  • Optum Medical Network
    • NO REFERRAL REQUIRED
  • PHCS/MULTIPLAN
    • PAPER REFERRAL REQUIRED
  • TRICARE
    • PRIME • REQUIRES AUTHORIZATION
    • STANDARD/LIFE • NO AUTHORIZATION REQUIRED
  • UNITED HEALTHCARE
    • no authorization required
    • UHC MEDICARE REPLACEMENT
      • ELECTRONIC REFERRAL
  • Veterans Administration (VACP3)
    • requires authorization
  • WORK COMP
    • requires authorization number
  • HMO - always paper referral
  • PPO - open always self referral
  • UHC - HMO/PPO/POS
    • UHC MILITARY
Accepted Insurance Plans - Prescott
 
  • AETNA
    (except Aetna Exchange, Banner Whole Health) 
    • HMO • ELECTRONIC AUTHORIZATION
    • PPO • NO AUTHORIZATION/REFERRAL
  • AHCCCS
    • BRIDGEWAY • REQUIRES AUTHORIZATION NUMBER
    • CARE 1ST • PAPER REFERRAL REQUIRED
    • UHC LTC • PAPER REFERRAL REQUIRED
    • HEALTHNET AHCCCS • PAPER REFERRAL REQUIRED
    • MARICOPA • REQUIRES AUTHORIZATION NUMBER
    • MERCYCARE • PAPER REFERRAL REQUIRED
    • SCAN • REQUIRES AUTHORIZATION NUMBER
    • UHC COMMUNITY PLAN • PAPER REFERRAL REQUIRED
    • UNIVERSITY HEALTH PLAN • REQUIRES AUTHORIZATION
  • ARIZONA FOUNDATION
    • NO AUTHORIZATION REQUIRED
  • ARIZONA MEDICAL NETWORK
  • BANNER EMPLOYEE
    • PAPER REFERRAL REQUIRED
  • BCBS - HMO/PPO
    • no authorization required
  • Care More
    • REQUIRES AUTHORIZATION NUMBER
  • CIGNA
    (except Cigna Local Plus, Health Ins. Marketplace) 
    • HMO • PAPER REFERRAL REQUIRED
    • PPO • NO AUTHORIZATION/REFERRAL
  • HEALTHNET
    (except Banner Excel, Community Care, Excel- IP Exchange Marketplace) 
    • HMO • ELECTRONIC REFERRAL REQUIRED
    • AZPC – ARIZONA PRIORITY CARE • REQUIRES AUTHORIZATION
  • HMN/AZ MEDICAL NETWORK
  • HUMANA
    (except Health Ins. Marketplace) 
    • HMO • ELECTRONIC REFERRAL REQUIRED
    • PPO • NO REFERRAL REQUIRED
  • MEDICARE
    • no authorization required
  • MEDICARE-RAILROAD
    • no authorization required
  • Optum Medical Network - Scan
    • no authorization required
  • PHCS/MULTIPLAN
    • PAPER REFERRAL REQUIRED
  • TRICARE
    • PRIME • REQUIRES AUTHORIZATION
    • STANDARD/LIFE • NO AUTHORIZATION REQUIRED
  • UNITED HEALTHCARE
    • no authorization required
    • UHC MEDICARE REPLACEMENT
      (No Banner; No Health Choice Integrated Care RBHA) 
      • ELECTRONIC REFERRAL
  • Veterans Administration (VACP3)
    • requires authorization
  • WORK COMP
    • requires authorization number
  • HMO - always paper referral
  • PPO - open always self referral

Accepted Insurance Plans - Tucson

  • AETNA
    (except Aetna Exchange) 
    • HMO • ELECTRONIC AUTHORIZATION
    • PPO • NO AUTHORIZATION/REFERRAL
  • AHCCCS
    • BRIDGEWAY • PAPER REFERRAL REQUIRED
    • CARE 1ST • PAPER REFERRAL REQUIRED
    • UHC LTC • PAPER REFERRAL REQUIRED
    • HEALTH CHOICE • REQUIRES AUTHORIZATION/REFERRAL
    • HEALTHNET AHCCCS • PAPER REFERRAL REQUIRED
    • MARICOPA • REQUIRES AUTHORIZATION NUMBER
    • MERCYCARE • PAPER REFERRAL REQUIRED
    • UHC COMMUNITY PLAN • PAPER REFERRAL REQUIRED
    • UNIVERSITY HEALTH PLAN • REQUIRES AUTHORIZATION NUMBER
    • *NO CENPATICO RBHA
  • Arizona Foundation
    • NO AUTHORIZATION REQUIRED
  • Arizona Medical Network
  • Banner Health Network
    • BANNER EMPLOYEE CHOICE PLUS  • PCP PAPER REFERRAL
    • BANNER EMPLOYEE SELECT • NO REFERRAL REQUIRED
    • AETNA WHOLE HEALTH • ELECTRONIC REFERRAL
    • BCBS ADVANTAGE • PIMA AND MARICOPA COUNTY- PCP PAPER REFERRAL
    • BCBS ALLIANCE NETWORK HMO AND PPO  HMO REQUIRES REFERRAL
    • CIGNA LOCAL PLUS • NO REFERRAL REQUIRED
    • CIGNA CAC (COLLABORATIVE ACCOUNTABLE CARE) • NO REFERRAL REQUIRED
    • HUMANA COMMUNITY HMO AND PPO • ELECTRONIC REFERRAL
    • UHC MEDICARE ADVANTAGE- BHN NETWORK • ELECTRONIC REFERRAL
    • UHC COMMERCIAL- BHN NETWORK • ELECTRONIC/PAPER REFERRAL
  • BCBS
    • HMO • NO REFERRAL REQUIRED
    • PPO • NO REFERRAL REQUIRED
    • ADVANTAGE • REQUIRES AUTHORIZATION (PIMA COUNTY ONLY)
  • Care More
    • REQUIRES AUTHORIZATION NUMBER
  • CIGNA
    (except Health Ins. Marketplace) 
    • HMO • PAPER REFERRAL REQUIRED
    • PPO • NO AUTHORIZATION/REFERRAL
  • Healthnet
    (except Community Care, Excel- IP Exchange Marketplace) 
    • HMO • PAPER REFERAL REQUIRED
    • AZPC – ARIZONA PRIORITY CARE  REQUIRES AUTHORIZATION 
  • HMN/AZ Medical Network
  • HUMANA
    (except Health Ins. Marketplace) 
    • HMO • ELECTRONIC REFERRAL REQUIRED
      • TUCSON HMOX • ELECTRONIC REFERRAL REQUIRED
    • PPO • NO REFERRAL REQUIRED
  • Medicare
    • NO AUTHORIZATION REQUIRED
  • Medicare-Railroad
    • NO AUTHORIZATION REQUIRED
  • Optum Medical Network
    • NO REFERRAL REQUIRED
  • PHCS/MultiPlan
    • PAPER REFERRAL REQUIRED
  • Tricare
    • PRIME • REQUIRES AUTHORIZATION
    • STANDARD/4LIFE • NO AUTHORIZATION REQUIRED
  • United Healthcare
    • NO AUTHORIZATION REQUIRED
    • UHC MEDICARE REPLACEMENT
      • ELECTRONIC REFERRAL
  • Veterans Administration (VACP3)
    • REQUIRES AUTHORIZATION
  • Work Comp
    • REQUIRES AUTHORIZATION NUMBER
  • HMO - ALWAYS PAPER REFERRAL
  • PPO - OPEN ALWAYS SELF REFERRAL