Accepted Insurance Providers and Plans
Insurance providers are listed in alphabetic order below.A
AMERIBEN INSURANCE
Insurance Plan | Need a Referral? |
---|---|
Ameriben- HonorHealth (TIER 1) | No referral required. |
Ameriben- BCBS PPO | No referral required. |
ARIZONA CARE NETWORK INSURANCE
Insurance Plan | Need a Referral? |
---|---|
Connect Care | No referral required. |
Brighthealth | No referral required. |
ARIZONA PRIORITY CARE INSURANCE
Insurance Plan | Need a Referral? |
---|---|
Wellcare | Paper referral is required from primary care. |
BCBS Advantage | Paper referral is required from primary care. |
AETNA PLANS INSURANCE
Insurance Plan | Need a referral? |
---|---|
Aetna Banner Network | No referral required. |
Aetna HMO | Electronic referral number is required from primary care |
Aetna Medicare HMO | Electronic referral number is required from primary care |
Aetna Medicare PPO | No referral required. |
Aetna Meritain | No referral required. |
Aetna POS/PPO/POS II/AZ Everyday Plus/Open Access Select | No referral required. |
Aetna Banner Network HMO | Electronic referral number required from PCP |
AHCCCS PLANS CARE INSURANCE
Insurance Plan | Need a Referral? |
---|---|
AHCCCS Arizona Complete Health | No referral required. |
AHCCCS UHC HMO DUAL COMPLETE | No referral required. |
AHCCCS UHC Community Plan | Paper referral is required from primary care. |
AHCCCS Indian Health Service | No referral required |
AHCCCS Care 1st | Paper referral is required from primary care. |
AHCCCS CMDP | No referral required. |
AHCCCS Steward Healthchoice Generations | Paper referral is required from primary care. |
AHCCCS Steward Health Choice of AZ | No referral required. |
AHCCCS Magellan Complete Care of AZ | Paper referral is required from primary care. |
AHCCCS Mercy Maricopa Advantage | Paper referral is required from primary care. |
AHCCCS Mercy Maricopa Integrated Care | Paper referral is required from primary care. |
AHCCCS Mercycare Advantage | Paper referral is required from primary care. |
AHCCCS Mercycare | Paper referral is required from primary care. |
AHCCCS Mercycare RBHA | Paper referral is required from primary care. |
AHCCCS Mercycare LTC | Paper referral is required from primary care. |
AHCCCS- University Physicians Care Advantage | Paper referral is required from primary care. |
AHCCCS University Family Care | Paper referral is required from primary care. |
B
BANNER PLANS
Insurance Plans | Need a referral? |
---|---|
Banner Choice Plus | Paper referral is required from primary care. |
Banner Select 250/500 | No referral required. |
UHC-Banner Health Network | Paper referral is required from primary care. |
BCBS PLANS
Insurance Plan | Need a Referral? |
---|---|
BCBS OF AZ | No referral required. |
BCBS ADVANTAGE- ARIZONA PRIORTY CARE | Paper referral is required from primary care. |
BCBS- OUT OF STATE- PPO | No referral required. |
BCBS NEIGHBORHOOD MARKETPLACE HMO (NNJ, NNG) | Electronic referral is required from primary care. |
BCBS ALLIANCE | No referral required. |
BCBS TPA (THIRD PARTY ADMINISTRATORS) | No referral required. |
BCBS Ameriben | No referral required. |
BCBS Ameriben- HonorHealth Network (TIER 1) | No referral required. |
BCBS Gilsbar | No referral required. |
BCBS Mayo Clinic | No referral required. |
BCBS Meritain | No referral required. |
BCBS Southwest Service Administrators | No referral required. |
BCBS Summit | No referral required. |
BCBS Operating Engineers | No referral required. |
BCBS AZ Pipe Trades | No referral required. |
BCBS Western Growers Assurance Trust | No referral required. |
CHAMP VA | No referral required. |
C
CIGNA PLANS
Insurance Plan | Need a Referral? |
---|---|
Cigna PPO/ Open Access Plus/EPO/ POS Open Access/Local Plus | No referral required. |
Cigna Medicare Advantage | Paper or electronic referral is required from primary care. |
Cigna HealthSprings | Paper or electronic referral is required from primary care. |
Cigna HMO | Paper or electronic referral is required from primary care. |
F
FIRST HEALTH
Insurance Plan | Need a Referral? |
---|---|
FIRST HEALTH/COVENTRY | No referral required. |
H
HEALTHNET PLANS
Insurance Plan | Need a Referral? |
---|---|
Allwell Healthnet Medicare Advantage | Paper referral is required from primary care. |
Healthnet CommunityCare HMO | No referral required. |
Healthnet AmBetter | No referral required. |
Healthnet HMO OPEN ACCESS | No referral required. |
Healthnet HMO | Paper referral is required from primary care. |
Healthnet HMO Excel | Prior authorization is required from primary care. |
Healthnet Medicare PPO | No referral required. |
Healthnet PPO/POS | No referral required. |
HUMANA PLANS
Insurance Plan | Need a Referral? |
---|---|
Humana Choice PPO | No referral required. |
Humana Gold/Gold Plus HMO/POS | No referral required, effective 2020 |
Humana Medicare PPO | No referral required. |
Humana National POS-Open Access | No referral required. |
I
INDIAN HEALTH SERVICES (Contract Health)
Insurance Plan | Need a Referral? |
---|---|
Gila River Healthcare | Prior authorization is required from primary care. |
Santa Rosa | Prior authorization is required from primary care. |
L
LIBERTY HEALTH SHARE
Insurance Plan | Need a Referral? |
---|---|
Liberty Health Share | No referral required. |
M
MERITIAN
Insurance Plan | Need a Referral? |
---|---|
MERITIAN-Aetna Choice POS | No referral required. |
MERITIAN-Banner Health Network (TIER 1) | No referral required. |
MERITIAN-BCBS PPO | No referral required. |
MULTIPLAN
Insurance Plan | Need a Referral? |
---|---|
Multiplan | No referral required. |
MEDICARE
Insurance Plan | Need a Referral? |
---|---|
Medicare Part B | No referral required. |
MEDICARE SUPPLEMENTS
Insurance Plan | Need a Referral? |
---|---|
AARP | No referral required. |
Bankers Life | No referral required. |
Mutual of Omaha | No referral required. |
MISC NETWORKS
Insurance Plan | Need a Referral? |
---|---|
Arizona Care Network | No referral required. |
AZ Foundation | No referral required. |
Liberty Health Share | No referral required. |
MultiPlan | No referral required. |
PHCS | No referral required. |
First Health | No referral required. |
P
PHCS
Insurance Plan | Need a Referral? |
---|---|
PHCS | No referral required. |
T
TRICARE PLANS
Insurance Plan | Need a Referral? |
---|---|
Tricare Prime/Remote | Prior authorization is required from primary care. |
Tricare Reserve Select/Retiree | No referral required. |
Tricare for Life | No referral required. |
U
UNITED HEALTHCARE MEDICARE ADVANTAGE PLAN
Insurance Plan | Need a Referral? |
---|---|
UHC AARP Medicare Complete HMO- Banner Health Network | Paper referral is required from primary care. |
UHC AARP Medicare Complete HMO- OptumCare Network | Electronic referral is required from primary care. |
UHC AARP Medicare Complete HMO- Phoenix Direct Hospital Network | Paper referral is required from primary care |
UHC AARP Medicare Complete HMO- Pinal Health Care Network | Paper referral is required from primary care |
UHC AARP Medicare Complete PPO | No referral required. |
UNITEDHEALTHCARE PLANS
Insurance Plan | Need a Referral? |
---|---|
Golden Rule | No referral required. |
UHC Choice Plus/PPO/POS/Select Plus POS/Heritage Plus | No referral required. |
UMR | No referral required. |
UnitedHealthcare Shared Services | No referral required. |
UHC Navigate/Navigate Plus | Electronic referral required from Primary Care. |
UHC NexusACO | Electronic referral required from primary care |
V
VETERAN SERVICES
Insurance Plan | Need a Referral? |
---|---|
VA Choice/Triwest | Prior authorization is required from the VA. |
W
WELLCARE
Insurance Plan | Need a Referral? |
---|---|
Wellcare- Arizona Priority Care | Paper referral is required from primary care. |
NOT CONTRACTED PLANS
NOT CONTRACTED PLANS
BCBS Out of State HMO |
---|
Healthchoice Marketplace |
Humana HMOx |
Meritus PPO & HMO |
UHC- CRS Fully Integrated(Children's Rehabilitative Services) |
AHCCCS Phoenix Health Plan Advantage |
AHCCCS Phoenix Health Plan (PHP) |
AETNA Select |
UHC Gated HMO |
UHC Navigate & Navigate Plus |
BCBS Excellus Blue PPO Signature |
Cigna HMO Connect or Phx Connect Network |
Phoenix Choice |
AHCCCS Cenpatico Intergrated |
AHCCCS Health Choice Intergrated |
BCBS of Arizona EverydayHealth HMO |