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 |
