Billing & Insurance
We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.
If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.
If you do not see your insurance listed below or if you have any questions, please contact us at (480) 844-0401 as we are continuously adding new payers.
Contracted Insurances
(Any plan with * requires a referral)
- AETNA:
- Banner Employee Plan
- Confinity
- Exchange Plan QHP
- HMO*, PPO, POS/EPO
- Medicare Plans (Freedom, Platinum Plan, Prime plan, Premier Plan & Prime Plus plan)
- Premier Care Network (**See non contracted networks below)
- Worker’s Comp
- AZ Foundation
- AHCCCS:
- Arizona Complete Health* (Formerly AHCCCS Health Net and AHCCCS Cenpatico)
- Banner University Family Care* (Acute Care)
- Banner University LTC* (Long Term Care)
- Health Choice Arizona (Only as secondary insurance)
- Indian Health Service
- Mercy Care* (Hospital procedures at Banner Desert)
- Mercy Care RBHA*
- Molina Complete Care* (Formally Magellan)
- QMB (secondary to Medicare only) (pays Medicare premium, coinsurance, and deductible)
- UHC Community Plan* (Hospital Procedures at Banner Desert only)
- UHC Community Plan LTC*(Hospital procedures Banner Desert)
- Arizona Complete Health (see Health Net)
- Banner
- Banner Medicare Advantage Dual (Formerly University Care Advantage)
- Banner Medicare Advantage Prime HMO
- Banner Medicare Advantage Plus PPO
- Blue Cross Blue Shield (Except BCBS Select PPO)
- Advantage* (Formerly Banner Medisun) Prefix: M2K
- BCBS OF Arizona and Out of State Plans
- BCBS of Arizona Neighborhood Network HMO*
- Medicare Advantage Blue Journey-Prefix: M3P
- Medicare Advantage Blue Pathway-Prefix M2V
- Beechstreet
- Champ VA (No contract necessary) (Not the same as VA)
- CIGNA
- Connect (On and off Marketplace)
- Great West
- Healthspring Alliance Medicare Advantage
- HMO*, PPO, POS/EPO
- IFP (Individual Family Plan – On and off the Marketplace)
- Local Plus
- Senior Plans
- Coventry/First Health
- Devoted Healthcare (Effective 1/1/21)
- First Health/Coventry
- HEALTHNET
- Ambetter From Arizona Complete Health
- Commercial Arizona Complete Health *referral required on HMO plans
- Medicare Advantage-Allwell From Arizona Complete Health – only Direct Network
- Humana (Except Human preferred plans)
- HMO*, PPO, POS/EPO
- MEDICARE
- Medica
- MAYO
- Medicare/Railroad Medicare
- Mercy Care Advantage (Medicare Advantage) *
- Molina Medicare Advantage (Formally Magellan)
- Multiplan/PHCS
- Kaiser Permanente (PPO & POS)
- UNITED HEALTH CARE:
- AARP Medicare Advantage OPTUMCARE Network (effective 3/1/21)
- AARP Medicare Advantage PPO (Medicare National Network)
- AARP Medicare Complete Banner Health Network (BPHO)*
- AZ Individual Exchange Plans: GOLD, SILVER AND BRONZE
- Community Plan Medicare Advantage (Hospital Procedures Banner Desert)
- Dual Complete Banner Network
- HMO*, PPO, POS/EPS
- Medicare Banner Health HMO*
- Medicare Direct (PFFS PLAN)
- Medicare Advantage PPO/HMO (OPTUMCARE)
- Medicare Solutions
- Medicare Solutions Senior PPO UHC
- Medicare Phoenix Direct, Rural Direct & Pinal Networks (All hospitals except Scottsdale Thompson Peak Medical Center)
- Sierra Health
- Tricare- Select and Prime *HMO needs referral
- Wellcare by Allwell
Non-Contracted Insurances
- AHCCCS*:
- Any out of state Medicaid Plans
- Community Connection
- Federal Emergency Services
- Health Choice- (Primary, can see if secondary)
- Maricopa County Long Term
- Medicaid Area 5
- PIMA Health System
- Secure Gold Plan SR HMO
- AETNA: (All networks will show on card except Savings Plus Plan)
- Savings Plus Plan
- Performance Network
- Arizona Care Network
- AMERIBEN (for Honor Health employees)
- Blue Cross Blue Shield:
- Atlantic Blue Cross Canada
- Advantage: Blue Pathway AZ Priority Care-Prefix: M4K
- Select Network-Prefix: XBI, XBJ
- Secure Network-Prefix: XBZ, XBL
- Maricopa Focus Network-Prefix: MCF, FLH
- Steward-Prefix SWD
- Bright Health Advantage Plan
- Canadian Insurances in General – USA claims mailing address
- Caremore Medicare Advantage
- Care Plus Geriatrix HMO
- CIGNA
- Sure Fit
- Connected Care
- Local Plus
- Senior Plans
- Community Blue/NY AHCCCS
- GMAC
- Health Choice
- Pathway Medicare Advantage
- Preferred (exchange plan, ID #’s begin with “E”)
- Health America HMO Out of State
- Health Net
- Community Solutions
- Oregon
- Senior AZ Priority Care Plus
- Humana
- Preferred Plans*
- Humana Phoenix HMO
- Out of State SR Plans
- Kaiser Permanente HMO
- Maricopa Health Select HMO
- Oscar Health
- UMR- MIHS (Maricopa Integrated Health System)
- United Health
- Care Compass (Exchange Plan)
- Navigate
- Senior Choice
- Travel Guard Canada
- UMR- not contracted with Maricopa Integrated Health System
- VA (Veterans Administration)
- Wellcare Medicare Advantage AzPCP NETWORK
- Workers Comp (Except Aetna workers comp)
- World Travel Protection
- Yavapai County Long Term Care