Insurance Plans Accepted
We are in-network with many plans, and we try to list all of them the best we can to help you understand ahead of time if we can run your insurance for your visit(s).
*If your insurance plan and/or card specifies that you will need a referral (from your PCP or other), you will need to provide us with a referral or we will not be able to accept your insurance. It is your responsibility to provide the referral from the necessary provider to our office.
Since insurance coverage and plan options, coverage amounts, etc… change often we encourage you to check your coverage and out-of-pocket amounts ahead of time with your insurance carrier. Because of this, it is your responsibility to verify that we are in-network with your specific plan.
We will do the very best to help you in any situation you are in and may also offer appointments on a cash pay basis as well based on what services you may need.
*If you are in a AHCCCS or Community Health type plan, please call our office and we would be happy to work with you on an amount that works for you and us to help you out.
*For Honor Health (Ameriben) plans for Group HHH001, please note that this is an out-of-network plan for our clinic.
Please also note that although we are in-network with TRICARE West, we are not in network with any other military-based plans, such as ChampVA and may require a deposit when billing.
It is our policy that we can not guarantee any insurance coverage. Actual payment and member responsibility are determined when claims are processed and may be different due to a number of factors including differences in services rendered, changes in patient eligibility, other payments made, provisions of the plan including recent amendments, applicable law, and other relevant factors. You as the patient will be responsible for any amount set by your insurance plan.
*If you come in to see us and we are unable to verify your benefits or coverage, we will charge a deposit until your insurance has a chance to properly process your claim(s). *Also, please note that some insurance companies do not cover all of cost of your appointment(s); since we are an office-based provider we bill appointments as office visits + lactation (for your breastfeeding consultation based appointments).
Contracted (in-network) plans below, click on your carrier and see which plans we participate in:
Aetna Select℠
Aetna Voluntary Plans
HMO
Managed Choice® POS
Open Choice® PPO
QPOS®
Aetna Choice® POS II (Open Access)
Aetna Health Network Only℠ (Open Access)
Aetna Health Network Option℠ (Open Access)
Aetna Select℠ (Open Access)
Elect Choice® EPO (Open Access)
Managed Choice® POS (Open Access)
Aetna Choice® POS (Aetna HealthFund®)
Aetna Choice® POS II (Aetna HealthFund®)
Aetna HealthFund® Aetna Health Network Only℠ (Open Access) 2/10/2022
Aetna HealthFund® Aetna Health Network Option℠ (Open Access)
Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
Open Access Aetna Select℠ (Aetna HealthFund®)
Open Choice® PPO (Aetna HealthFund® (AZ) Summit Healthcare
2022 Arizona HealthNetworkOption Open Accesss (For Qualified Conversion Plan Member Only)
Aetna Premier Care Network (APCN) - Choice POS II/Open Access Managed Choice
Aetna Premier Care Network (APCN) - Open Access Aetna Select
Aetna Premier Care Network (APCN) - Choice POS II/Open Access Managed Choice
Aetna Premier Care Network (APCN) - Open Access Aetna Select
Aetna Premier Care Network Plus (APCN Plus) - Banner Network - Choice POSII
Aetna Premier Care Network Plus (APCN Plus) - Banner Network - Open Access Aetna Select
Aetna Premier Care Network Plus (APCN Plus) - Choice POS II/Open Access Managed Choice
Aetna Premier Care Network Plus (APCN Plus) - Open Access Aetna Select
Aetna Premier Care Network Plus (APCN Plus) - Banner Network - Choice POSII
Aetna Premier Care Network Plus (APCN Plus) - Banner Network - Open Access Aetna Select
Aetna Premier Care Network Plus (APCN Plus) - Open Access
Aetna Select
Arizona Banner HMO
Arizona Banner Open Access Managed Plus
Arizona Banner PPO
Arizona HealthNetworkOption (HNOption)
Arizona HMO
Arizona Open Choice PPO
Arizona Summit
Aetna with Innovation Health Aetna Select
Aetna with Innovation Health POS
Aetna with Innovation Health PPO
Aetna Select Open Access / Aetna Select
Banner Choice POS II Multi Tier
Banner Elect Choice Open Access/Elect Choice
Banner HMO
Banner Managed Choice / Choice POS II
Banner Open Access Aetna Select
Choice POS II
Elect Choice Open Access/Elect Choice
HMO / Health Network Only
Managed Choice Open Access/Managed Choice
PPO
National Advantage™ Program
Banner | Aetna: Arizona
National PPO/EPO
CHS Arizona PPO (No access outside of Arizona)
BluePreferred Care Tiers (Triple Choice Plan for State of AZ Employees)
Indemnity
BlueHPN National EPO (In AZ: Alliance Network)
Alliance PPO/EPO
Alliance HMO
MaricopaFocus
*Please note that most out of state plans (i.e.: BCBS of CA, BCBS of IL, etc... to include Anthem BCBS) will not cover your office visits in our clinic, and will commonly apply the amount due based on your plan's deductible and therefore there we will collect a deposit at time of service, submit these claims on your behalf, and refund up to the amount of deposit in the event that your plan reimburses our office for the visit.
Tricare Prime
*Please note we are NOT contracted with ChampVA
UHC NexusACO NR
UHC NexusACO NRP
Choice HMO/ Choice +HMO
Choice EPO
UHC Charter EPO
Nat Ancill All Other
UHC NexusACO RP
UHC NexusACO RB
UHC NexusACO NRB
UHC Charter HMO
UHC Charter POS
UHC Core Choice Plus POS
Select HMO/ Select +
UHC NexusACO R
UHC NexusACO OAP
Choice Plus POS
UHC NexusACO OAP
UHC NexusACO OA
PPO
UHC Core EPO
UHC Core HMO
Select Plus POS
*UMR does NOT cover the cost for tongue/lip tie procedures
*AZONEX is considered an out-of-network plan, per UnitedHealthcare
Cigna Preferred Partner HMO (formerly Cigna Medical Group)
Open Access Plus, OA Plus
ChoiceFund OA Plus with CareLink
Open Access Plus
OA Plus
ChoiceFund OA Plus
PPO
Choice Fund PPO