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.

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.

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.

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 Affordable Health Choices® limited benefits insurance plan (SRC only)

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 HMO Bronze, Sliver & Gold Plans

Banner | Aetna: Arizona

Medical Networks

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 Select

Tricare Prime

*Please note we are NOT contracted with ChampVA
Select EPO

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

Effective date: 11/1/2022