Insurance
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This information is subject to change at any time. Therefore, please check with your insurance plan before scheduling your appointment or receiving services to confirm we are participating in network. Just because we accept a plan does not necessarily mean we are in the network. And just because we are in network does not me we accept all of the plans of the network. Each insurance plan is unique. We recommend that you check with your particular plan in advance to find out what services are covered and how much they will reimburse you for medical expenses, if necessary.
Please have your insurance card with you at the time of your appointment. You are responsible for co-payments/co-insurance/deductible/non-covered services at the time of your visit. If we are not a provider for your insurance, or if you are not insured, you will be responsible for the entire charge at the time of service.
We Accept The Following Insurances:
Aetna
(For BannerAetna, see below)
Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
Aetna Choice POS
Aetna Choice POS II
Aetna Health Network Only
Aetna Health Network Option
Aetna HealthFund Aetna Health Network Only
Aetna HealthFund Aetna Health Network Option
Aetna Open Access Elect Choice EPO
Aetna Open Access Managed Choice POS
Aetna Premier Care Network (APCN)
Aetna Premier Care Network Plus (APCN Plus)
Aetna Select Open Access
Aetna Select
Aetna Voluntary Plans
Aetna with Innovation Health Aetna Select
Aetna with Innovation Health POS
Aetna with Innovation Health PPO
Arizona HealthNetworkOption (HNOption)
Choice POS II
Elect Choice Open Access/Elect Choice
Elect Choice EPO
HMO
Managed Choice Open Access/Managed Choice
Managed Choice POS
National Advantage Program (NAP)
Open Access Aetna Select
Open Choice PPO
PPO
QPOS
Summit Healthcare
We are NOT currently contracted with the following Aetna plans:
- Better Health
- Mercy Care
Ameriben
BannerAetna
Banner Aetna Select Open Access
Banner Choice POS II
Banner Choice POS II Multi Tier
Banner Managed Choice Open Access
Banner PPO
We have signed a contract to join the Banner Health Network which includes these plans. We will be in-network starting in 2024!
- Banner HMO
- Banner Managed Choice / Choice POS II
- Banner Open Access Aetna Select
- Banner Elect Choice Open Access
Blue Cross Blue Shield (BCBS)
National PPO/EPO
Federal
Indemnity
Statewide HMO
Arizona PPO
We are NOT currently contracted with the following BCBS plans:
- Neighborhood
- MaricopaFocus
We have signed a contract to join the Banner Health Network which includes these plans. We will be in-network starting in 2024!
- Alliance HMO/PPO/EPO
- Blue HPN National EPO (Alliance Network)
ChampVA
Cigna
Choice Fund PPO
ChoiceFund OA Plus
ChoiceFund OA Plus with CareLink
Cigna SureFit
Connect Network, HMO, POS
OA Plus
Open Access Plus
PPO
We are NOT currently contracted with the following Cigna network:
- Arizona Care Network
Liberty Healthshare
Medishare
Redirect Health
Surest
Tricare West
UMR (United Medical Resources)
United Healthcare Commercial
CHOICE EPO
CHOICE PLUS POS
CHOICE HMO/ CHOICE +HMO
EXCHANGES/ER WRAP
NAT ANCILL ALL OTHER
PPO
SELECT EPO
SELECT PLUS POS
SELECT HMO/ SELECT +
Surest
UHC CHARTER EPO, HMO, POS
UHC CORE CHOICE PLUS POS
UHC CORE EPO, HMO
UHC DOCTORS PLAN EPO, PLUS POS, PLUS HMO
UHC NEXUSACO NR, NRB, NRP, OA, OAP, R, RB, RP
USHealth Group
As always, check the participating provider lists to see if we are enrolled at our Mesa Drive location.
AHCCCS/Medicaid Plans
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American Indian Health Program (AIHP) – We are in-network!
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Arizona Complete Health (formerly Health Net Access) – They are not accepting new pediatricians.
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Banner-University Family Care – We will be in-network starting in 2024!
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Health Choice Arizona (Blue Cross Blue Shield of Arizona) – We are in-network!
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Mercy Care – Our application was declined. They don’t need any more pediatricians. More info HERE
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Molina (formerly Magellan) – We are in-network!
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UnitedHealthcare Community Plan – Contracting is in progress. No estimate when it will be finalized.
We Do Not Accept The Following Insurances:
- Oscar Health Plan
- Ambetter from Arizona Complete Health
- Medica (Mayo Clinic is ok)