Patient Forms
Accepted Insurances
(Please call your insurance company to verify if we are contracted with your insurance
to eliminate any unnecessary inconvenience).
Here is the list of most of our contracted insurance companies:
AETNA (we are not contracted with Banner Aetna Banner Health Network)
AARP/UHC WEST – (we do not accept Banner Health Network or Optum Phoenix Direct Hospital)
AHCCCS – Allwell, APIPA -United Healthcare Community Plan, Care1st, Evercare, Magellan Complete Care of Arizona, Mercy Care Plan, Mercy Care Plan RBHA, Mercy Maricopa Integrated Care and Wellcare.
BLUE CROSS BLUE SHIELD (we are not contracted with Neighborhood Network, BCBS Advantage HMO Classic or Plus HMO Plans).
CAREMORE
CIGNA -CIGNA PPO, CIGNA HMO, CIGNA OAP, CIGNA CARE, CIGNA MEDICAL GROUP, CIGNA HEALTH SPRINGS, CIGNA MEDICARE SELECT and MARICOPA INTEGRATED HEALTH
(we do not accept Southwest Service Administrators Network, Cigna OAP-Local Plus, Cigna Connect Plan and Cigna SureFit)
CCN/FIRST HEALTH
FPN (Fortified Provider)
GEHA
HEALTHCARE NETWORKS OF AMERICA (HNA)
HEALTHNET/HEALTHNET ACCESS/HEALTHNET MARKETPLACE/AZ PRIORITY CARE/AMBETTER
HUMANA
HUMANA ONE MARKETPLACE PLAN-PHX HMO
HUMANA CHOICE CARE PPO ONLY
MAILHANDLERS
MARICOPA INTEGRATED HEALTH
MEDICARE
MEDICA
MERCY MARICOPA ADVANTAGE
OPTUM (we do not take Optum Phoenix Direct Hospital Network)
PHCS/MULTI-PLAN
RAILROAD MEDICARE
TRICARE
UMR
UNITED HEALTHCARE
(we are not contracted with the Navigate Product, Banner Health Networks, Compass Benefit or Individual Exchange Benefit)
UHC WEST
WAUSAU BENEFITS
WELLCARE
YAVAPAI COUNTY LONG TERM CARE
We do not accept:
BCBS SELECT PLAN
CIGNA CONNECT PLAN
CIGNA OAP-SOUTHWEST SERVICE ADMINISTRATORS
CIGNA SUREFIT
CIGNA LOCAL PLUS
HEALTH CHOICE, HEALTH CHOICE GENERATIONS/MEDICARE
MARICOPA CARE ADVANTAGE, MARICOPA HEALTH PLAN or MARICOPA MANAGED CARE PLAN