Neurology Appointment & Insurance Information

ACCEPTED

AHCCS (Referral by Primary Care Provider Required)

• Contract Health
• Contract IHS
• Contract Chinle (will have a purchase order (PO), requires authorization)
• Health Choice (ID# HCIA)
• Mercy Care
• Indian Health Services (ID# starts with A)
• United Health Care Community Plan

Blue Cross Blue Shield

• BCBS of Arizona (PPO, HMO), Anthem BCBS
• BCBS Maricopa Focus (Marketplace, referrals required from PCP, prefix FLH)
• BCBS (Marketplace BLUE PPO, prefix EPI or IPO)
• BCBS neighborhood HMO (referrals required from PCP, prefix NNG or NNJ)

BCBS Third Party

• Contract Health
• Contract IHS
• Contract Chinle (will have a purchase order (PO), requires authorization)
• Health Choice (ID# HCIA)
• Mercy Care
• Indian Health Services (ID# starts with A)
• United Health Care Community Plan

Cigna

• Administrative Enterprise
• Ameriben
• Gilsbar
• Meritain Health
• Southwest Service Administrators
• Southwestern Teamsters

Commercial Networks

• Arizona Foundation for Medical Care (AZFMC), First Health, Multiplan
• Private Health Care Systems (PHCS), Coventry Health, MediShare, Unicare

Government Plans

• Champ VA, Tricare for Life
• Medicare, Railroad Medicare
• Tricare PRIME (authorization needed)
• Tricare Standard/Indemnity (referral required)
• VA Choice Program (authorization needed from VA)

Humana

• Humana (HMO, PPO, Premier, National, Preferred)
• Humana Choice PPO

Market Place Plans (Referral Required)

• Blue Cross Blue Shield Maricopa Focus (prefix FLH)
• Blue PPO (prefix EPI or IPO)
• Bright Health
• Cigna Connect

Medicare Advantage Plans (Referral Required)

• Alignment Healthcare (ACN network)
• AARP Medicare Complete HMO (plan 1, plan 2)
• AARP Medicare Advantage PPO
• Blue Journey Network PPO (prefix M3P)
• Blue Pathway Network HMO (plans 2 and 3 only, prefix M2V)
• Bright Health Advantage HMO
• Cigna Health Springs HMO, Cigna Alliance HMO
• Humana Gold Plus, HMO/PPO, Humana Gold Choice HMO
• Health Choice Pathways (#ID MZHHC)
• Mercy Care Advantage
• Optumcare/Secure Horizon
• Phoenix Direct Hospital Network
• United Healthcare Community Plan, Dual Complete, One HMO, SNP
• United Healthcare Group Medicare Advantage HMO, PPO
• United Healthcare Nursing Home Plan (PPO)

United Healthcare

• Golden Rule
• UHC Compass
• United Healthcare, UMR
• United Health Care Navigate Plan (Requires PCP Referrals Only)

NOT ACCEPTED

Aetna

• Aexcel
• Banner HMO
• Medicare Banner Plans
• Aetna (HMO), EPO (requires authorization)
• Aetna PPO, POS, Open Access, Select, Student plan, Meritain Health/Aetna
• Aetna Banner POS plans only
• Aetna Medicare Select Plan HMO
• Aetna Value, Premier HMO, Whole Health

AHCCCS

• AZ Complete Health
• Care 1st
• Banner University Physicians
• Emergency AHCCCS
• Magellan Complete
• ONECARE Advantage
• Out-of-state Medicaid

Banner Network

• We do not accept any Banner or Healthnet plans/networks

Blue Cross Blue Shield

• BCBS Advantage HMO (prefix M2K)
• BCBS Alliance (prefix XAH, XBN, FPO)
• BluePathway HMO (prefix M3V and M4K)
• BCBS Pima (PMA, PMK)
• BCBS High Performance (prefix Z5M, Z4N)

Cigna

• Health Savings
• Health Surefit
• Health Flex
• Cigna Banner Choice

Commercial Plans

• Assurant
• Kaiser Plans
• Meritus
• Presbyterian Health Plan
• Out-of-state Plans

Magellan Complete Care

• ONECARE Advantage
• Out-of-State Medicaid

Marketplace Plans

• AllWell
• AmBetter
• OSCAR

Medicare Advantage Plans

• Caremore Smart Plus
• Caremore Value Plus
• Healthnet Advantage
• Humana Gold Plus Integrated (Medicare, Medicaid Plan)
• Optum Scan Health
• WELLCARE

UHC Doctors Plan

• Banner Health Network