Insurances We Accept:
- Arizona Health Care Cost Containment (AHCCCS)
- Medicare – Group, Individual, and Railroad
- Tricare Prime/Standard
- ASPA
- Banner Health Health Network (Arizona Integrated Physicians)
- AZ Priority Care Plus (AZ PCP)
- Aetna US Healthcare
- AmeriPlan
- Arizona Foundation for Medical Care
- Arizona Medical Network (AMN)
- Banner Health Plan
- BCBS
- Beech Street
- Cigna HealthCare of Arizona/Great West
- Cofinity
- Corvel
- Coventry/First Health
- Fortified Provider Network
- Galaxy Health Network
- HealthCare Connect
- Health Net of Arizona
- Health Net Senior
- Humana/Human Choice Care
- Integrated Health Plan (IHP)
- Lifeprint (UHC AAARP Medicare Complete)
- MediSunOne Classic, Plus and Premier
- MultiPlans, Inc./PHCS
- Prime Health
- SCAN Health Plan of Arizona
- Three Rivers Provider Network
- United Healthcare
- Universal Medicare Advantage
- USA Managed Care
- Bridgeway
- Care 1st/One Care
- Evercare Choice/Premier/Select
- Health Choice/Health Choice Generations
- Maricopa Health Plan/Maricopa Care Advantage
- Blue Alliance
- Phoenix Health Plan/Community Connection
- UHC Community Plan/Personal Care Plus
THE NO SURPRISES ACT
STANDARD NOTICE AND CONSENT DOCUMENTS
(OMB Control Number: 0938-1401)
SURPRISE BILLING PROTECTION FORM
More information about your rights and protections
Visit: https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under federal law.