While Phoenix Children’s accepts many plans with the insurance companies and/or provider networks, as listed below, not all products provided by health plans offer benefits at Phoenix Children’s and/or Phoenix Children’s Medical Group. To ensure coverage with your health plan, please check with your insurance company directly to confirm participation with your specific plan. Each insurance company offers many different plans.

Insurance Groups

  • Aetna Health, Inc.
  • America’s Choice Provider Network, Inc. (ACPN)
  • Arizona Complete Health – Medicaid Managed Care Organization (MCO)
  • Arizona Health Care Cost Containment System (AHCCCS)
  • Blue Cross Blue Shield of Arizona (BCBSAZ)
  • Care1st Health Plan Arizona – Medicaid Managed Care Organization (MCO)
  • ChoiceCare Network
  • Cigna Healthcare of Arizona (Great West Health)
  • Cigna Behavioral Health
  • Employer Health Network
  • Gila River Health Care
  • HealthChoice – Medicaid MCO
  • Health Net Federal Services
  • HealthSmart
  • Humana Health Plan
  • Medica Insurance Company
  • Medicare – Coverage directly through Medicare (not Medicare Advantage)
  • Mercy Care – Medicaid MCO
  • Molina Healthcare, Inc – Medicaid MCO
  • MultiPlan
  • Private Healthcare Systems (PHCS) – Part of MultiPlan
  • Three Rivers Provider Network
  • United Behavioral Health
  • UnitedHealthcare (UHC)
  • UnitedHealthcare Community Plan (UHCCP) – Arizona Long Term Care System (ALTCS) and Medicaid MCO
  • University of Arizona Health Plans/University Family Care (UAHP/UFC) – ALTCS and Medicaid MCO
  • USA Managed Care Organization (USA MCO)

Insurance Groups for Orthodontic Services

  • AHCCCS Dental
  • BCBS Dental
  • Delta Dental
  • DentaQuest Dental
  • Envolve Dental
  • Health Choice Arizona Dental
  • Humana Dental
  • United Healthcare Dental

Insurance Groups for Transplants

  • Accarent Health – Blood and Marrow, Kidney, Heart, Pectus Nuss Repair
  • AHCCCS – Blood and Marrow, Kidney, Heart, Liver, Kymriah
  • BCBSAZ – Blood and Marrow, Kidney, Heart, Liver
  • Blue Distinction - Blood and Marrow, Heart
  • Cigna LifeSource – Blood and Marrow, Kidney, Heart, Liver
  • Health Net - Blood and Marrow, Kidney, Heart, Liver
  • InterLink Health Services – Blood and Marrow, Kidney, Heart, Liver
  • LifeTrac – Blood and Marrow, Kidney, Heart, Liver
  • OptumHealth Transplant Network – Blood and Marrow, Kidney, Heart, Liver

Cost Share Plans and Healthcare Sharing Plans

A cost share or healthcare sharing plan means an organization’s members “share” medical costs. Those with a cost share or healthcare share plan do not have health insurance. Therefore, we consider any patient who is enrolled in a sharing plan as “self-pay” or “uninsured,” when seeking care at Phoenix Children’s.

If you participate in a cost share plan, you will get a statement for the services received. It will show the appropriate self-pay discount. You may forward your statement to your cost share group for review and reimbursement. However, you are responsible for payment regardless of whether your cost share group reimburses you or not. We don’t send claims or statements to cost share groups directly. It’s your family’s responsibility to submit to your cost share group.

Note: This cost share policy currently is effective for new patients. For existing patients with cost share plans, the policy is effective January 1, 2024.