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Health Insurance Plans We Accept

Billing & Financial Assistance

At Phoenix Children’s, we accept many health plans through health insurance and provider networks. However, each health plan is different. We want to make sure you have the coverage you need before you receive care. Please check with your health insurance company directly for any questions about what they cover at Phoenix Children’s or Phoenix Children’s Medical Group.

Insurance Groups

Make sure Phoenix Children’s contracts with your insurance plan. Ask your insurance provider if Phoenix Children’s is in-network or out-of-network. Know that just because we accept your insurance plan doesn’t mean your insurance will pay all your medical expenses.

  • Aetna Health, Inc.
  • America’s Choice Provider Network, Inc. (ACPN)
  • Arizona Complete Health – Medicaid managed care organization (MCO)
  • Arizona Foundation for Medical Care (AFMC)
  • Arizona Health Care Cost Containment System (AHCCCS)
  • Beech Street – part of MultiPlan
  • Blue Cross Blue Shield of Arizona (BCBSAZ)
  • Bright Health Insurance Company of Arizona
  • Care1st Health Plan Arizona – Medicaid MCO
  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
  • ChoiceCare Network
  • Cigna HealthCare of Arizona (Great West Health)
  • Cigna Behavioral Health
  • Employer Health Network
  • First Health
  • Gila River Health Care
  • HealthChoice – Medicaid MCO
  • HealthEOS – part of MultiPlan
  • Health Net Federal Services
  • HealthSmart
  • Humana Health Plan
  • Magellan Complete Care – Medicaid MCO (now under Molina)
  • Medica Insurance Company
  • Medicare direct coverage (not Medicare Advantage)
  • Mercy Care – Medicaid MCO
  • Mercy Maricopa Integrated Care (MMIC) – Medicaid managed care plan
  • 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 Transplants

Transplant procedures have different insurance and billing guidelines. Just like with other services though, make sure Phoenix Children’s contracts with your insurance plan or network.

  • Accarent Health – blood and marrow, kidney, heart, pectus Nuss repair
  • AHCCCS – blood and marrow, kidney, heart, liver
  • BCBSAZ – blood and marrow, kidney, heart, liver
  • 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
  • MultiPlan – blood and marrow, kidney, heart, liver
  • OptumHealth Transplant Network – blood and marrow, kidney, heart, liver
  • TriCare – blood and marrow, kidney, heart, liver

Note: Aetna is not contracted for transplants, but we will obtain a single-case agreement with them if they are your insurance provider.

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.

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