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Common In & Out of Network Insurances
- Always Double-Check with your Insurance Plan before Scheduling an Appointment. -
- While Some Insurance Companies may Generally be Accepted, Your Individual Plan May Not Be -
- Most PPO Plans Have Out-of-Network Coverage. Most HMO Plans do not -
- Self-Pay Options Available* -
Common In-Network Plans
Medicare
Banner/Aetna, Aetna, Aetna Medicare
TriCare/TriWest, TriWest HC Alliance
AARP Medicare Advantage
United Healthcare/UMR
Blue Cross Blue Shield
PDH/PHCS/MultiPlan
Cigna Healthcare
USAA
Common Out-Of-Network Plans
*Medicaid/AHCCCS/MercyCare
BCBS Medicare Advantage
HealthSpring (prev. Cigna Medicare)
AZ Complete Health
Devoted Health
Humana
AmBetter
WellCare
Workers Comp. & Personal Injury
*Important Reminder Regarding AHCCCS/Medicaid*
Per AHCCCS - ROPA guidelines: "All health care providers who refer AHCCCS members for an item or service, who order non-physician services for members, who prescribe medications to members, and who attend/certify medical necessity for services and/or who take primary responsibility for members’ medical care must be registered as AHCCCS providers"
Stone Med's providers are not registered with AHCCCS. Per ROPA, we are not allowed to see AHCCCS members, including active members via self-pay, as program eligibility is largely income-based. Additionally laboratories, radiology/imaging centers, and pharmacies are not allowed process orders or prescriptions written by non-AHCCCS providers for active AHCCCS members. We are bound by state and federal guidelines.
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