Current In-Network Insurances

We participate in many insurance plans, including some medicare and medicaid. The following insurance plans are accepted by Arcadia Well Woman. However, insurance networks are constantly changing. Please contact your insurance prior to your visit, to verify that our office is in network with your plan. It is your responsibility to verify that the office is contracted with your insurance.

Please remember that you must present a valid insurance card upon each visit with Arcadia Well Woman. Inaccurate billing information, expired insurance cards, or failure to obtain proper authorization will result in payment being your direct responsibility.

It is your responsibility, as the INSURED, to follow the rules and guidelines outlined by your specific insurance policy. You are responsible for understanding what your financial responsibility would be (i.e. deductibles, co-insurance, and copays) as well as what your coverage limitations are (i.e. covered and non-covered benefits, required referrals, pre-authorizations, etc.).

We also see patients that are uninsured. Please call the office for a quote for a self pay visit. Please be aware that our office does not handle any billing for labs. You will receive a separate bill from the laboratory regarding any payments due. Please contact the laboratory directly for any billing questions, as our office does not have access or handle any billing questions for them.

In Network:

Aetna (Most Policies) (Except Arizona Care Network (ACN)

• Aetna Banner
• Aetna Banner (HMO) (May require referrals submitted online through Aetna's  website)
• Aetna Banner (HMO): Bronze/Silver/Gold Plans 2023
• EPO (May require referrals submitted online through Aetna's website)
• HMO (May require referrals submitted online through Aetna's website)
• Aetna Medicare Prime (PPO) & (HMO) (HMO requires referrals submitted online by PCP)

AHCCCS/Medicaid

• Arizona Complete Health (formerly Health Net Access)
• Mercy Care
• Mercy Care RBHA (formerly Mercy Maricopa Integrated Care)
• United Healthcare Community Plan (formerly APIPA) (Except LTC or CRS)

AmeriBen/BCBS AZ (Except HONOR HEALTH/JC Lincoln - COORDINATED CARE PLAN)

Arizona Complete Health

• Ambetter HMO
•  Arizona Complete Health AHCCCS
•  Allwell Medicare

Assurant Health 

AZ Foundation 

Banner Health Network

• HMO (May require referrals submitted online through Aetna's website)
• EPO (May require referrals submitted online through Aetna's website)

Beech Street (part of PHCS)

Blue Cross Blue Shield AZ PPO (Except Neighborhood HMO/MARICOPAFOCUS HMO/Steward Health Plan PPO)

• Alliance
• BlueChoice (HMO) 
• PPO

BCBS Out of state (PPO) (Except HMO and BCBS California PPO Covered California)

Cigna (Except Connect Network HMO and Sure Fit HMO, or Local Plus)

• Open Access Plus
• PPO

ChampVA (Most plans require a referral)

Coventry

Devoted Health 

First Health Network

GEHA

Liberty Healthshare

Marketplace Exchange Plans

• Ambetter HMO
• Banner/Aetna HMO
• OSCAR HMO
• United Healthcare HMO (Need Referrals submitted by PCP on UH website prior to Appt)

Medicare

Medicare Replacement/Advantage (No Cigna Medicare or Humana Medicare)

•  Aetna Medicare HMO
•  BCBS Medicare (Only some Policies)
•  United Healthcare Dual Complete
•  Mercy Care Advantage (HMO)

Medicare Supplement

• AARP/United Healthcare Network

Meritain

Meritus PPO

Multiplan

OSCAR

PHCS 

Tri-Care (Some plans require referrals from the PCM)

TriWest Community Care Network (Referrals required by VA health team)

UMR

United Healthcare

• Choice Plus
• AZ Compass HMO (Need Referrals submitted by PCP on UH website prior to Appt)
• AZ Compass HMO Value (Gold, Plus Silver, Silver, Bronze, Platinum) (Need Referrals submitted by PCP on UH website prior to Appt)
• NexusACO (Need Referrals submitted by PCP on UH website prior to Appt)
• Navigate  (Need Referrals submitted by PCP on UH website prior to Appt)
• UHC West
• UnitedHealthOne (formerly Golden Rule) (Short Term Plan) May have a waiting period, May not have Preventive coverage. Please check with your plan prior to scheduling

Out of Network:

Aetna - Arizona Care Network (ACN)

AHCCCS/Medicaid

• American Indian Health Program
• Banner-University Family Care
• Care1st
• Health Choice Arizona
• Molina Complete Care Healthcare
• United Healthcare Community Plan (APIPA) (Long Term Care or CRS)    

Ameriben/BCBS AZ – HONOR HEALTH/JC Lincoln - COORDINATED CARE PLAN

Arizona Care Network (ACN)

BCBS – AZ Neighborhood HMO, MARICOPA FOCUS HMO

BCBS – CA – Covered California

BCBS – Steward Health Care Network (even if policy is a PPO)

Bright Healthcare

Cigna (Connect Network) HMO, SureFit, and Local Plus

Humana

Lifeprint

Lifewise

Marketplace Exchange Plans

• BCBS HMO
• Bright Healthcare HMO
• Cigna Connect HMO

Medicare Replacement/Advantage

• Cigna Preferred Medicare HMO
• Humana
• United Healthcare C-SNP Medicare Advantage benefit plan

Meritus MIHS HMO

SCAN Medicare Supplement