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Insurance Options

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The practice is currently accepting as 'In-Network':

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Aetna

Medicare*

 

Blue Cross Blue Shield of AZ ****

We are NOT contracted for HealthChoice (HCIA,IAZ) or MaricopaFocus  (FLH) plans, and some HMO plans. See below ****

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UHC/UBH-Optum**

Tricare-West***

Humana

TriWest (by VA-CCN referral only)

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We are 'Out of Network' with:

UHC Medicare Advantage

UHC Community Plans 

Most Medicare Replacement Plans *

Magellan Behavioral Health or plans that specify Magellan Health for Behavioral Health Services (please check the back of your insurance card carefully).

ChampVA

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Disclaimers: 

 

South Mountain Family Psychiatry does not bill out of network services on behalf of the patient.  The patient is responsible for all fees at self-pay rates at time of service. We will provide a suitable statement the patient can use to self-submit for out of network reimbursement.  

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Some plans require pre-authorization. Please contact the member service number on your insurance ID card to confirm your requirements.

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* Including Supplement F&G plans if Medicare is Primary.

** 'Commercial' plans including Oscar & Oscar Small Group, UMR, UHC.

** UHC Medicare Advantage and HMO plans are NOT accepted.

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*** Tricare Select, Prime. Certain plan options require prior authorization/referral. Please contact us and we can check on your behalf.

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**** Several BCBS HMO plans require PCP referral / pre-authorization.  Please contact your plan admin or BCBS member services to determine if your provider is in-network or requires PCP referral.   We are not contracted for plans with a member ID beginning with FLH, HCIA, or IAZ.  

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We do not accept:

Cigna

AHCCCS or AHCCCS related plans.

Mercy Care

TriWest (non-VA, not the same as TriCare-West)

Medicaid

MarketPlace plans

AMBetter

National General (Short Term)

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Please contact us to discuss payment options.

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Insurance is complicated!  If your carrier is not listed above, Please contact us to discuss your options, including possible Single Case Agreements.

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