INSURANCE

AETNA STUDENT

OPEN ACCESS

AZ CARE NETWORK




REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: PAPER

AUTH # THROUGH INSURANCE (UNLESS OPEN ACCESS HMO)


REFERRAL OR AUTH: AUTH

*AETNA SELECT REQUIRES PAPER REFERRAL

Auth # from Availity Website from PCP


REFERRAL OR AUTH: AUTH

REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: AUTH

Arizona Care Network, Premier Care Network, performance Network


REFERRAL OR AUTH: PAPER

DR. RACETTE ONLY

Heatlhlink -Intel Connected Care HDHP-HAS & Primary Care Plus PPO

Aetna Signature Administrators PPO

AHCCCS


REFERRAL OR AUTH: PAPER

PAPER REFERRAL REQUIRED

ACCLAIM NETWORK


NOT CONTRACTED: TANA FRUMENTO & ERIK MARTINEZ


AMAZON POLICIES REQUIRE A PAPER REFERRAL


MARICOPA FOCUS – NOT CONTRACTED

AMAZON POLICIES REQUIRE PAPER REFERRAL

ALLIANCE NETWORK (PPO) TANA NOT CONTRACTED.

MARICOPA COMMUNITY COLLEGE NETWORK


DR. RACETTE ONLY – Not at Olive Location

TANA FRUMENTO NOT CONTRACTED

ONLY: DR. RACETTE AND TANA FRUMENTO

REFERRAL OR AUTH: PAPER


HMO – MARICOPA/PINAL COUNTIES ONLY – OUT OF NETWORK FOR PIMA/SANTA CRUZ COUNTY

TIER 1

HMO (NO REFERRAL)

MEDICAID / MEDICARE REPLACEMENT


REFERRAL OR AUTH: PAPER

MEDICAID


REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: AUTH

REFERRAL OR AUTH: PAPER

AMBETTER

ALLWELL


REFERRAL OR AUTH: PAPER

ALLWELL


REFERRAL OR AUTH: PAPER

PPO – OPEN ACCESS, CHOICE FUND, MEDICARE SUPPLEMENT


HMO, MEDICARE HMO (BOTH NEED PAPER REFERRAL)


ARIZONACARE NETWORK


CAC & NON – BANNER HEALTH NETWORK

DR. RACETTE ONLY

DR. RACETTE ONLY

NOT CONTRACTED: ERIK MARTINEZ

REFERRAL OR AUTH: PAPER

COMPREHENSIVE MEDICAL AND DENTAL AHCCCS

MARKET PLACE **NO VALUE PLUS**

DR. RACETTE ONLY

REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: PAPER

MEDICAID


REFERRAL OR AUTH: PAPER

MEDICAID/MEDICARE REPLACEMENT

PAPER REFERRAL NEEDED

MEDICARE REPLACEMENT

MEDICAID


REFERRAL OR AUTH: PAPER

MEDICAID (SMI)


REFERRAL OR AUTH: PAPER

PHCS

REFERRAL OR AUTH: AUTH

MEDICAID


REFERRAL OR AUTH: PAPER

MEDICARE REPLACEMENT…NO VALUE PLUS

UHC MILITARY AND VETERANS
REFERRAL OR AUTH: AUTH

Select Reserves – UHC Military and Veterans

AUTH # REQUIRED FROM VA
REFERRAL OR AUTH: AUTH

AUTH NUMBER REQUIRED FROM VA


REFERRAL OR AUTH: AUTH

UHC Choice POS UHC Options PPO
REFERRAL OR AUTH: PAPER

VALLEYWISE – TIER 2 SPEC COPYA




***MIHS NOT CONTRACTED***

CHOICE, CHOICE PLUS, PPO, SELECT PLUS, ALL SAVERS




NEXUSACO – PAPER REFERRAL REQUIRED




COMPASS NETWORK – VALUE GOLD, VALUE PLUS SILVER, VALUE SILVER, VALUE BRONZE – AUTH REQUIRED

MEDICAID, LTC
REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: PAPER

REFERRAL OR AUTH: AUTH

PHX DIRECT HOSPITAL NETWORK/PINAL
REFERRAL OR AUTH: PAPER

NAVIGATE/NAVIGATE PLUS


REFERRAL OR AUTH: AUTH

UHC CHOICE PLUS & OPTIONS PPO (GOLDEN RULE)

BANNER HEALTH NETWORK




AUTH REQUIRED

BANNER, MEDICARE

BANNER, MEDICAID


REFERRAL OR AUTH: PAPER