ACA Marketplace – Arizona Plans

ACA plans are the ONLY plans offering low income subsidies and that cover pre-existing health conditions…

Maricopa County Only

Click on the links below to read the plan details, exclusions and disclaimers.

Oscar HMO-No PCP/Referrals Required
Maricopa County Hospitals:
Forms: 
Oscar’s Unique Services:

*Benefits of Oscar Insurance

Their industry changing mobile app (See video below) is solving a lot of the problems in health care delivery:  Finding doctors in network, finding an open appointment on calendar, advance cost estimates, photo uploads, lab results, list of medications taking, text answers from your concierge team and your preferred pharmacy selection.

All plans include:

  1. FREE Tele-medicine. (Call back in 5-60 min)
  2. Your own 4 person concierge team
  3. Up to $100 in step tracking rewards
  4. Quest Diagnostic Labs
  5. Choice of CVS / Fry’s / Safeway / Walmart pharmacies.

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OFF EXCHANGE LINK

Additional video’s demonstrating some of Oscar’s tools:

Ambetter HMO-No PCP/Referrals Required

(Formerly Health Net)

Phoenix / Maricopa County Hospitals:

List of all hospitals 

Search RX Formulary

Other Plan Benefits:

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Bright Health HMO-No PCP/Referrals Required
Phoenix / Maricopa County Hospitals:
  • Abrazo Health, Dignity Health, and MIHS
  • PHX Children’s Hospital & Doctor Network
  • Bright Health HMO Network Search
  • No PCP or Specialist referrals required
  • Dispatch Health Mobile Urgent Care (Maricopa)
  • Including transportation to doctor, or home meal delivery after hospital stay, or reimbursement of your doctor copay.
RX Formulary Search
More Plan Documents:

FREE Pediatric Dental and Vision

$75 Urgent Care Copay

New Telehealth

Free Tier 1 Generic Medications

Including transportation to doctor, or home meal delivery after hospital stay, or reimbursement of your doctor copay.

REWARD$ with All Plans

Create an account, assign a PCP, and fill out a health survey and earn up to $500 for wellness actions.

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OFF Exchange Link

AZ Blue Cross HMO-PCP/Referrals Required
 
Phoenix / Maricopa County Hospitals:
Plan Documents:

 

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Cigna Connect HMO-PCP/Referrals Required
Maricopa County Only :

 

  • Cigna Connect HMO Network Search
  • Cigna Medical Group (CMG) serve as your PCP. CMG – One stop shop to get everything you need under one roof with 95% customer satisfaction
  • PCP and Specialist Referrals ARE required
  • Banner, Dignity & Honor Health – Hospital Only
  • RX Formulary Search
  • Patient Assurance Program – $25 for 30-day supply of Preferred Brand Tier 3 insulin
  • National pharmacy network—at all major retail pharmacies for any 30 day supply and for any 90 day supply with the exception of Walgreens, plus home delivery available under Express Scripts
  • Free Cigna Telehealth Connection – customers can talk to a board-certified doctor about minor health issues 24/7/365, anywhere in the U.S. 
  • My Personal Champion – a dedicated person to help with complex medical and administrative situations
  • Healthy Rewards – health and wellness discounts by being a customer of any Cigna IFP plan
Plan Details:

 

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OFF EXCHANGE LINK

United Healthcare HMO-PCP/Referrals Required

Pima County Only

Click on the links below to read the plan details, exclusions and disclaimers.

Ambetter HMO-No PCP/Referrals Required

(Formerly Health Net)

Tucson / Pima County Hospitals:

List of all hospitals 

Search RX Formulary

Other Plan Benefits:

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AZ Blue Cross HMO-PCP/Referrals Required
 
Tucson / Pima County Hospitals:
Plan Documents:

 

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Bright Health HMO-No PCP/Referrals Required
Tucson / Pima County Hospitals:
  • Carondelet Hospitals (St Joseph’s & St Mary’s)
  • Bright Health HMO Network Search
  • No PCP or Specialist referrals required
  • Dispatch Health Mobile Urgent Care (Maricopa)
  • Including transportation to doctor, or home meal delivery after hospital stay, or reimbursement of your doctor copay.
RX Formulary Search

More Plan Documents:

FREE Pediatric Dental and Vision

$75 Urgent Care Copay

New Telehealth

Free Tier 1 Generic Medications

REWARD$ with All Plans

Create an account, assign a PCP, and fill out a health survey and earn up to $500 for wellness actions.

GET A FREE QUOTE

OFF Exchange Link

Other AZ Counties

Click on the links below to read the plan details, exclusions and disclaimers.

AZ Blue Cross HMO-PCP/Referrals Required
Ambetter HMO-No PCP/Referrals Required

(Formerly Health Net)

Expanded to: Pinal, Gila, Graham, Greenlee, and Santa Cruz counties for the 2020 plan year

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