ACA Marketplace – Arizona Plans

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

Maricopa County will have 5 insurance carriers in 2020, all offering HMO plans. (Ambetter, Oscar, Bright Health, Cigna and AZ Blue). Cigna and the new AZ Blue HMO’s require a PCP and referrals to specialists. The others do NOT. Remember, we only had 1 option in 2017 and 2018 (Ambetter). The Arizona ACA market is stabilizing.

Pima County will have the same 3 carrier HMO options in 2020 (Ambetter, Bright Health, and AZ Blue)

There are still no PPO network plans available in 2020 in any AZ county, nor any that have MAYO Clinic in network. I don’t expect any PPO network options available for several more years.

Blue Cross of AZ is coming back into Maricopa County for 2020 after a 3 year hiatus. They are now the only carrier offering insurance in every AZ county. They rolled out a very small HMO network, with PCP and referrals to specialists required. 

Ambetter expands to 7 total AZ counties: IN addition to Maricopa and Pima counties, they will be expanding into Pinal, Gila, Graham, Greenlee, and Santa Cruz counties for the 2020 plan year.

Maricopa County Only

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

Ambetter by AZ Complete Health HMO

(Formerly Health Net)

Phoenix / Maricopa County Hospitals:

List of all hospitals 

Search RX Formulary

Other Plan Benefits:

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Bright Health HMO
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

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 $125 for wellness actions.

GET A FREE QUOTE

OFF Exchange Link

AZ Blue Cross HMO
 
Phoenix / Maricopa County Hospitals:
Plan Documents:

 

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Oscar HMO
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 in Tempe
  3. Up to $100 in step tracking rewards
  4. Quest Diagnostic Labs
  5. Choice of CVS / Walgreen’s / or Walmart pharmacies.

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OFF EXCHANGE LINK

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

Cigna Connect HMO
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
  • Cigna Telehealth Connection – customers can talk to a board-certified doctor about minor health issues 24/7/365, anywhere in the U.S. with a $15 co-pay
  • 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:

 

GET A FREE QUOTE

OFF EXCHANGE LINK

Pima County Only

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

Ambetter by AZ Complete Health HMO

(Formerly Health Net)

Tucson / Pima County Hospitals:

List of all hospitals 

Search RX Formulary

Other Plan Benefits:

GET A FREE QUOTE

AZ Blue Cross HMO
 
Tucson / Pima County Hospitals:
Plan Documents:

 

GET A FREE QUOTE

Bright Health HMO
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

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 $125 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
Ambetter by AZ Complete Health HMO

(Formerly Health Net)

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

GET A FREE QUOTE