ABRAZO ADVANTAGE HEALTH PLAN

AETNA                                                         PROVIDER ID 7655268                                       ENVOY ID 9105925

National Advantage Program

Workers’ Compensation Network Program

(Contracted with Hear USA)

ARIZONA HEALTH CARE COST CONTAINMENT                                    PROVIDER NUMBER:  621921

       (Prior authorization REQUIRED for patients over the age of 21)

ARIZONA MEDICAL NETWORK

BLUE CROSS/BLUE SHIELD OF ARIZONA                                            PROVIDER NUMBER:  AZ0901110                                                                                                

• HMO / PPO  – no referral needed
• Medicare OPEN Plan
• WORKERS’ COMPENSATION

CARE 1^ST  Health Plan

CHOICECARE NETWORK      (HUMANA)

CIGNA PPO  (Prior authorization for ALL Audiology services REQUIRED)

DES/CMPD  

FORTIS

GREAT WEST HEALTHCARE      (ONE HEALTH)

HEALTH CARE GROUP

HEALTHCARE NETWORKS OF AMERICA

HEALTHNET PPO

*HEAR PO          

HUMANA      (HEAR USA)

INTEGRATED HEALTH PLAN

INTERPLAN HEALTH GROUP

MARICOPA FOUNDATION/ARIZONA FOUNDATION

MEDICARE       (A prescription requesting hearing evaluation and diagnosis code required PCP)

MERCY CARE      (Prior authorization REQUIRED for patients over the age of 21)

*MOTOROLA HEALTH ADVANTAGE PLAN

(Card holders actually have CCN, but this will be changing to HUMANA – Look for the HAP on the card)

ONECARE BY CARE 1ST

*NATIONAL EAR CARE PLAN

PHOENIX HEALTH PLAN

PHCS     (PRIVATE HEALTHCARE SYSTEMS)                                          PROVIDER NUMBER:  9315149

PINAL/GILA LONG TERM CARE                                              PROVIDER NUMBER: LTC-RFQ-200425.01

PROGRESSIVE MEDICAL INSURANCE

RAILROAD MEDICARE – Palmetto GBA

SCAN HEALTHPLAN ARIZONA

SCHALLER ANDERSON

SMART NET    (HUMANA)

THREE RIVERS PROVIDER NETWORK TRPN

TRICARE PRIME      (listed under DESERT SOUNDS)

TRICARE STANDARD

UNITED HEALTHCARE / AARP HEALTHCARE OPTIONS     (Contracted with Hear USA)

*UNITED HEALTHCARE-WITH OUT OF NETWORK BENNIFITS     (Contracted with Hear USA)

*UNITED MINE WORKERS OF AMERICA

USA MANAGED CARE ORGANIZATION