America's Rehab Campuses Amenities

It’s that time of year and the AHCCCS open enrollment has begun and members can enroll or change their coverage until December 31st, 2021. Before we dive into the plan specifics for the coming coverage year, it’s important to note that if you’re already happy with your plan then you don’t need to take any actions. Your coverage will remain the same without the need to contact your insurance office.

What Services Are Covered Under AHCCCS Plans?

AHCCCS has a vast amount of covered medical services with special coverages for children and residents eligible for long term care insurance. Each AHCCCS plan offers the same covered services which include:

  • Doctor’s Visits
  • Immunizations (shots)
  • Prescriptions (Not covered if you have Medicare)
  • Lab and X-rays
  • Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services for Medicaid eligible children under age 21
  • Specialist Care
  • Hospital Services
  • Transportation to doctor
  • Emergency Care
  • Podiatry Services Performed by a Podiatrist
  • Pregnancy Care
  • Surgery Services
  • Physical Exams
  • Behavioral Health
  • Family Planning Services
  • Dialysis
  • Glasses (for children under age 21)
  • Vision Exams (for children under age 21)
  • Dental Screening (for children under age 21)
  • Dental Treatment (for children under age 21)
  • Emergency Dental (for adults 21 and older. Up to $1000 per contract year)
  • Hearing Exams (for children under age 21)
  • Hearing Aids (for children under age 21)

The plans also cover various behavioral health services that can help in cases of substance abuse, addiction and mental health counseling. These services include:

Behavioral Health Day Programs – supervised day programs, therapeutic day programs, medical day programs;

Crisis Services – mobile team services, telephone crisis response, and urgent care Inpatient Services including hospital, sub-acute, and residential treatment;

Rehabilitation Services – living skills, cognitive rehabilitation, supported employment, and education support;

Health Promotion – Prevention, Education and Medication Training – education and standardized training for the purpose of increasing an individual’s behavioral knowledge of a health related topic such as medication management, the nature of an illness, relapse and symptom management, stress management, parenting skills and health lifestyles;

Residential Behavioral Health Services – a range of up to 24hr/day services in a structured living environment for individuals needing support.

Support Services – case management, personal assistance, Family & Peer Support, therapeutic foster care, respite, housing support, interpreter services, transportation, assistance accessing community resources and locating and applying for benefits, child care connections; and

Treatment Services – counseling, consultation, assessment and specialized testing, and substance abuse treatment.

How Do I Choose the Right Plan For Me?

Since each plan offers the same coverage, the one you choose will be based on which Geographic Service Area, or GSA, you reside in. These are broken down into North, Central and South with American Indian applicants also having access to the American Indian Health Program regardless of region. It’s important to also check with your preferred doctor and clinic to verify they accept your area’s AHCCCS plan.

North GSA Plans

Residents of the following counties are part of the North GSA:

  • Apache
  • Coconino
  • Mohave
  • Navajo
  • Yavapai

Residents have access to:

  • Care1st Health Plan
  • Health Choice Arizona

Central GSA Plans

Resident of the following counties are part of the Central GSA:

  • Maricopa
  • Gila
  • Pinal, excluding ZIP codes 85542, 85192, and 85550

Residents have access to:

  • Arizona Complete Health – Complete Care Plan (formerly Health Net Access)
  • Banner-University Family Care
  • Care1st Health Plan
  • Molina Complete Care
  • Mercy Care
  • Health Choice Arizona
  • UnitedHealthcare Community Plan

South GSA Plans

Resident of the following counties are part of the South GSA:

  • Cochise
  • Graham
  • Greenlee
  • La Paz
  • Pima
  • Santa Cruz
  • Yuma
  • ZIP codes 85542, 85192, and 85550

Residents have access to:

  • Banner-University Family Care
  • Arizona Complete Health – Complete Care Plan (formerly Health Net Access)
  • UnitedHealthcare Community Plan (Pima County Only)

What Are My Options for Enrolling?

Residents can apply online for AHCCCS Medical Assistance, Nutrition Assistance, and Cash Assistance using Health-e-Arizona Plus. If you prefer to enroll with a paper application, you can download and print your corresponding application here.

If you are already enrolled, you can request a plan change through Health-e-Arizona Plus or by contacting AHCCCS at (602) 417-7100 or 1-(800)-334-5283. The following reasons are eligible for member changes:

  • Annual enrollment
  • Member was auto-assigned and within the first 90 days may request a change in health plan
  • Family members are in different health plans and wish to all be in the same plan
  • Member moves to a location where their current plan is not available

Treatment Options Once Enrolled

America’s Rehab Campuses accept AHCCCS insurance to help our Arizona communities have access to drug and alcohol treatment programs. There are multiple rehab services covered by AHCCCS that you can view here or you can contact our team directly with any questions you have regarding insurance verification and covered treatment options.

1-833-272-7342