Accepted Insurances / Referrals


Insurance Billing

We would like to assist you in processing your insurance claims as easy as possible. It is also important to understand that you have a contract with your insurance company. You must bring your insurance card and a picture ID with you at the time of your visit! Applicable co-pays and deductibles as specified by your insurance company will also be collected at the time of your visit. Patient's health insurance plans state that payments including co-pays and deductibles are to be collected for office visits at time of service. A member of our medical staff will review any deductibles and out of pockets expenses you are responsible for as outlined by your insurance company. If you have not met your annual deductible you are expected to pay at time of service.

**We accept cash, check, Visa, Master card, and Discover cards. There is a 3% fee added with credit/debit.

We participate with most managed care plans as well as various healthcare networks. Our billing department will submit a claim to your insurance company provided we have a copy of current insurance card. Secondary insurance billing is done as a courtesy and payment will become your responsibility if payment is not received within 60 days. Any portion not covered by your primary or secondary insurance is your responsibility. If you have questions regarding your benefits please contact your insurance company.

Charges are based on medical documentation. Codes will not be changed to suit the coverage of the individual policies with insurance companies.

Non-Covered services: Any care not paid for by your insurance company will require payment in full at the time of service.


Accepted Insurance Plans

AARP
AARP/Medicare Complete
Advantra Freedom
American Medical Security
Ameriben
American Family Insurance
Arizona Benefit Options/Harrington: RAN/AMN, Network
Arizona Blue Cross & Blue Shield (commercial plans)
Blue Cross Blue Shield (Prefixes: XBV, XBQ, BNE) (Networks: Statewide HMO Network ONLY)
Banner Health ONLY prefix BNE with BCBS
CHAMPVA (Secondary insurance Only)
CIGNA- HMO, PPO
CIGNA Medicare Advantage (Spring Health) effective 1/22/2016
Golden Rule
Great West Healthcare
Health Net (commercial plans)
Mail handlers Benefit Plan
Medicare
Medicare Railroad
Medicare Supplement insurances (Selective plans)
Meritain BCBS
Mountain States Admin.
Mutual of Omaha (Secondary insurance Only)
NRECA
PacifiCare Secure Horizons
Principal Life Insurance
Tricare for Life (Secondary insurance Only)
United Medical Resources (UMR)
United Healthcare of Arizona PPO
United Healthcare networks (see lists)

WE DO NOT ACCEPT THESE INSURANCES

Aetna (GEHA) also known as AZ Foundation eff. 1/1/15
AHCCCS plans
BCBS: Network plans: SELECT, ALLIANCE, Statewide HMO Group, (Alpha prefixes: XBZ, XBL, XBI,XBT,XBN, XBF)
Cigma State of Illinois
Community Care Plans (Health Net/UHC/other)
Health Market plans
HealthNet Ruby Select plans
Humana
IFP Exchange Plans
Medicaid plans
Medicare Advantage plans (excluding ones listed above)
Mercy Care
UHC Carondelet/St. Joseph’s network
UHC Compass plus


**It is the patient's responsibility to confirm that your health insurance is contracted with Mountain View Gastroenterology, PC since agreements change annually. Please contact our office 520-320-1369 if you have any questions on contracted insurances.

Please know that we will do our best to assist patients in anyway, if your health insurance requires a referral, it is your responsibility to acquire this referral from your referring Physician or Primary Care Physician.


Medical Identity Theft Protection

In February 2009 Federal Trade Commission's Identity Theft Prevention Red Flags Rule was enacted. Medical offices are mandated to confirm the patient's identity and validate medical insurance coverage to ensure the identity theft has not occurred. To safeguard your identity we will make a copy of your valid picture ID issued by a local, state, or federal government agency (driver's license, passport, military ID, etc.) and a copy of insurance card to confirm your identity.


Appointments/Referrals

Appointments can be made anytime during scheduled business hours. If you are unable to make a scheduled appointment please call us as soon as possible so we can reschedule your appointment. We ask that you give us twenty-four (24) hour notice to cancel office and/or procedure appointments. If our office does not receive a twenty-four (24) hour notice of cancellation you will be charged $80 for the missed office visit new or established patients and $100 for a missed procedure.

Current referrals are necessary. If a current referral is needed for your appointment you may contact your primary care physician to bring to your appointment. It is the patient's responsibility to confirm that your health insurance is contracted with Mountain View Gastroenterology, PC since agreements change annually.