Covered Medical Services
If you qualify for one of the AHCCCS health insurance programs in this section your coverage will include the following benefits.
AHCCCS contracts with several health plans to provide covered services. An AHCCCS health plan works like a Health Maintenance Organization (HMO). The health plan works with doctors, hospitals, pharmacies, specialists, etc. to provide care. You will choose a health plan that covers your zip code area. If you are approved, you will choose a primary care doctor that works with that health plan. Your primary doctor will:
- Be the first person you go to for care
- Authorize your non-emergency medical services
- Send you to a specialist when needed
AHCCCS Health Plans
All health plans cover the same services, but each may work with different doctors, pharmacies, hospitals, and other providers. Health Plans differ depending on where you live in Arizona. There are health plans in every county. When picking a health plan:
- Find out which plan contracts with your doctor (you can call your doctor’s office)
- Contact each health plan for more information (you can look up the providers on their websites, or call their member services)
All AHCCCS Applicants (including American Indians)
Applicants may choose a health plan that serves the area where they live.
American Indian Applicants Only
If you are American Indian, you can choose a health plan or get medical services through Indian Health Service, a tribally operated facility, or an urban clinic (ITUs) by enrolling in the American Indian Health Program (AIHP).
AHCCCS health plans provide the following medical services:
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