What are AHCCCS plans?

What are AHCCCS plans?

AHCCCS health plans provide the following medical services:

  • 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.

What is Arizona’s Medicaid plan called?

Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency that offers health care programs to serve Arizona residents.

How do I change my AHCCCS plan?

Changing Health Plans Members may request a health plan change for the following reasons either through the HEAplus system (healthearizonaplus.gov) or by contacting AHCCCS at (602) 417-7100 or 1-(800)-334-5283: Annual enrollment. Member was auto-assigned and within the first 90 days may request a change in health plan.

Can I have AHCCCS and Medicare?

AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called “alignment.” Alignment provides: • One plan that coordinates all care. A comprehensive provider network.

Who qualifies for AHCCCS in AZ?

Income. If your family’s income is at or below 138% of the Federal Poverty Level (FPL) ($17,774 per year for an individual in 2022, $36,570 for a family of four), you may qualify for AHCCCS.

Does AHCCCS have copays?

Some people who get AHCCCS Medicaid benefits are asked to pay copays for some of the AHCCCS medical services that they receive. Copays can be mandatory (also known as required) or optional (also known as nominal) as explained below.

Does AHCCCS cover dental for adults 2021?

AHCCCS Dental for Adults If you are an adult, AHCCCS dental coverage will now cover EMERGENCY ONLY visits. Below we have listed the guidelines to Emergency Dental Services. These services must be related to the treatment of a medical condition such as acute pain (excluding TMJ), infection, or fracture of the jaw.

Does AHCCCS cover cataract surgery?

Simply put, AHCCCS does not pay for eye glasses for members older than 21 if their only problem is seeing clearly. However, AHCCCS will cover the costs of glasses when sight problems are due to surgery from cataracts.

Does AHCCCS cover Medicare Part B?

AHCCCS SLMB-PART B BUY-IN is strictly a Medicare Savings Program that pays Medicare Part B premium. No claim payments are done by AHCCCS Administration. For questions regarding Medicare coverage, call 1-800-MEDICARE.

Does AHCCCS cover Medicare premiums?

AHCCCS QMB – ONLY is Medicare Savings Program that pays Medicare Part A premium (when applicable) and Medicare Part B premium. Claim payments are limited to Medicare deductible, coinsurance, and copay when Medicare pays first.

What is the poverty level for 1 person in Arizona?

100% of the current federal poverty level for all other families….130% Needy Family Monthly Income Standard. Effective October 1, 2021.

Number of Participants 130% of Federal Poverty Level
1 $1,396
2 $1,888
3 $2,379
4 $2,871