Accepted Medical Plans

• Aetna

• Aetna Medicare Advantage

• Aetna Banner (only Banner plan accepted)

• Blue Cross Blue Shield- Anthem included

• Blue Medicare Advantage Plans (Blue Medicare Advantage Plus)

• Cigna PPO (sometimes known as Health Spring)

• Devoted Health

• Humana

• Humana Medicare

• Standard Medicare Part B

• Mesa Foundation

• TriCare- Patient has to call insurance and explain reason for appointment and see if they need a PA or not

• Tri-West- Patient can not make appointment without an authorization

  • Insurance will need to call us and make the appointment. (Exam ONLY; No Materials)

• Wellcare Medicare Advantage- Medicaid dual Medicare plan as well

  • (Wellcare through Allwell counts under advantage plan)

Out of Network Medical

• AHCCCS

• Banner Medicare (Check if they have VSP for Vision)

• BCBS member ID prefixes IAZ, M2K, S5T, and XBN

• HealthSpring HMO (Cigna)

• Mercy Care

• Medicaid

• UMR- including UMR Medicare Advantage plans

• United Healthcare- including UHC Medicare Advantage plans

• HMO Plan

Accepted Vision Plans

• VSP- Cigna U, Guardian, and Gilsbar (can require last 4 SSN or unique ID)

• EyeMed- Humana H#, Blue Vision, Delta Vision, Devoted Health, Health Spring, and Banner Aetna W# (Aetna plans will need Aetna ID. ran to search on EyeMed website)

• Spectera- United Healthcare and UMR (remember only for vision, not medical)

• Davis Vision- Blue View (Must be employed through Boeing only and can only see Dr. Olsen)

• SightCare

Important Insurance Reminders

• (HMO) If patients want to call the insurance and get a prior auth approved for a medical visit, ALL HMO plans for medical appointments require insurance prior authorization (P.A.) with # of approved visits and valid dates prior to making appointments

• We accept PPO and open access plans for medical insurances

• Word “PPO” in suitcase at the bottom of the card indicates pt’s benefits are applicable out of state (higher deductible, copay, etc.)

• We are not affiliated with Banner Portals (exception is Aetna Banner for medical)
  
  

WHAT DOES IT MEAN WHEN YOU HAVE "IN-NETWORK" INSURANCE BENEFITS WITH AZ RED MOUNTAIN EYECARE?

One of the primary advantages of using in-network insurance providers is cost savings for both your routine eye exam as well as your optical and contact lens benefits. The negotiated rates between the insurance company and the in-network providers we partner with are typically lower than what you would pay if you went to an out-of-network provider. Vision insurance plans often provide better coverage for in-network services, meaning a higher percentage of your eye care expenses may be covered, and you may have lower copayments or deductibles when using in-network providers. Our team is happy to work with you to discuss how you can best utilize your benefits for your eye health and any purchases made in our optical!

Please note that some other local eye care providers may accept some insurances and benefits, however, many do not allow you to use the full extent of your optical coverage for purchases like eyeglasses, contacts and more.

Vision insurance plans do vary, so we recommend reviewing your specific plan details to understand the terms and conditions related to in-network and out-of-network benefits. Always check with your insurance provider or consult the provider directory to confirm the network status of the eye care professional you plan to visit.