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Health Insurance and Payment Options
Desert Senita Community Health Center and Desert Senita Dental Center accept many forms and types of health plans and other coverage, including Medicare, AHCCCS (Medicaid), the Desert Senita Health Plan, and most commercial (private) insurances.
Currently Accepted Health Plans
The following health plans are currently accepted for medical services provided at Desert Senita Community Health Center:
Medicare and Medicare Advantage and FFS Plans:
- Medicare
- AmeriChoice/Personal Care Plus (Medicare Advantage Plan)
- Evercare (Medicare Advantage Plan )
- HealthChoice Generations (Medicare Advantage Plan)
- HealthNet Medicare Advantage Plan
- Humana Medicare FFS (Fee-For-Service) Plan
- Medicare Railroad Plan
- Mercycare Advantage (Medicare Advantage Plan)
AHCCCS (Medicaid) Plans:
- Arizona Physicians IPA (APIPA) AHCCCS (Medicaid) Plan
- CMDP Foster Children Plan
- HealthChoice AHCCCS (Medicaid) Plan
- Indian Health Services (IHS – State AHCCCS with prior authorization)
- Mercycare AHCCCS (Medicaid) Plan
- Pima Health System AHCCCS (Medicaid) Plan
- University Physicians AHCCCS (Medicaid) Plan
KidsCare – all plans
Commercial (Private) Insurance Plans:
- AETNA (including most PPO and HMO plans)
- Arizona Foundation for Medical Care
- Asheville Service Center
- Blue Cross/Blue Shield of Arizona (including most PPO and HMO plans)
- Benesight
- CIGNA (including most PPO and HMO plans)
- GEHA (PPO)
- Mailhandlers (PPO plan)
- Pacificare
- United Healthcare (including most PPO and HMO plans)
Please note that Tricare and SecureHorizons do not currently contract with Desert Senita. Patients with these and/or any other non-contracted health plan coverage can be seen as patients at the health center; however, you will be required to sign a waiver form indicating that you will be financially responsible for the services rendered if the non-contracted health plans denies reimbursement to Desert Senita.
Currently Accepted Dental Plans
The following dental plans are currently accepted for dental services provided at Desert Senita Dental Center:
AHCCCS (Medicaid) Plans:
- Arizona Physicians IPA (APIPA) AHCCCS (Medicaid) Plan
- CMDP Foster Children Plan
- HealthChoice AHCCCS (Medicaid) Plan
- Indian Health Services (IHS – under age 21 no prior authorization necessary)
- Mercycare AHCCCS (Medicaid) Plan
- Pima Health System AHCCCS (Medicaid) Plan
- University Physicians AHCCCS (Medicaid) Plan
Desert Senita Dental Center accepts most PPO commercial (Private) insurance plans, including:
- AETNA
- Ameritus
- Assurant
- Blue Cross/Blue Shield of Arizona
- CIGNA
- Delta Dental of Arizona
- GEHA
- Guardian
- Metlife Dental Plan
- Military Medical Support Office (MMSO – Department of Defense dental insurance)
- NTCA
- Paid Dental
- Pima County Dental Plan
- Principal Financial
- United Concordia
- United Healthcare
Medicare Advantage Plans:
- Evercare (Medicare Advantage Plan )
- Humana Medicare FFS (Fee-For-Service) Plan
For those without health or dental insurance:
Desert Senita employs eligibility staff trained in the use of a unique and innovative public insurance eligibility screening software program, Health-e-Arizona. It was developed by El Rio Health Center in Tucson, Arizona, in partnership with several organizations, including AHCCCS (Medicaid), the Arizona Department of Economic Security (DES), a collaborative group of Arizona community health centers (including Desert Senita Community Health Center), and experienced consultants.
The Health-e-Arizona program is a “one-stop shop” program used to quickly and easily screen patients without health or dental insurance for AHCCCS (Medicaid), KidsCare, or Desert Senita Health Plan eligibility, as well as screening for Pima Community Access Program (PCAP) specialty care eligibility, if needed. Patients are required to provide residency and income verification documentation to Desert Senita eligibility staff, who then input the information into the Health-e-Arizona software program. Information is then electronically communicated to the Arizona Department of Economic Security (DES). DES performs a review of all income and other eligibility data and makes the final determination of eligibility for AHCCCS and/or KidsCare. Use of the Health-e-Arizona program has greatly reduced the amount of time necessary to make the final determination for AHCCCS (Medicaid) and/or KidsCare eligibility, which has in turn significantly improved patient access to care.
If a patient is not eligible for AHCCCS (Medicaid) and/or KidsCare coverage, they are screened for sliding fee scale coverage through the Desert Senita Health Plan. The Desert Senita Health Plan can be used for services provided at Desert Senita sites, which may include medical, dental, and/or behavioral health services. Patients are responsible for paying a portion of the charges for their health care, based on their income.
To make an eligibility appointment, please call (520) 387-5086.
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