AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more.
What does emergency AHCCCS cover?
Federal Emergency Services (Health Program ID #000850)
Placing the member’s health in serious jeopardy; Serious impairment to bodily functions; Serious dysfunction of any bodily organ or part; or. Serious physical harm to self or another person (for behavioral health conditions).
Does AHCCCS cover emergency room?
AHCCCS health plans provide the following medical services:
Prescriptions (Not covered if you have Medicare) … Hospital Services. Transportation to doctor. Emergency Care.
Can you go to urgent care with AHCCCS?
NextCare Urgent Care accepts your Medicare and Medicaid (AHCCCS) insurance plans at all of our Phoenix, Tucson, and Northern Arizona locations. … If you have a question related to your individual insurance plan, please feel free to contact one of our Customer Service Representatives at 1-888-381-4858.
Will AHCCCS cover past medical bills?
AHCCCS provides Prior Period Coverage for the period of time prior to the Title XIX member’s enrollment with the Contractor during which time the member is eligible for covered services. … Once AHCCCS eligibility is approved, the Contractor receives notification from AHCCCS of the member’s enrollment.
Does AHCCCS cover glasses for adults?
Answer: AHCCCS has a very specific policy regarding eyeglasses for members that are older than 21. 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 gym membership?
AHCCCS CARE Account fund purchases are limited to non-covered services. At this time, approved services include: dental, vision care, nutritional counseling, recognized weight loss programs, chiropractic care, gym membership and sunscreen.
How much money can you make and still get AHCCCS?
You and your family can usually get AHCCCS (AHCCCS) if your family’s income is at or below 138% of the Federal Poverty Level (FPL) ($17,774 for an individual in 2021, $36,570 for a family of four).
How long does AHCCCS coverage last?
Medical coverage may continue for up to 12 months when: Your family received AHCCCS Health Insurance benefits in Arizona in three of the last six months; AND. The person working is the parent or other relative caring for a minor child in the home.
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.
Will AHCCCS cover braces?
An AHCCCS health plan works like a Health Maintenance Organization (HMO). … The most common reason an AHCCCS child’s parents may need to pay something is for extractions needed for braces. AHCCCS won’t cover a non-medically necessary treatment. to learn more please see the AHCCCS website.
Is AHCCCS Medicare or Medicaid?
AHCCCS is Arizona’s State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members.
Does AHCCCS cover fertility?
REPRODUCTIVE AGE AHCCCS members, regardless of gender, from 12 to 55 years of age. Family Planning Services and Supplies, when provided by the appropriate Family Planning Providers, are covered for members, regardless of gender, who voluntarily choose to delay or prevent pregnancy.