Covered Medical Services

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 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
  • Transportation to doctor
  • Emergency Care
  • Pregnancy Care
  • Surgery Services
  • Physical Exams
  • Behavioral Health
  • Family Planning Services
  • Dialysis
  • Glasses (for children under age 21)
  • Vision Exams (for children under age 21)
  • Dental Screening (for children under age 21)
  • Dental Treatment (for children under age 21)
  • Hearing Exams (for children under age 21)
  • Hearing Aids (for children under age 21)

Note: This is a partial list of covered services.