Individuals Covered By Both Medicare and Medicaid (Dual Eligible Members)
AHCCCS continues developing integration initiatives to increase alignment and improve service delivery for individuals covered by both Medicare and Medicaid. These individuals, commonly referred to as “dual eligible members,” navigate multiple health systems to receive care. This health system fragmentation often results in poor communication, uncoordinated health care decisions and a lack of a patient-centered perspective. AHCCCS has moved toward increasing the coordination of health service delivery between these two health programs by contracting with Medicare Advantage Dual Special Needs Plans (D-SNPs) that are each affiliated with its partner AHCCCS Complete Care (ACC) Medicaid health plan. Requiring each ACC Medicaid health plan to offer a partner Medicare D-SNP promotes the enrollment or alignment of dual eligible members in the same health plan for both Medicare and Medicaid services to the greatest possible extent. Enrolling in specialized Medicare plans allows dual eligible members to receive all of their health care services, including prescription drug benefits, from a single, integrated health plan.
For more information regarding enrollment in an aligned Medicare D-SNP for 2021, please contact the plan you are interested in as shown below.
2021 D-SNPs Available to AHCCCS Complete Care (ACC) and RBHA Dual Eligible Members
Available D-SNPs | Counties Available | Health Program | Telephone |
---|---|---|---|
Arizona Complete Care Medicare Advantage (Allwell Dual Medicare) for Arizona Complete Health Complete Care Plan | Cochise, Gila (ACC Only), Graham, Greenlee, La Paz, Maricopa (ACC Only), Pima, Pinal, Santa Cruz, and Yuma | ACC RBHA | Members: 1-800-977-7522 Non-Members: 1-800-333-3930 |
Banner – University Care Advantage for Banner – University Family Care | Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma | ACC | Members: 1-877-874-3930 Non-Members: 1-877-874-3938 |
ONECare by Care1st Health Plan of Arizona (WellCare Liberty) for Care1st Health Plan of Arizona | Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai | ACC | Members: 1-833-444-9089 Non-Members: 1-866-527-0056 |
Health Choice Pathway for Health Choice Arizona | Apache, Coconino, Gila, Maricopa (ACC Only), Mohave, Navajo, Pinal (ACC Only), and Yavapai | ACC RBHA |
1-800-656-8991 |
Magellan Complete Care of Arizona for Magellan Complete Care | Gila, Maricopa, and Pinal | ACC | Members: 1-800-424-4509 Non-Members: 1-800-424-4505 |
Mercy Care Advantage for Mercy Care | Gila (ACC Only), Maricopa, and Pinal (ACC Only) | ACC RBHA | Members: 1-877-436-5288 Non-Members: 1-866-571-5781 |
UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan | Maricopa, Gila, Pima, and Pinal | ACC | Members: 1-877-614-0623 Non-Members: 1-888-834-3721 |
2021 D-SNPs Available to ALTCS Elderly and Physically Disabled (E/PD) Dual Eligible Members
Available D-SNPs | Counties Available | Telephone |
---|---|---|
Banner – University Care Advantage for Banner – University Family Care | Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma | Members: 1-877-874-3930 Non-Members: 1-877-874-3938 |
Mercy Care Advantage for Mercy Care | Gila, Maricopa, Pima and Pinal | Members: 1-877-436-5288 Non-Members: 1-866-571-5781 |
UnitedHealthcare Community Plan Dual Complete ONE for UnitedHealthcare Community Plan | Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal and Yavapai | Members: 1-877-614-0623 Non-Members: 1-888-834-3721 |
2021 D-SNPs Available to Division of Developmental Disabilities (DDD) Dual Eligible Members
Available D-SNPs | Counties Available |
Telephone |
---|---|---|
Mercy Care Advantage for Mercy Care | All Counties | Members: 1-877-436-5288 Non-Members: 1-866-571-5781 |
UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan | All Counties | Members: 1-877-614-0623 Non-Members: 1-888-834-3721 |
Contact the following for further information and answers to your questions regarding AHCCCS available 2021 Medicare D-SNPs in your area:
AHCCCS | 602-417-7100 (Maricopa County only) 1-800-962-6690 (outside of Maricopa County) TTY: 1-800-367-8939 OR AHCCCS Contacts |
---|---|
SHIP (the Arizona State Health Insurance Assistance Program) |
1-800-432-4040 |
Medicare | 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048 |