Health‐e‐Arizona Plus Subscription Fees ‐ Effective  09/01/2016

Health‐e‐Arizona Plus	
Organization Type	Set‐up Fee	Fee Basis	Monthly Fee	
Plan 0
Federal, State, County, Local and Tribal government organizations	None	None	None	
Plan A
AHCCCS Registered Medical Providers and Contractors (RBHAs, Health Plans, FQHCs, Hospitals, other clinics and medical providers)
Non‐Profit Community Organizations (churches, food banks, social services agencies)	$500	User seat		Number of Number of Users	All users Plan A Monthly Rate		
				0-5	$50		
				6-10	$100		
				11-20	$150		
				21-30	$200		
				31- 50	$300		
				51-75	$1000		
				75-100	$1100		
				101-125	$1500		
				126-150	$1600		
				151-175	$2000		
				176-200	$2100		
				201-225	$2500		
				226-250	$2600		
				251-275	$3000		
				276-300	$3100		
				301-325	$3500		
				326-350	$3600		
			Payment of monthly fees is currently waived.	
Plan B
Other Organizations	$500	User seat		Number of Users	Plan B Monthly Rate		
				0-25	$500		
				26- 50	$1,000		
				51-75	$1,500		
				75-100	$2,000		
				101-125	$2,500		
				126-150	$3,000		
				151-175	$3,500		
				176-200	$4,000		
				201-225	$4,500		
				226-250	$5,000		
				251-275	$5,500		
				276-300	$6,000		
			Payment of monthly fees is currently waived.