AZ Center For Bone & Joint Disorders Phoenix – 602.553.3113, East Mesa – 480.354.5900 PGA Referral List
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Insurance Plans
AZ Center for Bone & Joint Disorders, a Physician Group of Arizona, Inc., practice, currently accepts the following health plans:
  • AAbrazo Advantage
  • Aetna/US Healthcare
  • AHCCCS Direct
  • APIPA-AHCCS
  • Arizona Foundation for Medical Care
  • Beech Street
  • Blue Cross/Blue Shield of Arizona
  • Bridgeway
  • CareMore
  • Cigna Healthcare
  • ClearOne
  • Coventry/First Health Network
  • EverCare
  • Focus Healthcare Management
  • Fortified Provider Network
  • Gila River Health Plan
  • Great-West Healthcare
  • Healthcare Connect
  • Health Choice
  • Health Management Network/Rural Arizona
  • Network (HMN/RAN)
  • Healthnet/Intergroup
  • Humana/ChoiceCare
  • Integrated Health Plan
  • Medicare
  • Medicare Railroad
  • Maricopa
  • Mercy Care
  • MultiPlan (includes Admar/BCE Emergis)(Through HMN/RAN)
  • National Preferred Provider Network (and related plans)
  • PacifiCare/Secure Horizons
  • PHCS (Through HMN/RAN)
  • Phoenix Health Plan (PHP)
  • SCAN
  • SCF Arizona
  • Sterling PPO
  • Three Rivers Provider Network (and related plans)
  • TriCare Prime Network
  • Tricare Select (non-HMO Champus)
  • United Healthcare
  • University Physicians Healthcare Group
  • USA Managed Care Organization

The list above represents the health plans accepted by most physicians affiliated with Physician Group of Arizona, Inc. Please note that the listing of a health care plan does not guarantee coverage. If your managed health care plan is not listed, please contact your insurance provider. Some affiliates may not be listed.


Insurance Verification
You must provide our office with your insurance verification card. Should you change your insurance coverage, please contact our office with any updated insurance information. We also recommend that you contact your insurance company prior to surgery to determine the extent of your coverage, including:

  • Second opinion requirements
  • Surgeon fees
  • Hospitalization
  • Surgery
  • Recovery
  • Anesthesiology
  • Diagnostic testing
  • Rehabilitation (needs, equipment)
  • Physical therapy
Please note, verification and/or pre-certification is not a promise of payment from your insurance company. You are still responsible for payment of the bill. To assist, we will submit a claim for any services to your primary insurance carrier and provide you with the information you may need for secondary insurance. If you have additional questions, please contact our business office at (602) 553-3113.


Payment Policy
You are personally responsible for payment of your account regardless of your medical insurance coverage. Our policy requires that all office visit charges be paid at the time of service. We accept cash, personal checks, Mastercard and Visa for payment of charges. You will receive a monthly statement itemizing charges and your current balance. Any arrangements for extended payments must be addressed with our business office at (602) 553-3113. If your account is past due and you have not made payment arrangements with the business office, we will need to take additional collection measures.


Surgery Deposit
A deposit may be required prior to your surgery, depending on your type of insurance coverage. If a deposit is required, you will be contacted by the business office prior to surgery.


Postoperative Charges
Office visits following surgery are included in your surgery fee for a specified period of time (usually up to 90 days), depending on the type of surgery performed. X-rays and other services or supplies provided after surgery are not included in the surgery fee and are your responsibility to pay.


Medicare
We accept Medicare. Medicare will pay us directly for 80% of the allowed charges. You are responsible to provide payment of the remaining 20% of Medicare’s allowed charges, if your deductible has been met. We will provide you with the information you may need for your supplemental insurance carrier.


Workman’s Compensation
On your first visit for an industrial injury, you must complete a 102-Form. If you have not completed this form, please speak with the practice’s industrial account representative. Information and forms must be submitted to the receptionist at the time of check-in.


HMO/IPPO Plans
We are contracted with certain managed health care plans to accept their established fee schedule amounts. The various plans have different deductible, co-payment and co-insurance requirements, which you must pay at the time of service.

Please familiarize yourself with your plan’s financial requirements as well as protocol requirements for referrals, preauthorization and second opinions.


Indemnity Plans
Indemnity insurance plans pay according to their reasonable and customary fee schedules. We are not contracted with these insurance companies. You are responsible for paying the difference between the practice’s charges and the insurance plan’s reimbursement.

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  Phoenix: 2122 E. Highland Ave., Suite 300, Phoenix, AZ 85016 (602) 553-3113
East Mesa:
10238 E. Hampton Ave., Suite 406, Mesa, AZ 85209 (480) 354-5900