Private Health Insurance Plans Arizona - MINNETONKA, Min. – Today announced new health plan options for individuals and families in Maricopa County. The plan, PinnacleSM, is the result of a partnership between Arizona Care Network, Dignity Health and Phoenix Children's Care Network in the Phoenix area. By coming together, the organization has created insurance plans for individuals and families that focus on receiving the highest quality care at an affordable price.
Founded in 1975, it is a large, not-for-profit health insurance company that serves approximately 1 million members in the central and southwestern United States.
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Enrollment in the plan can begin on November 1, 2021, when the 2022 open enrollment period begins. There are several benefit design options, including plans with $0 office visits and coverage for virtual care. Enrollment in the plan is available through the Health Insurance Marketplace (www.healthcare.gov) for coverage on or after January 1, 2022. More information about the plan will be available at /IFP after October 1, 2021.
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The provider network includes approximately 4,500 primary care and specialty physicians and 12 hospitals, the Home health services and convenient clinics. Members have access to Arizona Care Network, Dignity Health and Phoenix Child Care Network.
Pinnacle offers the Healthy Living with program, a personal wellness program with rewards and discounts earned for participating. Members also have access to health advocates, who help members address health concerns and can do legal work to identify appropriate providers and find answers to questions about claims, costs, procedures and other health issues.
"We are pleased to bring our management and care services to Maricopa County and combine them with the high quality care provided by Arizona Care Network, Dignity Health and Phoenix Children's Care Network," said Geoff Bartsh, Senior Vice President of Individual and Family Business. "There is a commitment to making care efficient and accessible, and Pinnacle does that by providing an unmatched care experience through our relationships with these providers."
"We are proud to continue investing in the health and well-being of Maricopa County children and their families," said Chad Johnson, Senior Vice President and CEO, Phoenix Children's Care Network. "We have a long-standing commitment to providing world-class care to this community, and this partnership will expand access to more families."
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"Dignity Health Southwest Division has provided world-renowned skilled and compassionate care to its patients for more than 125 years," said Lisa Farnan, Vice President of Payment Strategy and Relationships for Dignity Health Southwest. "This partnership allows us to expand access to these first-class services to even more members of our community."
() is a nonprofit health insurance plan headquartered in Minnesota. The company serves communities in the heartland of America by providing health care and related services in the employer, individual, ID and re markets. It operates in Minnesota, Arizona, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota and Wisconsin.
Our vision is to be trusted in the community for our unwavering commitment to high-quality, affordable health care.
() is a nonprofit health insurance plan headquartered in Minnesota. The company serves the community by providing health care and related services in the employer, individual, ID and return markets. It operates in Minnesota, Arizona, Illinois, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, Wisconsin and Wyoming.
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Our vision is to be trusted in the community for our unwavering commitment to high-quality, affordable health care. Arizona Health Insurance Marketplace Guide 2023 still has eight participating insurers for 2023, but Imperial joined and Bright left; The overall average interest rate has increased by about 4.3% in 2023.
Arizona has a federal health insurance exchange, which means the state uses the HealthCare.gov platform. There are eight insurance companies that offer plans through the Arizona exchange.
Outside of the annual open enrollment period (November 1 to January 15), eligible activities are required to register or make a management change. This applies to both exchanges and policies purchased directly from health insurance companies.
235,229 people enrolled in private individual market plans through the Arizona exchange during open enrollment for 2023 coverage.
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Arizona uses the federal marketplace (exchange), which means individuals and families sign up for health plans through HealthCare.gov.
In April 2015, Mayor Doug Ducey signed into law House Bill 2643, effectively prohibiting states from creating state exchanges. Mayor Ducey told reporters that he signed the bill because he was "not a fan of [Obamacare]" and "not a fan of the state exchanges."
The law was passed before the Supreme Court's decision in King v. Burwell, and at ACAsignups, Charles Gaba estimated that 133,000 people in Arizona would lose their subsidies - and most likely their insurance - if the court rules that subsidies can only be provided. by the exchange of the state.
Fortunately for the people of Arizona, the Supreme Court issued a decision in June 2015 that upholds the legality of subsidies in any state, regardless of whether the exchange is run by the state or the federal government.
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For coverage in 2023, there are eight insurers offering exchange plans in Arizona (note that Blue Cross and Blue Shield of Arizona are listed twice since they both have HMO and PPO products). There are still 8 participating insurers in 2022, but there are some changes for 2023: Bright Health has left the market (in every state where they provide coverage, including Arizona), and Imperial Insurance Company has joined the market.
For 2023, the following insurers offer plans on the Arizona exchange, with plans varying by location:
Arizona's health insurance exchange is one of the strongest in the country in terms of insurance company participation. It then dropped to just two participating insurers in 2017, but has grown significantly with 8 insurers offering plans in 2022 and 2023.
In 2015, there were 11 carriers offering plans on exchanges, some in states and some in some areas. Three new insurers joined the Arizona market for 2015: UnitedHealthcare, Assurant Health and Phoenix Health Plans. A total of 13 insurers participated in the second year of enrollment in the Arizona exchange, up from 10 in 2014. Nationwide, the number of insurers participating increased by about 25 percent in 2015.
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In 2016, the number of participating insurance companies decreased to 8 companies. Three providers that participated in the Arizona exchange in 2015 did not participate in 2016: Meritus, Time and University of Arizona Health Plans. Time offered a rate increase of more than 70 percent for 2016, but ended up leaving the market instead. Meritus, a CO-OP created by ACA, closed in late 2015
And that migration became more of a problem in the following years. In 2017, only two providers offered exchange coverage (Blue Cross Blue Shield of Arizona and Ambetter by Health Net; Ambetter purchased Health Net and the plan became "Abetter by Health Net" in January 2017), and in 13 of BCBS 15 Arizona State Area Single Airlines Exchange:
* For 2016 plans, Phoenix Health Plans did not pay commissions for new business submitted after November 19, 2015. The provider said it met its 2016 enrollment goals during the first two weeks of open enrollment; The elimination of broker commission ensures that registration is slower for them, as brokers are reluctant to work for free (brokers do not receive compensation other than commission).
As of August 2016, with only two and a half months until the start of open enrollment for 2017, Pinal County had no providers offering plans in the exchange for 2017. But in early September, Blue Cross Blue Shield of Arizona announced that they would not be leaving Pinal County - as planned - by the end of 2016, and would Continue to propose plans there in 2017. However, these issues have informed That.
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Arizona's health insurance exchange participation for 2017 is almost the same as in 2016. In mid-September, a new application was submitted by Centene/Ambetter to offer coverage in Maricopa and Pima counties (the proposed plan was taken from Ambetter by Health Net, after the merger of the two companies)
However, with Ambetter's announcement, Cigna has chosen to leave the exchange in Maricopa County (the only county they plan to provide coverage for) and instead partner with Ambetter by having Cigna Medical Group be the network provider for Centene/Ambetter in Maricopa County. Cigna Medical Group has about 100 physicians and 50 advanced practice nurses, and Ambetter enrollees can see them in the network in 2017.
Cigna and Freedom Life offered exchange plans in 2018 (both with steep price increases), though Freedom Life typically doesn't market their ACA-compliant plans. Aetna offered exchange plans in Arizona in 2017, but they discontinued those plans at the end of 2017. Cigna continued to sell exchange plans in Maricopa, but they discontinued their "open access plus" (PPO-style) plans in favor of limited network (HMO-style) plans. However, for 2019, Cigna has returned to the Arizona Exchange in Maricopa County.
For 2018, BCBSAZ's rate filing notes that they ended their disaster plan in Pima County
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