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    Mercy Care Advantage (HMO SNP)

    This is a health maintenance organization special needs plan (HMO SNP). It provides Medicare benefits to people who qualify for Medicaid, as well as Medicare Parts A and B.

    Service area:

    •  Arizona Health Care Cost Containment System (AHCCCS) Complete Care Regional Behavioral Health Agreement (ACC-RBHA): Gila, Maricopa and Pinal counties

    •  AHCCCS Arizona Long Term Care System (ALTCS): Gila, Maricopa, Pima and Pinal counties 

    •  Division of Developmental Disabilities (DDD): Statewide

    Not yet a member?

    Call Member Services at 602-586-1730 or 1-877-436-5288 (TTY 711). We’re here for you 8 a.m. to 8 p.m., 7 days a week.

    Understand and use your benefits

    Understand and use your benefits

    Be as healthy as you can be. A wide range of benefits and services can help. You have a network of providers to get you the right care when you need it. We’ll help you understand your coverage. And make sure you get the most from your plan.

    Remember, you get a $0 monthly plan premium. Plus, extra benefits beyond Original Medicare, like: 

    • Vision, hearing and dental — with denture coverage for the first time ever
    • Over-the-counter (OTC) items for personal health and wellness 
    • Services to care for your feet and back (podiatry and chiropractic care)
    • Health and wellness classes
    • Telehealth and the Nurse Line

    See our 2024 Benefits at a Glance (PDF) brochure for a reminder of your benefits. Or visit our page on more benefits to see all that you enjoy now, as a member. 

    One plan, one card

    One plan, one card

    Are you a member of both Mercy Care Advantage and Mercy Care Medicaid (AHCCCS)? If so, you only need to show one member ID card at visits to your health care providers. Here’s how it works:

    1. Show the provider your Mercy Care Advantage card. It has three logos on it:

      • Mercy Care Advantage
      • Mercy Care
      • AHCCCS
    2. Need another ID? Show your Arizona driver’s license or state ID card.
    3. You don't need to show your AHCCCS card as well.
       

    Do you get the Medicaid part of your coverage from a plan other than Mercy Care? If so, you’ll need to show both cards at visits to your health care providers:

    • Your Mercy Care Advantage ID card 
    • The ID card for your other Medicaid coverage (not Mercy Care)

    This allows your health care providers to submit claims to both your health plans.

    Your Mercy Care Advantage ID card helps protect your identity. Here’s how it works:

    • AHCCCS uses the picture on your driver’s license or state ID to confirm who you are. 
    • Then, they add your picture to the online tool that providers use to check your coverage. 
    • Your providers can see your picture and confirm your benefits. 

    Call ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). We're here for you ${MCA_MS_hours}.

    Helpful info 

    Medicare complaints

    Have a problem? You can report your problem online to Medicare.

    Medicare Beneficiary Ombudsman (MBO)

    You can also get help with complaints and questions. Learn more about the MBO.

    CMS Best Available Evidence (BAE)

    This policy helps make sure that members with low income pay a lower cost share when they meet certain criteria. Learn more about BAE.

    Nurse Line

    Call ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). Ask to speak with a nurse about general health advice. After hours, choose “More options” and “Speak to a nurse.”

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