Brand
patients

Frequently Asked Questions

No, Arizona Priority Care is not an insurance company. Your health plan determines your benefits, copayments, and prescription coverage. We are a network of physicians who have contracted with your health plan to coordinate services for their members. We are delegated by each plan to provide management services, such as:
  • Coordination of referral services
  • Claims processing and payment
  • Assistance with case management for chronic conditions

Your PCP is always the first person you contact when you have a medical need. Your PCP will want to see you before determining if you should be referred to a specialist.

The exception to this guideline is when you experience a life-threatening emergency such as the sudden onset of illness or injury. Should this happen, call 9-1-1 or go the nearest emergency room.

Normally, your PCP is available to direct your care when you have a minor injury or become ill. Your PCP will ususally have an after-hours number for you to call. He or she can then direct you to the proper care for your condition. If you are unable to contact your PCP (and you do not feel it is an emergency), please call Arizona Priority Care, day or night, and our Customer Service Representatives will assist you to find the care you need.

Customer Service Representatives
480-499-8750

Business Hours are Monday – Friday
8:00am to 5:00pm

Toll Free 855-711-2912
TTY Users use #711

When evaluation or treatment by a specialist is needed, your PCP will submit a request for an authorization. The request will be evaluated, your benefit determined, and you will be referred to a specialist within the Arizona Priority Care network.

Contact the telephone number listed on the back of your Health Plan I.D. card. Most changes are effective the first of the following month.

Health Net members can change their PCP by calling 800-977-7522 or by writing a letter requesting a change.

If you received an authorization for service, you should not receive a bill except for unpaid copays or deductibles. Should you receive a bill or statement, please call our Patient Service Representatives so that we can ensure that you do not pay for something that may have been sent to you in error. This can happen, for example, when a laboratory or radiology provider was not able to get sufficient billing information at the time of service.

Customer Service Representatives
480-499-8750

Business Hours are Monday – Friday
8:00am to 5:00pm

Toll Free 855-711-2912
TTY Users use #711