Arizona Health Advantage, Inc., dba Arizona Priority Care has entered into an agreement with Medicare as a Direct Contracting Entity (DCE). A Medicare DCE is an entity composed of health care providers operating under a common legal structure, which accepts financial accountability for the overall quality and cost of medical care furnished to Medicare fee-for-service (“FFS”) Beneficiaries aligned to the entity.
The DCE is for beneficiaries with Traditional Medicare. Medicare has started an initiative where health care providers who share a common set of goals aimed at improving patient care can work together more effectively. This initiative brings together health care professionals in a Direct Contracting Entity (DCE), to work together with Medicare to give you more coordinated care and services.
How Does This Benefit Me?
Your Primary Clinician has chosen to participate as part of a DCE because they have access to additional resources and are able to give their patients better quality care. Your Medicare benefits have not changed. You may still go to any doctor, hospital, or other healthcare provider that accepts Medicare. However, because your doctor is now connected with Arizona Priority Care DCE, some special features may be available to you at no extra cost. These special features are listed below:
- Preventive Healthcare Screenings & Education
- Transitional Care (after a hospitalization)
- Customer Service Advocates
- Assistance with Pharmacy Services
- In-Home Wellness Programs & Assessments
- Care Coordination Services
If you are interested in learning more about one of the above programs, click the link on this page or you may call our Customer Service Advocates at 480-336-7444 or email us at CareCoordination@AZPriorityCare.com. A member of our team will be happy to assist you.
A Medicare beneficiary who is voluntarily aligned through their Primary Clinician with Arizona Priority Care Direct Contracting Entity (AZPC DCE) maintain their original Medicare benefits.
Selecting a primary clinician is completely optional. You can still choose to go to any doctor or other practitioner who accepts Medicare.
You can change your primary clinician at any time, and select another practitioner as your primary clinician. Your selection of a primary clinician will remain the same unless you decide to change your designation.
Beneficiaries do not require a referral to a specialist for care. You choose your specialists. Your primary clinician may recommend a service or provider, but the choice is yours.
All of your claims will still be submitted directly to Medicare.
Nothing changes with your supplemental insurance benefits or your pharmacy plan.