Contributed by Mercy Care Advantage
Choosing a health plan that’s right for you can be daunting. With so many options available, it is important to know your individual health care needs will be covered.
With Mercy Care Advantage and its broad range of benefits and services, you can confidently say, “I’m Covered!”
Mercy Care Advantage, an Arizona-based not-for-profit health plan, is a comprehensive health and prescription drug plan serving individuals throughout Arizona whose special needs and/or financial status makes them eligible for both Medicare and Medicaid.
To qualify for Mercy Care Advantage, you need both Medicare Parts A & B and you must be eligible to receive AHCCCS Medicaid benefits. Medicare and AHCCCS Medicaid eligibility are verified at the time of enrollment. Mercy Care Advantage members pay no monthly plan premiums for an array of covered health services, including general wellness, behavioral health, dental, vision and hearing care. There are even non-traditional services including transportation and a nurse’s hotline available to members.
To be eligible to enroll, individuals need to live in our Mercy Care Advantage geographic service area. Our service areas for the following Medicaid programs includes the following counties:
• For the AHCCCS Complete Care (ACC) Medicaid program our service area is Gila, Maricopa and Pinal counties.
• For ALTCS Medicaid our service area is Gila, Maricopa, Pima, and Pinal counties.
• For the Arizona Division of Developmental Disabilities, our service area is all Arizona counties.
Mercy Care Advantage’s network includes primary care providers (PCP), specialists, therapists, urgent care centers, clinics, hospitals, and providers of home and community-based services. In addition, Mercy Care Advantage members receive coverage for routine transportation to certain Mercy Care Advantage supplemental benefits.
To receive the most from your benefits, all Mercy Care Advantage members are required to receive all routine care from Mercy Care Advantage plan providers. Exceptions are made in the event of an emergency or an urgently needed care situation or for kidney dialysis services received from a Medicare-certified dialysis facility when you are temporarily outside the plan’s service area.
Mercy Care Advantage is more than just a health plan, we are part of the Arizona community. Our employees are your neighbors, family and friends. With a commitment to serving the health needs of Arizona, our members are the focus of our organization, and we treat each member with respect, compassion and dignity.
We connect with the community in many ways. An important part of our mission is helping the community thrive. We care about what happens here. We work with and support community organizations whose mission aligns with our goals of improving the health of members in Arizona. Each year, through Mercy C.A.R.E.S. (Community, Action, Resources, Education and Service), we provide direct support with grant funding, sponsorship or other financial investments. We also provide support through volunteer service hours, board participation and fundraising efforts to nonprofit organizations and programs that address addiction recovery, housing, school-based services, food insecurity, women’s health and pandemic support across Arizona.
Following are some of the organizations we partner with and sponsor:
• Hushabye Nursery
• Pathway to Hope
• Sonoran Prevention Works
• Home Matters AZ
• Community Bridges, Inc.
• Save the Family
• Supportive Services for Families
• Valle del Sol
• Teen Lifeline
• March of Dimes
• Barrow Neurological Institute
• Jewish Family & Children’s Service
• Farm Express Bus
At Mercy Care, our vision is for our members to live a healthier life and achieve their full potential. With one health plan and local case managers helping you get the treatment, medication and support you need, Mercy Care Advantage gives members peace of mind to know they’re covered.
Toll-free: 1-866-571-5781 (TTY 711)
Representatives are available 8 a.m. – 8 p.m., 7 days a week.
Learn more at www.JoinMCA.org.
Mercy Care Advantage is an HMO SNP with a Medicare contract and a contract with the Arizona Medicaid Program. Enrollment in Mercy Care Advantage depends on contract renewal.