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2020 Banner Provider Directory/Directorio De Proveedores: Maricopa | Pinal | Gila

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2020 Banner Provider Directory/Directorio De Proveedores: Maricopa | Pinal | Gila 2020 PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES MARICOPA | PINAL | GILA HMO SPECIAL NEEDS PLAN PLAN PARA NECESIDADES ESPECIALES HMO H4931_ProvDirectoryCY20_C Banner — University Care Advantage (HMO SNP) 2020 Provider Directory This directory is current as of 08/01/2020. This directory provides a list of Banner — University Care Advantage’s current network providers. This directory is for the following counties in Arizona: Maricopa, Pinal and Gila. To access Banner — University Care Advantage’s online provider directory, you can visit www.BannerUCA.com. For any questions about the information contained in this directory, please call our Customer Care Center at (877) 874-3930, 8 a.m. to 8 p.m., 7 days a week. TTY users should call 711. Banner — University Care Advantage (HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (877) 874-3930 (TTY: 711). TABLE OF CONTENTS Section 1 – Introduction ........................................................................................................................................ 3 What is the service area for Banner — University Care Advantage? ................................................................... 4 How do you find Banner — University Care Advantage providers in your area? ................................................. 4 Section 2 – List of Network Providers ................................................................................................................. 9 Primary Care Providers (PCPs) ............................................................................................................................ 9 Specialists .......................................................................................................................................................... 63 Hospitals ........................................................................................................................................................... 303 Skilled Nursing Facilities (SNFs) ...................................................................................................................... 309 Ancillary ............................................................................................................................................................ 312 Outpatient Mental Health Providers.................................................................................................................. 395 Index ................................................................................................................................................................. 419 Section 1 – Introduction This directory provides a list of Banner — University Care Advantage network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care services from your PCP. Your PCP is a physician or nurse practitioner who meets the state requirements and is trained to give you basic medical care. You will receive your routine or basic care from your PCP. Your PCP will also coordinate the rest of the covered services you get as a member of our plan. For example, in order for you to see a specialist, you usually need to get your PCP’s approval first (this is called getting a “referral” to a specialist). The network providers listed in this directory have agreed to provide you with your health care, vision and dental services. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. Other physicians / providers are available in our network. Some specialists might ask for a referral from your PCP before they will agree to see you. The specialist needs to have an understanding of your medical history and the conditions the specialist will need to treat. This information prepares the specialist to provide you with the most efficient and highest quality care. If you receive a bill from a non-contracted provider, do not pay the bill. Send the bill to Banner — University Care Advantage in order for us to process and determine if you have any liability for the bill. When you have a “medical emergency”, you believe that your health is in serious danger. A medical emergency can include severe pain, a bad injury, a sudden illness or a medical condition that is quickly getting much worse. If you have a medical emergency: Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, hospital or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a referral first from your PCP, even if you are out of the service area. As soon as possible, make sure that Banner — University Care Advantage has been notified about your emergency. We need to follow up on your emergency care. You or someone else should call to tell us about your emergency care, usually within 48 hours. You can find the number to call on the back of your plan membership ID card or on the back cover of this document. If you receive emergency care at an out-of-network hospital and need inpatient care after your emergency condition is stabilized, you must have your inpatient care at the out-of- network hospital authorized by the plan and your cost is the cost sharing you would pay at a network hospital. Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area, you must use plan providers for urgent care. When out of the service area, urgent care may be obtained from the first available provider. In addition, when out of the service area, you can obtain dialysis treatment from any qualified dialysis provider. You must use network providers except in emergency or for out-of-area urgent care situations or for out-of-area renal dialysis services. If you obtain routine care from out-of-network providers, neither Medicare nor Banner — University Care Advantage will be responsible for the costs. What is the service area for Banner — University Care Advantage? The counties in our service area are listed below. Maricopa, Pinal and Gila. How do you find Banner — University Care Advantage providers in your area? To find providers in your area, begin by looking for the county in which you live, then for the name of your city or town and then the provider’s name. County City Provider For the most current information about our providers, please visit our online searchable directory at: www.BannerUCA.com/Find-a-Provider. If you have questions about Banner — University Care Advantage or require assistance in selecting a PCP, please call our Customer Care Center at (877) 874-3930, 8 a.m. to 8 p.m., 7 days a week. TTY/TDD users should call 711. You can also visit www.BannerUCA.com. Banner — University Care Advantage (HMO SNP) Directorio de proveedores para 2020 Este Directorio está vigente a partir del 01/08/2020. Este Directorio ofrece una lista de los proveedores de la red actuales de Banner — University Care Advantage. Este Directorio es para los siguientes condados en Arizona: Maricopa, Pinal y Gila. Para acceder al Directorio de proveedores en línea de Banner — University Care Advantage, puede visitar www.BannerUCA.com. Si tiene alguna pregunta sobre la información incluida en este Directorio, llame a nuestro Centro de Servicio al Cliente al (877) 874-3930, 8 a.m. a 8 p.m., 7 días a la semana. Los usuarios de TTY deben llamar al 711. Banner — University Care Advantage (HMO SNP) cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (877) 874-3930 (TTY: 711). TABLA DE CONTENIDOS Sección 1: Introducción ........................................................................................................................................ 3 ¿Cuál es el área de servicio de Banner — University Care Advantage? ............................................................. 4 ¿Cómo encontrar a los proveedores de Banner — University Care Advantage en su área? .............................. 4 Sección 2: Lista de proveedores de la red.......................................................................................................... 9 Proveedores de atención primaria (PCPs) ........................................................................................................... 9 Especialistas....................................................................................................................................................... 63 Hospitales ......................................................................................................................................................... 303 Centros de enfermería especializada(SNFs) ................................................................................................... 309 Servicios Completarios ....................................................................................................................................
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