Medical
Maricopa County provides access to high quality, affordable healthcare for its employees. There are four medical plan options. Each plan includes free preventive care (in-network only) and is bundled with a prescription and behavioral health benefit. Benefits are usually effective the first day of the month following the date of hire or date of benefits eligibility.
AT YOUR FINGERTIPS...
- Access the benefit system (current employees)
- Compare the plans (PDF)
- Compare the premiums (PDF)
Cigna HMO
- Prescription: OptumRx Co-Insurance Prescription Plan
- Behavioral Health: Magellan Behavioral Health Plan. Provider network is Cigna Medical Group.
- Coverage is available only in Maricopa County, except for a life threatening emergency.
- A member must work or reside within Maricopa County and select a primary care physician (PCP) within a Cigna Medical Group Health Care Center (CMG). There are additional pediatricians available outside of the CMG who are considered in-network providers.
Contact information
Cigna Medical Group
1-800-244-6224
Group #3205496
At your fingertips...
- Cigna’s main website Opens in New Window
- Cigna’s member site Opens in New Window
- Cigna Medical Group Opens in New Window (Out-of-network coverage applies only for life-threatening emergency)
- Find a doctor for the Cigna HMO (select Cigna Medical Group Plan)
- Find a hospital with in-network providers Opens in New Window (PDF)
- Cigna Medical Group (CMG) map Opens in New Window (PDF)
- Telehealth Opens in New Window (PDF)
- Where to get care Opens in New Window (PDF)
2020-2021 Plan Year Documents
- Summary of Benefits and Coverage Opens in New Window (PDF)
- Summary Plan Description Opens in New Window (PDF)
2019-2020 Plan Year Documents
Contact Information
OptumRx (Prescription)
Customer Service
866-312-1597 Opens a New Window.
website Opens a New Window.
Group # 512229
Prior Authorization
1-877-665-6609
At Your Fingertips...
- Diabetes Management Program from OptumRx (PDF)
- Frequently asked questions (PDF)
- How the OptumRx plan works (PDF)
- Low cost generic (PDF)
- Managing meds online (PDF)
- OptumRx Specialty Pharmacy (PDF)
- Pharmacy network (PDF)
- Prescription drug list (Prescription Plan Formulary)(PDF)
- Prescription drug list (effective January 1, 2021) (PEF)
- Reimbursement claim form (PDF)
2020-2021 Plan Year Document
- Summary Plan Document (SPD) (PDF)
The behavioral health benefit provides services that support your well-being. Through these services, you receive confidential counseling whenever you and/or your eligible dependents are faced with a personal challenge. All records, including personal information, referrals and evaluations, are kept confidential in accordance with federal and state laws.
Contact information
Magellan Healthcare
1-888-213-5125
website
At your fingertips...
Cigna HDHP with HSA
- Prescription: Cigna HDHP Prescription Plan
- Behavioral Health: Cigna Behavioral Health Plan
Contact Information
Cigna Choice Fund OA Plus
1-800-244-6224
At your fingertips...
- Find a doctor (PDF)
- Find a hospital with in-network providers Opens a New Window. (PDF)
- Preventive health care guide Opens a New Window. (PDF)
- Telehealth services Opens in New Window (PDF)
- Urgent care services Opens a New Wind Opens in New Window (PDF)
- Understanding the High Deductible Health Plan Opens in New Window (video)
- Where to get care Opens a New Window At your fingertips... At your fingertips... At your fingertips... At your fingertips... At your fingertips... (PDF)
Specific H.S.A. Information
- HSA guide Opens a New Window. (PDF)
- How to access your HSA funds Opens a New Window. (PDF)
- FAQs for the Cigna HDHP with HSA Opens a New Window. (PDF)
- IRS qualified medical expenses Opens a New Window. (PDF)
- IRS related publications forms
- Opens in New WiWhat is a Health Savings Account (HSA)? (video) Opens in New Window Opens in New Window’UndUndUUnD Opens a New Window.
2020-2021 Plan Year Documents
2019-2020 Plan Year Documents
Contact Information
Cigna HDHP
Prescription Plan
1-800-244-6224
Group Number is 3205496
website Opens in New Window
At Your Fingertips...
- Cigna pharmacy benefit (PDF)
- Pharmacy network
- Prescription drug list (PDF)
- Prescription drug list (effective January 1, 2021) (PDF)
The behavioral health benefit provides services that support your well-being. Through these services, you receive confidential counseling whenever you and/or your eligible dependents are faced with a personal challenge. All records, including personal information, referrals and evaluations, are kept confidential in accordance with federal and state laws.
Contact information
Cigna Behavioral Health
800-274-7603
Group Number is 3205496
website
At your fingertips...
UnitedHealthcare PPO
- Prescription: OptumRx Co-Insurance Plan
- Behavioral Health: Magellan Behavioral Health Plan
Contact information
Medical - Choice Plus
1-888-876-7098
At your fingertips...
- Find a doctor for the UHC PPO Plan
- Providers not covered (PDF)
- Find a hospital with in-network providers Opens in New Windo (PDF)
- Telehealth services Opens in New Window (PDF)
2020-2021 Plan Year Documents
2019-2020 Plan Year Documents
Contact information
OptumRx (Prescription)
Customer Service
866-312-1597
website
Group #512229
At your fingertips...
- Diabetes Management Program from OptumRx (PDF)
- Frequently asked questions (PDF)
- How the OptumRx plan works (PDF)
- Low cost generic (PDF)
- Managing meds online (PDF)
- OptumRx Specialty Pharmacy (PDF)
- Pharmacy network (PDF)
- Prescription drug list (Prescription Plan Formulary)(PDF)
- Prescription drug list (effective January 1, 2021) (PDF)
- Reimbursement claim form (PDF)
2020-2021 Plan Year Document
- Summary Plan Document (SPD) (PDF)
The behavioral health benefit provides services that support your well-being. Through these services, you receive confidential counseling whenever you and/or your eligible dependents are faced with a personal challenge. All records, including personal information, referrals and evaluations, are kept confidential in accordance with federal and state laws.
Contact information
Behavioral Health
(Magellan Healthcare)
888-213-5125
website Opens in New Window
At your fingertips...
- Magellan frequently asked questions Opens in New Window (PDF)
- Online provider directory
- Telehealth (PDF)tTTTeleh Opens in New Window
- Summary Plan Description Opens in New Window (PDF)
- Virtual therapy (PDF)
UnitedHealthcare HDHP with HSA
- Prescription: OptumRx Co-Insurance Plan
- Behavioral Health: United Behavioral Health Plan
Contact Information
Medical
Customer Service:
1-888-876-7098
Optum Bank
1-800-791-9361
At Your Fingertips...
- Find a doctor for the HDHP plan
- Providers not covered (PDF)
- Find a hospital with network providers (PDF)
- Telehealth services (PDF)
- UnitedHealthcare HDHP w/HSA recorded presentation (video)
- Understanding the High Deductible Health Plan (video)
Specific HSA Information
- Frequently asked questions for the UHC HDHP with HSA (PDF)
- Health Savings Account (HSA) user guide (PDF)
- IRS Related Publications Forms
- What is a Health Savings Account (HSA)? (video)
2020-2021 Plan Year Documents
2019-2020 Plan Year Documents
Contact information
OptumRx
Customer Service
866-312-1597
website
Group # 901632
At Your Fingertips...
- Medication home delivery (PDF)
- Prescription drug list (PDF)
- Prescription drug list (effective January 1, 2021) (PDF)
- Prescription reimbursement form (PDF)
- Specialty pharmacy program (PDF)
- Standard pharmacy network (PDF)
This benefit includes coverage through providers who participate in the UnitedHealthcare provider network (in-network) as well as limited coverage through providers who do not participate in the UnitedHealthcare network (out-of-network).
When receiving services from a provider within the UnitedHealthcare network, only inpatient hospitalization requires prior authorization. The in-network admitting provider will obtain prior authorization on your behalf. All other services received in-network are on a self-referral basis. To locate a participating provider, use the online UnitedHealthcare provider directory.
All out-of-network services require prior authorization. When you go out-of-network, it is your responsibility to obtain prior authorization before receiving services. Contact UnitedHealthcare to begin the authorization process.
Contact information
United Behavioral Health
888-876-7098
website
(access code: uhc)
At your fingertips...
- Online provider directory (access code: UHC)
- Telehealth services (PDF)
- Your behavioral health benefit (PDF)