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 | Quick Navigation to Medical Plans | |
Cigna Network Medical PlansCigna High Deductible Health Plan (HDHP)Cigna Network HDHP Pharmacy & Behavioral Health Cigna Network Plan | UnitedHealthcare Medical PlansUnitedHealthcare High Deductible Health Plan (HDHP)UnitedHealthcare HDHP Pharmacy & Behavioral Health UnitedHealthcare PPO | |
CIGNA HIGH DEDUCTIBLE HEALTH PLAN (hdhp)
- Provider Network: Cigna Choice Fund OA Plus
- Pharmacy:
- Behavioral Health: Cigna Behavioral Health
Contact Information
Group Number: 3205496
Customer Service: 1-800-244-6224
HSA Bank for Health Savings Account (HSA): 1-800-244-6224
Express Scripts Pharmacy Home Delivery: 1-800-835-3784
Accredo Specialty Pharmacy: 1-877-826-7657
Behavioral Health: 1-800-274-7603
www.cigna.com or www.mycigna.com
CIGNA HDHP MEDICAL
At Your Fingertips...
- Evernorth Care Group map (PDF)
- FAQs for the HDHP with HSA (PDF)
- Find a Provider for the Cigna HDHP (select Choice Fund OA Plus) (PDF)
- Health Savings Account (HSA) guide (PDF)
- How to access your HSA funds (PDF)
- IRS qualified medical expenses (PDF)
- IRS related publications forms
- Type 1 Diabetics (PDF)
- Type 2 Diabetics (PDF)
- Understanding the High Deductible Health Plan (video)
- What is a Health Savings Account? (HSA) (video)
- Where to get care (PDF)
CIGNA HDHP PHARMACY
When you enroll in the Cigna Network HDHP, you are automatically enrolled in and covered by the pharmacy benefit through Cigna Pharmacy.
Fill your pharmacy at a network retail pharmacy or home delivery and the cost is applied to your medical deductible and Out-of-pocket Maximum. Review the Prescription Drug List for your covered medications Tier level.
At Your Fingertips...
- Cigna pharmacy benefit (PDF)
- GoodRx Cigna Pricing (PDF)
- Home delivery with Express Scripts Pharmacy (PDF)
- July 2023 Cigna Value 3-Tier (PDF)
- July 2023 Preventive Drug List (PDF)
- Pharmacy network
- Prescription drug list (PDF)
- Preventive Medication Program Drug List (PDF)
CIGNA HDHP BEHAVIORAL HEALTH
When you enroll in the Cigna Network HDHP, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through Cigna Behavioral Health.
Coverage for Behavioral Health under the High Deductible Health Plan is the same as outlined for Medical. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
At Your Fingertips...
- Behavioral Health Provider Directory - steps:
- Select Behavioral Health Counselor under Doctor by Type
- Select Continue as a Guest
- Select the Cigna Open Access for HDHP
2023 Plan Year Documents
CIGNA Network Plan
- Provider Network: Cigna Preferred Partner HMO (formerly Cigna Medical Group)
- Pharmacy: Cigna Pharmacy
- Behavioral Health: Cigna Behavioral Health
- ID card for Medical and Pharmacy Benefit
Contact Information
Group Number: 3205496
Customer Service: 1-800-244-6224
HSA Bank for Health Savings Account (HSA): 1-800-244-6224
Express Scripts Pharmacy Home Delivery: 1-800-835-3784
Accredo Specialty Pharmacy: 1-877-826-7657
Behavioral Health: 1-800-274-7603
www.cigna.com or www.mycigna.com
CIGNA NETWORK PLAN MEDICAL
When you enroll in the Cigna Network Plan 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 an Evernorth Care Group (formerly Cigna Medical Group) health care center. Note: There are additional pediatricians available outside of the ECG who are considered In-Network providers.
At Your Fingertips...
- Cigna Care Designation CCD (PDF)
- Cigna’s main website
- Cigna’s member site
- Evernorth Care Group (Out-of-network coverage applies only for life-threatening emergency)
- Type 1 Diabetics (PDF)
- Type 2 Diabetics (PDF)
CIGNA NETWORK PLAN PHARMACY
When you enroll in the Cigna Network Plan, you are automatically enrolled in and covered by the pharmacy benefit through Cigna Pharmacy.
Fill your prescription at a network retail pharmacy or home delivery. Review the Prescription Drug List for your covered medications Tier level.
At Your Fingertips...
- Cigna Pharmacy Benefit (PDF)
- GoodRx Cigna Pricing (PDF)
- Home delivery with Express Scripts Pharmacy (PDF)
- How the Pharmacy Benefit Works (PDF)
- July 2023 Cigna Value 3-Tier (PDF)
- July 2023 Preventive Drug List (PDF)
- Pharmacy Network (PDF)
CIGNA NETWORK PLAN BEHAVIORAL HEALTH
When you enroll in the Cigna HMO, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through Cigna Behavioral Health.
Coverage for Behavioral Health under the Cigna HMO is outlined in the Summary Plan Description. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
At Your Fingertips...
- Behavioral Health Provider Directory
- Select Behavioral Health Counselor under Doctor by Type
- Select Continue as a Guest
- Select Cigna Preferred Partner HMO (formerly Cigna Medical Group)
2023 Plan Year Documents
UNITEDHEALTHCARE HIGH DEDUCTIBLE HEALTH PLAN (HDHP)
- Provider Network: Choice Plus
- Pharmacy: UnitedHealthcare Pharmacy Benefit (OptumRx)
- Behavioral Health: UnitedHealthcare Behavioral Health
Contact Information
Group Number: 928523
UnitedHealthcare: 1-888-876-7098
Optum Bank for Health Savings Account (HSA): 1-800-791-9361
OptumRx Home Delivery: 1-888-876-7098
Optum Specialty Pharmacy: 1-855-427-4682
Behavioral Health: 1-888-876-7098
www.whyuhc.com/maricopa or www.myuhc.com
UNITEDHEALTHCARE HDHP MEDICAL
When you enroll in the UnitedHealthcare HDHP, you have access to a Nationwide Network of providers.
At Your Fingertips...
- Find a provider for the HDHP plan
- Understanding the High Deductible Health Plan (video)
- Where to get care UNITEDHEALTHCARE HIGH DEDUCTIBLE HEALTH PLAN (HDHP) At Your Fingertips... (PDF)
Health Savings Account (HSA)
When you enroll in the HDHP, you may be eligible to enroll in a Health Savings Account. The HSA contribution limit for the short plan year (January 1 – December 31, 2023) is: $3,350 for Individual, and $6,750 for Family. These amounts DO NOT include the Employer contribution.
- FAQ's for the HDHP with HSA (PDF)
- Health Savings Account (HSA) user guide (PDF)
- IRS Related Publications Forms
- What is a Health Savings Account (HSA)? (video)
UNITEDHEALTHCARE HDHP PHARMACY
When you enroll in the UnitedHealthcare HDHP, you are automatically enrolled in and covered by the pharmacy benefit through UnitedHealthcare Pharmacy.
Fill your prescription at a network retail pharmacy or mail order and the cost is applied to your medical deductible and out-of-pocket maximum. Review the Prescription Drug List for your covered medication tier level.
At Your Fingertips...
- Medication home delivery (PDF)
- OptumRx Home Delivery Easy Pay Option (PDF)
- Pharmacy network (PDF)
- Prescription Drug List July – December 2023 (PDF)
- Prescription Plan design (PDF)
- Specialty pharmacy program (PDF)
UNITEDHEALTHCARE HDHP BEHAVIORAL HEALTH
At Your Fingertips...
- Find a Provider (access code: UHC)
- Your behavioral health benefit (PDF)
2023 Plan Year Documents
UNITEDHEALTHCARE PPO
- Provider Network: Choice Plus
- Pharmacy: UnitedHealthcare Pharmacy Benefit (OptumRx)
- Behavioral Health: UnitedHealthcare Behavioral Health
- ID card for Medical and Pharmacy Benefit
CONTACT INFORMATION
Group Number: 928523
UnitedHealthcare: 1-888-876-7098
OptumRx Home Delivery: 1-888-876-7098
Optum Specialty Pharmacy: 1-855-427-4682
Behavioral Health: 1-888-876-7098
www.whyuhc.com/maricopa or www.myuhc.com
UNITEDHEALTHCARE PPO MEDICAL
When you enroll in the UnitedHealthcare PPO, you have access to a Nationwide Network of providers.
At Your Fingertips...
- Continuity of Care (PDF)
- Find a doctor for the UHC PPO Plan
- Health4Me Mobile App (PDF)
- How to Register for myUHC.com (PDF)
- Tier 1 Designation (PDF)
- Where to get care (PDF)
UNITEDHEALTHCARE PPO PHARMACY
When you enroll in the UnitedHealthcare PPO, you are automatically enrolled in and covered by the pharmacy benefit through UnitedHealthcare Pharmacy.
Fill your pharmacy at a network retail pharmacy or home delivery. Review the Prescription Drug List for your covered medications Tier level.
At Your Fingertips...
- How the Pharmacy Benefit Works (PDF)
- Medication Home Delivery (PDF)
- OptumRx Home Delivery Easy Pay Option (PDF)
- Pharmacy network (PDF)
- Prescription Drug List July – December 2023 (PDF)
- Specialty pharmacy program (PDF)
UNITEDHEALTHCARE PPO BEHAVIORAL HEALTH
When you enroll in the UnitedHealthcare PPO, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through UnitedHealthcare Behavioral Health.
Coverage for Behavioral Health under the UnitedHealthcare PPO is outlined in the Summary Plan Description. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
At Your Fingertips...
- Find a provider (access code: UHC)
- Your behavioral health benefit (PDF)
2023 Plan Year Documents
UnitedHealthcare and Cigna create and publish Machine-Readable Files (MRFs) on behalf of Maricopa County. These links lead to the MRFs that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The MRFs are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
To access the UnitedHealthcare MRFs, click on this link.
To access the Cigna MRFs, click on this link.