Insurance List for OSPI and Board Certified East Valley joint replacement surgeons

 

*Our list gets added to frequently – if yours is not listed please call to see if it has been added!

Aetna:

  • Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
  • Aetna Choice® POS (Aetna HealthFund®)
  • Aetna Choice® POS (Open Access)
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Choice® POS II (Open Access)
  • Aetna DC Bronze, Silver and Gold OAMC
  • Aetna Health Network Only(℠) (Open Access)
  • Aetna Health Network Option(℠) (Open Access)
  • Aetna HealthFund® Aetna Health Network Only(℠) (Open Access)
  • Aetna HealthFund® Aetna Health Network Option(℠) (Open Access)
  • Aetna MD Bronze, Sliver and Gold OAMC
  • Aetna Medicare℠ Plan (HMO / Open Access HMO)
  • Aetna Medicare℠ Plan (PPO)
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Aetna Performance Network Providers
  • Aetna Select(℠)
  • Aetna Select(℠) (Open Access)
  • Aetna Voluntary Plans
  • Aetna Whole Health℠ – Mercy Health (OH)
  • Aetna Whole Health℠ – SCCIPA (CA)
  • Elect Choice® EPO
  • Elect Choice® EPO (Open Access)
  • HMO
  • HMO (Open Access)
  • Managed Choice® POS
  • Managed Choice® POS (Open Access)
  • NYC Community Plan(℠)
  • National Advantage™ Program
  • Open Access Aetna Select(℠) (Aetna HealthFund®)
  • Open Choice® PPO
  • Open Choice® PPO (Aetna HealthFund®)
  • PCP Referral Plan (TX members only)
  • QPOS®

Arizona Foundation

BCBS:

  • HMO
  • Indemnity
  • Select PPO
  • Senior Preferred/Medicare Supp
  • Statewide PPO/EPO
  • Workers Compensation
  • HMO
  • Indemnity
  • Select PPO
  • Senior Preferred/Medicare Supplement
  • Statewide PPO & EPO
  • Workers Compensation
  • Any health plan that states on insurance card “Preferred Provider Network is BCBS” would be considered In-network for Dr. Clouse
  • NO BLUE ALLIANCE PLANS!!

Cigna:

  • Network
  • HMO
  • POS
  • Open Access Plus
  • OA Plus
  • Choice Fund OA Plus
  • PPO
  • Choice Fund PPO

HealthNet:

  • Health Insurance Marketplace: HMO, PPO/HSA (NO COMMUNITY CARE PLANS)
  • Standard Medical Plan:         HMO, POS, PPO/HSA

Humana:

  • PPO, Choice Care Network PPO
  • Medicare PPO Network

Medicare:

  • Medicare Part B
  • Railroad Medicare
  • DME Supplier

UHC:

  • AARP Medicare Complete HMO
  • Lifeprint
  • UHC Medicare Advantage PPO
  • UHC Medicare Advantage HMO
  • Commercial Plans: HMO, PPO, POS
  • Options PPO

US Dept of Labor – FECA

WPS Tricare for Life

OTHER NETWORKS:

  • BEECHSTREET PPO
  • BEECHSTREET WORK COMP
  • CORVEL PPO
  • FORTIFIED PPO
  • THREE RIVERS PPO
  • MULTIPLAN/PHCS PPO
  • COVENTRY/FIRST HEALTH NETWORK