Mercy Care Advantage
Do you want a Medicare plan that offers services to meet your health care needs?
Consider us - Mercy Care Advantage (HMO SNP) Plan.
Mercy Care Advantage is available to people who have Medicare and who receive Medicaid assistance from the Arizona Health Care Cost Containment System (AHCCCS). Mercy Care Advantage is a Medicare Special Needs Plan, which means our plan benefits and services are designed for people with special health care needs. Our plan offers additional benefits and services not covered under Medicare, such as dental, hearing aids, and eyewear. If you are a member of Mercy Care Plan and enroll in the Mercy Care Advantage plan we will coordinate your Medicare and Medicaid covered services for you.
Mercy Care Advantage is contracted with AHCCCS and with the Centers for Medicare and Medicaid Services (CMS) to offer Medicare covered services and prescription drug coverage. To enroll in Mercy Care Advantage, you must meet the following eligibility requirements:
- You must have both Medicare Part A and Medicare Part B
- You must be eligible for AHCCCS Medicaid
- You must not have End-Stage Renal Disease (ESRD). There are limited exceptions.
- You must live in our geographic service area. For AHCCCS Acute or ALTCS Medicaid programs, our service area includes Maricopa and Pima counties. For the Arizona Division of Developmental Disabilities, our service area is Maricopa, Pima and Santa Cruz counties.
Our trained representatives are available to visit you at home or another location to explain the plan benefits, answer your questions, and can help you enroll. If you would like to make an appointment with a representative, call us at 602-414-7630 or 1-866-571-5781 (TTY 711), 7 days a week from 8:00 a.m. – 8:00 p.m. At the time of the call, our representative will confirm and record your request to schedule a home appointment to learn more about the Mercy Care Advantage plan. This is called a Scope of Appointment. English| Español
If you prefer, you can fax or mail us a completed enrollment form. Instructions are included to assist you in completing the form. Please fax your completed enrollment form to 602-431-7499 or mail to:
Mercy Care Advantage
PO Box 61718
Phoenix, AZ 85082-9961
Questions? We're here to help.
To find out more information about our plan benefits, please contact us at 602-263-3000 and toll-free 1-800-624-3879, (TTY 711). Representatives are available 8:00 a.m. - 8:00 p.m., 7 days a week.
Because you are a Medicaid (AHCCCS) member, you are eligible to enroll or disenroll from our plan at any time. This is called a Special Enrollment period. For more information, see Chapter 10 of the 2017 Evidence of Coverage.
This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Limitations, copayments, and restrictions may apply. This information is not a complete description of benefits. Contact the plan for more information. You must continue to pay your Medicare Part B premium. If you are a full-dual eligible your monthly Part B premium is paid by the State. Copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.