Member Information

Make the most of your benefits

You want to live the healthiest life you can. And we’re here to help. In addition to your covered benefits, we want you to know about other tools & resources.

Your guide to getting the care you need
If you’re trying to figure out how to get the care and services you need, your Mercy Care Plan Member Handbook can help. In the handbook, you will find:

  • Mercy Care Plan phone numbers
  • Your rights and responsibilities as a member
  • Which services are covered and which are not
  • Information on how to get the care you need
  • How to get help with appointments
  • Tips to keep you healthy

Please take time to read this helpful guide.


Handbook archives:

You can also call Member Services to get a printed Member Handbook. You can reach Member Services at:

  • 602-263-3000 or 1-800-624-3879, Hearing Impaired (TTY/TDD 711)
  • Click on the "Contact Us" link on the Home Page

Looking for an advance directive or other form? You can download any of the forms below at no cost.

Do you need help managing your health?
Sometimes you need some extra help to cope with a health issue. That’s why we offer Case Management.

Not everyone needs a case manager, but those who do, mostly need one for a short time. A case manager can show you how to get services to improve your health. Our goal is to help you learn how to take care of yourself.

If you answer yes to any of these questions, you may want to ask about getting Case Management services.

  • Do you go to the ER a lot?
  • Are you having a hard time getting your medication or supplies that your doctor ordered?
  • Do you need help getting on the Arizona Long Term Care System?
  • Do you have HIV?
  • Do you have medical conditions, such as high blood pressure, diabetes, asthma and congestive heart disease, that don’t get better with medication?
  • Do you not know why your primary care doctor is sending you to a specialist provider?
  • Are you pregnant and having problems?
  • Are you a pregnant teenager?
  • Are you pregnant and over 35 years old?
  • Did you have a baby born too early?

If you answered yes, you can ask your doctor to refer you for Case Management services. You can also call Mercy Care Plan directly. A nurse will look at your request and decide if you need to meet with a case manager.

If you have one of the following medical conditions:  depression, high blood pressure, diabetes, asthma or congestive heart disease, please contact us so we can help you take care of your disease.

To request a medical case manager, please call: 602-453-8391

To request a case manager during your pregnancy, please call: 602-798-2703

If you are a Mercy Care Advantage member, and you would like to request a case manager please call: 602-586-1870. You can call 8 a.m. - 5 p.m., Monday through Friday.

Mercy Care Plan reports our health plan's quality scores and related information, as required by our contract with AHCCCS.

2013 AHCCCS Acute Member Survey Results

2012 AHCCCS Health Plan Report Card

All Survey Information

 

 

If you would like a printed copy of the Member Handbook or Provider Directory, call Member Services at:

  • 602-263-3000 or 1-800-624-3879 (TTY/TDD 711)
  • Click on the "Contact Us" link on the Home Page