Preferred Plan

The Preferred Plan offers low cost premiums and reduced copays all while receiving your care at MIHS. Coverage is provided through UnitedHealthcare.

Preferred Plan

This plan requires you to use the MIHS Network for all services. In the case that MIHS does not provide a service, you must have your MIHS Primary Care Physician (PCP) contact UMR and obtain prior authorization before using the UnitedHealthcare Choice Plus Network for services outside of the MIHS Network. While MIHS does not require that you designate a Primary Care Physician (PCP) at the time of enrollment, we strongly encourage you to select a PCP for you and each of your family members.

Prior Authorization

If prior authorization is required and not received, your benefits could be reduced. If you are enrolled in the Preferred Plan, almost all services (with the exception of emergency services), require prior authorization. If you do not obtain prior authorization, services will not be covered.

Approved MIHS Providers

All services, including pharmacy, must be received by an MIHS facility. To search for an MIHS provider, use the “Find a Physician” page on the MIHS website.

Employee Appointment Line

For added convenience, you can use the Employee Appointment Line at 602-344-8585, Monday through Friday, 7:00am – 5:00pm, to schedule an appointment.

Preferred Plan
MIHS NetworkUHC Choice Plus Network
Plan Year Deductible (PYD)
Individual
$0
$750
Family
$0
$1,500
Plan Year Out-of-Pocket Maximum (Includes plan deductible and copays)
Individual
$2,750
$2,750
Family
$5,500
$5,500
Office Visits
Preventive Services**
Covered at 100%
Not Covered
Primary Care Physician Office Visit
$10 copay
$25 copay***
Specialist Physician Office Visit
$20 copay
$50 copay***
7th Avenue Walk-in Clinic
$10 copay
N/A
Urgent Care Visit
N/A
$75 copay
Emergency Room Visit
$250 copay (waived if admitted)
Physician Services
In / Outpatient Physician Services DMG Physician Services
Covered at 100%
20% after PYD
Inpatient Hospital Services - Excludes all Physician Charges
Room & Board
$0
$750 Copay + PYD then 20%***
Outpatient Facility Services - Excludes all Physician Charges
Operating, Recovery & Procedure Rooms Treatment Room; Anesthesia
$0
$500 Copay + PYD then 20%***
Physical, Occupational, Speech, and Respiratory Therapy (60-visit maximum for all combined services)
$0
$25 or $50 Copay***
Additional Details
Lab and Radiology/X-ray
Covered at 100%
20% after PYD
Advanced Radiological Imaging
$0
Not Covered
Primary Care Physician Recommended
Yes
No

* Out-of-Network provider charges are subject to Reasonable & Customary (R&C) plan limits, which may be less than the provider’s actual charge. Members are fully responsible for all charges above R&C limits.
** Claims must be coded by the provider as routine, preventive care. Copays will not be waived for diagnostic services rendered.
*** Only covered if authorization received through UMR Care Management.

Prior Authorization

Prior authorization may be required for certain services; please refer to plan documents. If prior authorization is required and not received, the claim is the participant’s responsibility. If you are enrolled in the MIHS Preferred Plan almost all services, with the exception of emergency services, require prior authorization. If there is any question, request that your MIHS (DMG) provider contact UMR prior to scheduling an appointment. Examples include:

Z

Inpatient Hospitalization

 

Z

Maternity Stays

 

Z

Inpatient Behavioral Health

 

Z

Skilled Nursing Facilities

 

Z

Home Health Care

 

Z

Durable Medical Equipment

 

Z

Non-Emergent Ambulance

 

Z

Transplants & related Services

 

Z

Clinical Trials

 

Z

Dialysis

 

Z

Prosthetics

 

Z

Chemotherapy & Radiation

 

MIHS Locations

Comprehensive Healthcare Center

2525 East Roosevelt Street, Phoenix, AZ 85008
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (602) 344-1015

McDowell Healthcare Center

1101 North Central Avenue, Phoenix, AZ 85004 | Ste 201
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri (except holidays)
Ph: (602) 344-6550

7th Avenue Walk In Clinic

1201 South 7th Avenue, Phoenix, AZ 85007
Hours: 7:00 a.m. – 7:00 p.m. Everyday
Ph: (602) 344-6655

7th Avenue Family Health Center

1205 South 7th Avenue, Phoenix, AZ 85007
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (602) 344-6600

Avondale Family Health Center

950 E. Van Buren Street, Avondale , AZ 85323
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (623) 344-6800

Chandler Family Health Center

811 South Hamilton Street, Chandler, AZ 85225
Hours: 7:30 a.m. – 4:30 p.m. Mon-Fri;
7:30 a.m. – 11:30 a.m. Sat (except holiday weekends)
Ph: (480) 344-6100

El Mirage Family Health Center

12428 W. Thunderbird Road, El Mirage, AZ 85335
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (623) 344-6500

Glendale Family Health Center

5141 West Lamar Road, Glendale, AZ 85301
Hours: 7:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (623) 344-6700

Guadalupe Family Health Center

5825 East Calle Guadalupe, Guadalupe, AZ 85283
Hours: 7:30 a.m. – 4:30 p.m. Mon-Fri
Ph: (480) 344-6000

Maryvale Family Health Center

4011 North 51st Avenue, Phoenix, AZ 85031
Hours: 7:00 a.m. – 6:00 p.m. Mon-Thurs;
7:00 a.m. – 4:30 p.m. Fri
Ph: (623) 344-6900

Mesa Family Health Center

59 South Hibbert, Mesa, AZ 85210
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (480) 344-6200

Pendergast Family Health Center

10550 West Mariposa Street, Phoenix, AZ 85037 | Ste 1
Hours: 7:00 a.m. – 6:00 p.m. Mon-Thurs;
7:00 a.m. – 1:00 p.m. Fri
Ph: (602) 344-2520

South Central Family Health Center

33 West Tamarisk Street, Phoenix, AZ 85041
Hours: 7:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (602) 344-6400

Sunnyslope Family Health Center

934 West Hatcher , Phoenix, AZ 85021
Hours: 8:00 a.m. – 5:00 p.m. Mon-Fri
Ph: (602) 344-6300