Mercy Care Advantage (HMO SNP)

Extra benefits at no extra cost!

Mercy Care Advantage offers a $0 monthly plan premium, plus extra benefits such as:

• Dental
• Vision
• Hearing
• Over-the-counter (OTC) items and more!

To learn more, please view our Benefits at a Glance brochure.    

To see more detailed plan benefits and cost sharing information, please view our Summary of Benefits: English | Español

Representatives are available to answer your questions.

2023 Eligibility and Service Area
You may qualify for Mercy Care Advantage if you:

• Have both Medicare Part A and Part B
• Are eligible for AHCCCS Medicaid
• Live in the service area for the following Medicaid programs:
   -AHCCCS Complete Care (ACC) - Gila, Maricopa and Pinal counties
   -AHCCCS ALTCS - Gila, Maricopa, Pima and Pinal counties
   -Arizona Division of Developmental Disabilities - All counties in the State of Arizona

You can enroll over the phone or we can meet with you in person to see if Mercy Care Advantage is right for you.

We will:

• Explain Mercy Care Advantage benefits
• Make sure your doctors and hospital are in our network
• Review your medications to see if they are covered
• Answer all your questions

Please gather together the following documents:

1. Your Medicare card
2. Your AHCCCS Medicaid card
3. A list of all medications and doctors

You can also fax or mail us a completed enrollment form. Instructions are included to assist you in completing the form.

Enrollment form instructions - English | Español

Enrollment form - English | Español

Please fax your completed enrollment form to 602-431-7499 or mail it to:

Mercy Care Advantage
DEPT: PHN-110-03
PO Box 61718
Phoenix, AZ 85082-9961

Mercy Care Advantage is an HMO SNP with a Medicare contract and a contract with the Arizona Medicaid Program. Enrollment in Mercy Care Advantage depends on contract renewal. Mercy Care Advantage provides Medicare services and benefits to people who are eligible for both Medicare Parts A and B and Medicaid assistance from the Arizona Health Care Cost Containment System (AHCCCS). Because Mercy Care Advantage is a Medicare Special Needs Plan, our plan benefits and services are designed for people with special health care needs.

H5580_23_010_M
Last Updated: 10/6/2022