Health plans vary based on the type of plan and tier chosen. PCP selection may be required for some plans — please choose TLC Pediatrics or one of our physicians as your Primary Care Physician. This list is subject to change and is not an exhaustive list. It is your responsibility to verify that TLC Pediatrics is a participating in-network provider.

In-Network Insurance Plans:

  • Aetna HMO/POS/PPO
  • Aetna Banner Network (all tiers)
  • Arizona Complete Health – Ambetter for Arizona – Premier and Solutions
  • Arizona Complete Health (AHCCCS) Plans
    • AHCCCS – Arizona Complete Care
    • AHCCCS – Health Choice
    • AHCCCS – Mercy Care
    • AHCCCS – Mercy Care – DCS CHP
    • AHCCCS – United Healthcare Community Plan
  • Arizona Care Network (ACN) affiliation with Phoenix Children’s Care Network
  • BCBS HMO/PPO of Arizona & most out of state plans (Based on network)
  • BCBS ACA Standard Health with Health Choice – Alpha Prefix IAZ
  • CHAMPVA
  • Cigna HMO/PPO/POS (Based on network)
  • GEHA
  • HealthNet PPO/POS/HMO (Arizona Plans Only)
  • Multiplan & PHCS (Based on network)
  • UnitedHealthcare (Based on network)
  • United Medical Resources (Based on network)
  • Tricare West Region

​Known Out of Network Insurance Plans:

  • BCBS Neighborhood Network – Alpha Prefix NNG & NNJ
  • BCBS PimaConnect Network – Alpha Prefix PMK
  • BCBS Focus & Prosano Networks – Alpha Prefix FZI, FPZ
  • Most BCBS Plans offered through healthcare.gov
  • Cigna AZ Connect Network (Offered through the healthcare.gov or Employer)
  • Humana All Networks
  • Oscar Health Plan, Inc
  • UnitedHealthcare NexusACO Network


Cost Sharing – We do not participate in any Cost-Share program – We will continue to provide care and submit claims on your behalf; however, please be advised that the member is responsible for any out-of-pocket costs associated with the visit that are not covered.