The Federally-facilitated Marketplace is administered by the federal government, under the Department of Health and Human Services (HHS).
The Federally-facilitated Marketplace is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the Federally-facilitated Marketplace.
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Federally-facilitated Marketplace, and information about contacting them.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
Learn More: Health Reform & My Practice
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discrimination policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance:
Arizona Department of Insurance
2910 N. 44th Street, Ste. 210 (2nd Floor)
Phoenix, AZ 85018-7269
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Federally-facilitated Marketplace.
Arizona has established State of AZ Self-Insured Plan (Administered by United Healthcare) as the “benchmark” plan.
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.
Blue Cross Blue Shield of Arizona, Inc.
Cigna Health and Life Insurance Company
Provider Enrollment: http://www.cigna.com/healthcare-professionals/join-our-network
Health Choice Insurance Company
Health Net Life Insurance Company
Health Net of Arizona
Humana Health Plan, Inc.
Meritus Health Partners
Meritus Mutual Health Partners
University of Arizona Health Plans - University Healthcare Marketplace