[PDF] List of participating providers for Arizona plans: Clover Health





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List of participating providers for Arizona plans: Clover Health

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2021

Provider

Directory

CloverHealthChoice(PPO)(040)

providerscoveredinyourplan.

CloverHealth

PPOPlan

ProviderDirectory

ThisdirectoryisforPimaCountyinArizona.

st throughSeptember30 th moreinformation.

CloverHealth:

withus,suchas: formats,otherformats) suchas:

Qualifiedinterpreters

Informationwritteninotherlanguages

st throughSeptember 30
th holidays. grievancewith:

CloverHealth

Attention:Grievances

POBox471

JerseyCity,NJ07303

Phone:1-888-778-1478

Fax:1-551-227-3962

CloverHealth

PlanPPO

Directoriodeproveedores

1478(TTY711).

discapacidadosexo.

CloverHealth:

electrónicosaccesibles,otrosformatos) inglés,porejemplo:

Intérpretescalificados

Informaciónescritaenotrosidiomas

feriados. puedepresentarunreclamoante:

CloverHealth

Atención:Reclamos

POBox471

JerseyCity,NJ07303

Teléfono:1-888-778-1478

Fax:1-551-227-3962

Section1-Introduction

determineiftheywillbecovered. providers. daysaweek.FromApril1 st throughSeptember30 th ,alternatetechnologies(forexample, providers. copyofyourbillandreceiptsforyourrecords.

Servicesandaskfortheform.

atthisaddress:

CloverHealth

Attn:MedicalClaims

POBox2092

JerseyCity,NJ07303

item. address:

DentaQuestClaims

POBox433

Milwaukee,WI53201-0433

Fax:1-888-696-9552

608-9520.

atthisaddress:

EyeQuest

POBox2906

Milwaukee,WI53201-2906

Fax:1-888-696-9552

receiptstousatthisaddress:

CVSCaremark

POBox52066

Phoenix,AZ85072-2066

theserviceoritem.

Ifyouhaveamedicalemergency:

referralfirstfromyourPCP. st through

September30

th weekendsandholidays. anetworkprovider. territories.

WhatistheserviceareaforCloverHealth?

Thecountyinourserviceareaislistedbelow:

Pima localtime,7daysaweek.FromApril1 st throughSeptember30 th ,alternatetechnologies(for

Sección1:Introducción

decobertura(EvidenceofCoverage,EOC). tendráncobertura. fueradelaredtengauncostomásalto. continuación. miembrosysolicitarunformulario. reciboaestadirección:

CloverHealth

Atención:Reclamacionesmédicas

POBox2092

JerseyCity,NJ07303

elserviciooelartículo.

DentaQuestClaims

POBox433

Milwaukee,WI53201-0433

Fax:1-888-696-9552

facturaorecibo,aestadirección:

EyeQuest

POBox2906

Milwaukee,WI53201-2906

Fax:1-888-696-9552

EyeQuestal1-800-608-9520.

facturaoreciboaestadirección:

CVSCaremark

POBox52066

Phoenix,AZ85072-2066

tengauncostomásalto.

Sitieneunaemergenciamédica:

darporfinalizadalaemergenciamédica. Pima semanaylosdíasferiados.

CLOVERPREFERRED

CLOVERPREFERRED

CLOVERPREFERRED

Clover

Non-DiscriminationNotice

CloverHealth:

suchas: - Qualifiedsignlanguageinterpreters - Writteninformationinotherformats(largeprint,audio,accessibleelectronicformats, otherformats) - Qualifiedinterpreters - Informationwritteninotherlanguages hoursandonholidays.

CloverHealth

Attention:AppealsandGrievances

POBox471

JerseyCity,NJ07303

Phone:1-888-657-1207(TTY711)

Fax:1-888-240-7243

Clover

U.S.DepartmentofHealthandHumanServices

200IndependenceAvenue,SW

Room509F,HHHBuilding

Washington,D.C.20201

Phone:1-800-368-1019,800-537-7697(TDD)

SPANISH:

al1-888-657-1207(TTY:711).

CHINESE:

KOREAN:

1-888-657-1207(TTY:711).

PORTUGUESE:

1-888-657-1207(TTY:711).

GUJARATI:

1-888-657-1207(TTY:711).

POLISH:

numer1-888-657-1207(TTY:711).

ITALIAN:

ARABIC:

Clover

TAGALOG:

RUSSIAN:

FRENCHCREOLE:

1-888-657-1207(TTY:711).

HINDI:

VIETNAMESE:

1-888-657-1207(TTY:711).

FRENCH:

URDU:

AMHARIC:

PERSIAN(FARSITRANSLATION):

GERMAN:

Clover

JAPANESE:

LAOTIAN:

DEITSCH(PENNSYLVANIADUTCH):

CAMBODIAN:

Call1-888-657-1207(TTY:711)។

Clover

H5141_FX031_V2_SP_Accepted

NoticiadeNoDiscriminación

discapacidadosexo.

CloverHealth:

- Intérpretesdelenguajedeseñascapacitados - Informaciónescritaenotrosformatos(letragrande,audio,formatoselectrónicos accesibles,otrosformatos) comolossiguientes: - Intérpretescapacitados - Informaciónescritaenotrosidiomas

CloverHealth

Attention:AppealsandGrievances

POBox471

Jersey,CityNJ07303

Teléfono:1-888-657-1207(TTY711)

Fax:1-888-240-7243

Clover

H5141_FX031_V2_SP_Accepted

ITALIAN:

ARABIC:

TAGALOG:

RUSSIAN:

FRENCHCREOLE:

1-888-657-1207(TTY:711).

HINDI:

VIETNAMESE:

1-888-657-1207(TTY:711).

FRENCH:

URDU:

AMHARIC:

Clover

H5141_FX031_V2_SP_Accepted

PERSIAN(FARSITRANSLATION):

GERMAN:

JAPANESE:

LAOTIAN:

DEITSCH(PENNSYLVANIADUTCH):

CAMBODIAN:

Call1-888-657-1207(TTY:711)។

Y0129_20MX036I_AZ_C

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