After each visit, Mayo Clinic will send you an itemized statement of charges detailing the services and charges for the visit and, separately, a monthly statement of account listing the payments and adjustments made on each visit since your previous monthly statement. Your personal financial responsibility, as noted on your TRICARE/CHAMPVA explanation of benefits (deductibles, cost-share and noncovered charges), is due when you receive your monthly statement of account.
Mayo Clinic has agreed to accept the established TRICARE/CHAMPVA fee schedule for your services (TRICARE/CHAMPVA assignment). Mayo Clinic will bill full fees to TRICARE/CHAMPVA. As payment is received, your account will be adjusted to the established TRICARE/CHAMPVA fee schedule. You'll be responsible to pay for deductibles, cost-share and noncovered services. TRICARE/CHAMPVA usually doesn't pay for your services in full.
Mayo Clinic submits insurance claims to your primary insurance company as services are incurred. Please forward all insurance payments and copies of the explanation of benefits from your primary insurance company to:
13400 E. Shea Blvd.
Scottsdale, AZ 85259
Your primary insurance company may consider some services to be routine or noncovered and may not provide reimbursement for these services. You're responsible for payment on any services that both your primary insurance company and TRICARE/CHAMPVA determine to be routine or noncovered.
In Arizona, the state Medicaid program is called AHCCCS. Mayo Clinic in Arizona doesn't contract with AHCCCS except for transplant services. Medicaid/AHCCCS is treated as an HMO requiring authorization prior to delivery of service. Mayo Clinic isn't a provider for out-of-state Medicaid plans and is unable to file insurance claims to out-of-state Medicaid plans.