Notre Dame Behavioral Health 

14811 W Bell Rd Ste 102 

Surprise AZ 85374

Ph: 623-328-7323

Fax: 623-337-4917

notredamebh@gmail.com

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Notre Dame Behavioral Health is dedicated to provide you with high quality and cost effective  behavioral health care. We accept all major health insurances, credit card payments and offer no interest payment installments.

INSURANCE & PAYMENTS

Insurance: 

 

We accept nearly all major health insurance plans:

  • AZ BLUE CROSS BLUE SHIELD

  • Aetna

  • Blue Cross Blue Shield out of state with national coverage & behavioral health benefits

  • HEALTHNET (=Ambetter) - Behavioral Health Benefits through Managed Health Network (MHN) 

  • PRIMARY MEDICARE

  • Medicare Replacement Plans - (UHC, CIGNA, BCBS, Humana)

  • TRICARE

  • CIGNA

  • UNITED HEALTH CARE and OPTUM UHC

  • UMR

  • Blue Cross Blue Shield ADVANTAGE - Behavioral Health Benefits through The Holman Group   The Holman Group policy holders billing instructions  

  • Banner Health Network - Behavioral Health Benefits through Cigna Behavioral 

  • Humana

  • HMC Healthworks - 3rd party payer network 

  • Beacon Health Options - 3rd party payer network 

  • ComPsych

  • Magellan Network

  • MultiPlan

 

Self-Pay  - Initial consultation 250$ per visit;

                   Subsequent follow up visits 80$ per visit 

For the most up-to-date information on our accepted private health insurance plans

contact our clinic directly at 623-328-7323

Health Insurance NOT Accepted:

  • ALL AHCCCS plans

  • Bridgeway Health Solution

  • Blue Cross Blue Shield Medicare Advantage Dual Complete

  • Comprehensive Medical and Dental

  • Care1st

  • Mercy Care = AHCCCS

  • Mercy Maricopa = AHCCCS

  • Health Choice = AHCCCS

  • United Healthcare - Community Plan

  • United Healthcare - DUAL COMPLETE

  • AARP – out of network

  • Phoenix Health Plan

  • The University of AZ Health Plans

  • VA administration

  • Health Net ACCESS

  • Enpatico Intergated Care

  • AZ Foundation

  • Assurant

  • University Physicians Healthcare Group (AZ)

NOT Accepted Behavioral Health 3rd party Payer Networks:

​​    

       Magellan - AHCCS 

  

Please be advised that we will verify your insurance benefits as a courtesy. However, it is your responsibility as the subscriber to know your Behavioral Health benefits.

Please contact your insurance company prior to seeing our  provider  to inquire about the following information:

 

  1. Notre Dame/ Dr. Hany Ashamalla is an  in-network provider for your plan.

  2. That your plan does not require a prior authorization or referral

Please, be advised TO PROVIDE ACCURATE INSURANCE INFORMATION WITH YOUR BILLING ADDRESS AND POLICYHOLDER NAME AND DATE OF BIRTH to the receptionist.

Failure to provide accurate insurance card copy to the receptionist with a CORRECT PATIENT'S NAME on the insurance card may delay billing and result in patient financial responsibility for the date of service.

Additional Fees: 

 

There is an additional $50 dollar fee for completion of one page of forms or other paperwork for the use outside of the patient's medical record.