Making and Breaking Appointments

Just call your PCP's office and make an appointment. With Capstone there are no co-payments or deductibles. Show your Capstone Membership ID Card at every medical appointment. If you do not let your provider know that you are a Capstone member you could get a bill for the services.

Appointments with Specialists ~ Referrals & Prior Authorization

Please! Do not make an appointment with a specialist until you know that the referral has been approved. You may be responsible for the bill!

Your PCP may refer you to a specialist for care; however, he/she must make a referral through Capstone for the review and approval process for these services. If approved, Capstone will cover the services.

Capstone will only approve services that are medically necessary and/or emergent. Referrals will only be allowed to health care professionals who are registered with AHCCCS and have an AHCCCS Provider ID number.

Canceling Appointments

If you must cancel an appointment, let the provider's office know as soon as you can that you will not make it. Try to do this within 24 hours. This will give the provider time for another patient. Re-schedule your appointment at a time that is good for you both. You may be charged for not keeping an appointment.