MomDoc Ending BCBSAZ Contract: Pinal County Patients Affected

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MomDoc will end its contract with Blue Cross Blue Shield of Arizona on December 1, 2025. The decision affects patients at 17 MomDoc locations statewide. This includes two Pinal County offices—one in the city of Maricopa and one in San Tan Valley.

Why MomDoc Dropped BCBSAZ Coverage

MomDoc spent over two years trying to negotiate fair reimbursement rates with Blue Cross Blue Shield of Arizona. Those discussions failed to produce an agreement.

“Arizona has 15.3% fewer doctors delivering babies than 10 years ago,” said Nick Goodman, MomDoc CEO. He explained that MomDoc needs insurance partners that compensate properly. This allows the practice to recruit high-quality OB doctors to the state.

Goodman said AHCCCS, Arizona’s Medicaid program, now pays better than most Arizona commercial plans. He called this arrangement “backwards” from most states. Commercial plans typically reimburse 20% higher than Medicaid. MomDoc can no longer afford to subsidize underpaying commercial plans.

Pinal County Locations Face Insurance Change

Two MomDoc offices serve Pinal County residents.

The Maricopa office operates at 21300 N. John Wayne Parkway. The San Tan Valley location sits at 37100 N. Gantzel Road. Both offices offer MomDoc Women For Women services. San Tan Valley also provides MomDoc Midwives care.

Pinal County already faces healthcare access challenges. Parts of the county are designated as Health Professional Shortage Areas, meaning the region already struggles to attract healthcare providers.

Arizona’s OB Shortage Drives the Decision

Arizona faces one of the most critical physician shortages in the nation. Women’s health providers are especially scarce. Physician compensation in Arizona lags behind many states. This makes recruitment and retention difficult.

Goodman cited several national factors: shorter careers, more demand for work-life balance, retirements, and insufficient physician training programs.

Goodman said Arizona’s health plans have long benefited from rate schedules set 20% below national averages. These rates were based on the state’s historically low cost of living. However, Arizona is no longer a low-cost state. Commercial plans still compensate OB doctors as if it were.

“As a result, physicians are leaving for states where they are paid more, have lower patient volumes, and receive more time off,” Goodman said.

Statewide Maternal Health Concerns Add Context

Arizona faces a broader maternal health crisis. According to the Arizona Hospital and Healthcare Association, over half of Arizona’s rural counties lack a practicing OB-GYN. Many regions qualify as maternity care deserts.

What Patients Should Know

MomDoc stated it remains committed to ensuring continuity of care for all patients through the December 1, 2025 transition. Those currently insured through BCBSAZ will have full access to their medical records. The practice will assist with transitioning care as required by regulation.

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MomDoc Ending BCBSAZ Contract: Pinal County Patients Affected - Pinal Post