Self-Insurance election (e.g. "self-pay", "self-insured", "out-of-pocket", "cash-pay") requires notification of applicable laws and policies, as well as your explicit consent. While Arizona Psychiatry is an in-network provider with many health insurance companies, we do not currently have relationships with Medicare/Medicaid (AHCCCS) and some other select private insurers. In these instances, someone may elect to be self-insured (or pay "out-of-pocket") when either they do not have health insurance coverage, when the healthcare provider or practice is "out-of-network", or when patients explicitly do not want their insurance billed - instead electing to pay out of pocket at the time of service. Generally, someone who has health insurance coverage is obligated to submit healthcare claims to the insurer for reimbursement. If you otherwise have insurance or other types of health coverage, services received as "self-insured" will not likely be reimbursed by your insurance carrier or applied to your deductible, and may complicate your relationship with your health insurance company. You may want to discuss this and any repercussions with your insurance carrier before pursuing this option. By signing below, you are simply acknowledging that you have read this notification. We will speak with you in more detail about it later and clarify any questions you may have.