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Plan Documents
View plan documents by year:
2022
2022
2023

Here's where you can find important documents that include details about benefits, costs, and providers for specific Blue Cross® Blue Shield® of Arizona Medicare Advantage plans by counties.

Online Drug Search
Formulary
Formulary Change Notice

Online Drug Search
Formulary
Formulary Change Notice

BluePathway Plan 1 (HMO)
BluePathway Plan 2 (HMO)
BlueJourney (PPO)
Blue Medicare Advantage Classic (HMO)
Blue Medicare Advantage Plus (HMO)

Online Pharmacy Search
BluePathway Plan 1 (HMO)
BluePathway Plan 2 & 3 (HMO)
BlueJourney (PPO)
Blue Medicare Advantage Classic and Plus (HMO)

Online Drug Search
Formulary
Formulary Change Notice

BluePathway Plan 2 (HMO)
BlueJourney (PPO)
Blue Medicare Advantage Classic (HMO)

Online Pharmacy Search
BluePathway Plan 2 (HMO)
Blue Medicare Advantage Classic (HMO)
BlueJourney (PPO)

Online Drug Search
Formulary
Formulary Change Notice

Blue Medicare Advantage Standard (HMO)

Online Pharmacy Search
Blue Medicare Advantage Standard (HMO)
Dental
Vision

Online Drug Search
Formulary
Formulary Change Notice

View plan documents by year:
2022
2022
2023

Here's where you can find important documents that include details about benefits, costs, and pharmacies for specific Blue MedicareRx plans.

Provides a summary of payment and coverage information

Summary of Benefits

Contains a full breakdown of payment and coverage information

Enhanced
Value

Details specific changes made to plans at the start of each plan year

Essential

For 2021 Essential members whose plan was combined with Value for 2022

Enhanced
Value

Online Pharmacy Search
Pharmacy Directory

Online Formulary Search
Formulary PDF

Conceptos básicos sobre su cobertura de salud

Summary of Benefits

Los beneficios y servicios de salud de Medicare como miembro

Enhanced
Value

Este documento explica los cambios en su plan que entrarán en vigencia el próximo año

Essential

For 2021 Essential members whose plan was combined with Value for 2022

Enhanced
Value

Online Pharmacy Search
Pharmacy Directory

Online Formulary Search
Formulary PDF

Provides a summary of payment and coverage information

Summary of Benefits

Contains a full breakdown of payment and coverage information

Enhanced
Value

Details specific changes made to plans at the start of each plan year

Enhanced
Value

Online Pharmacy Search
Pharmacy Directory

Online Formulary Search
Formulary

Notificación anual de modificaciones

Enhanced
Value

Los beneficios y servicios de salud de Medicare como miembro

Enhanced
Value

Online Formulary Search
Formulary

Pharmacy Directory
Online Pharmacy Search

Conceptos básicos sobre su cobertura de salud

Resumen de Beneficios
Blue Cross® Blue Shield® of Arizona (BCBSAZ) is contracted with Medicare to offer HMO and PPO Medicare Advantage plans and PDP plans. Enrollment in BCBSAZ plans depends on contract renewal.

BCBSAZ offers BluePathway HMO and BlueJourney PPO Medicare Advantage plans. BCBSAZ Advantage, a separate but wholly owned subsidiary of BCBSAZ, offers Blue Medicare Advantage Standard, Classic, and Plus HMO plans.

You are eligible to enroll in a BCBSAZ Medicare Supplement plan if you are age 65 or older, entitled to Medicare Part A, and enrolled in Medicare Part B, and you live in the plan service area. You must continue to pay your Medicare Part B premiums (and Part A, if applicable), if not otherwise paid for by Medicaid or another third party. During the first six months when you are age 65 and also enrolled in Medicare Parts A & B you cannot be denied a Medicare Supplement plan when you apply for one, regardless of health status.

Health Choice Pathway HMO D-SNP is a Health Plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Health Choice Pathway HMO D-SNP depends on contract renewal. Health Choice Pathway Member Services can be reached at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.

Blue Cross Blue Shield of Arizona (BCBSAZ) and Health Choice Arizona (HCA) comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We provide free aids and services to people with disabilities to communicate effectively with us, such as qualified interpreters and written information in other formats such as large print and accessible electronic formats. We also provide free language services to people whose primary language is not English, such as qualified interpreters and written information in other languages. If you need these services call 1-800-446-8331 (TTY: 711) for BCBSAZ Medicare Advantage or 1-833-229-3593 (TTY: 711) for BCBSAZ Blue MedicareRx (PDP) or 1-800-656-8991 (TTY: 711) for HCA.

Member Services can be reached at 480-937-0409 (in Arizona) or at our toll-free phone number at 1-800-446-8331 (TTY users should call 711). Hours are 8 a.m. to 8 p.m., Monday through Friday from April 1 to September 30; and 7 days a week from October 1 to March 31. Member Services also has free language interpreter services available for non-English speakers.

Birdi, Inc. Part D Services is an independent company providing prescription mail order services.

Spanish (BCBSAZ): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-446-8331 (TTY: 711).

Navajo (BCBSAZ): Díí baa akó nínízin: Díí saad bee yάnílti’ go Diné Bizaad, saad bee άkά’ άnída’ άwo’ dę͗ę͗, t’άά jiik’eh, éí nά hóló̖, kojí̖ hódíílnih 1-800-446-8331 (TTY: 711).

Spanish (HCA): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-656-8991 (TTY: 711).

Navajo (HCA): Díí baa akó nínízin: Díí saad bee yάnílti’ go Diné Bizaad, saad bee άkά’ άnída’ άwo’ dę͗ę͗, t’άά jiik’eh, éí nά hóló̖, kojí̖ hódíílnih 1-800-656-8991 (TTY: 711).

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Last Updated 11/1/2022