For Brokers.
Program Information
Benefits Program Information
New Group Setup Paperwork
Medical Plan Information – Blue Cross Blue Shield of Arizona
2021 Plan Year
Summary of Benefit Coverages
Statewide
AZTC 2021 PPO 100/5000
AZTC 2021 PPO 100/7900
AZTC 2021 PPO 90/500
AZTC 2021 PPO 90/1000
AZTC 2021 PPO 80/500
AZTC 2021 PPO 80/750
AZTC 2021 PPO 80/1000
AZTC 2021 PPO 80/1500
AZTC 2021 PPO 80/2000
AZTC 2021 PPO 80/2500
AZTC 2021 PPO 80/3000
AZTC 2021 PPO 80/4000
AZTC 2021 PPO 80/5000
AZTC 2021 PPO 80/6000
AZTC 2021 PPO 70/1000
AZTC 2021 PPO 70/2000
AZTC 2021 PPO 70/3000
AZTC 2021 HSA 80/1500
AZTC 2021 HSA 80/3000
AZTC 2021 HSA 80/4500
AZTC 2021 HSA 100/3500
AZTC 2021 HSA 100/6900
PimaConnect
AZTC 2021 PPO 100/5000 PimaConnect
AZTC 2021 PPO 100/7900 PimaConnect
AZTC 2021 PPO 90/500 PimaConnect
AZTC 2021 PPO 90/1000 PimaConnect
AZTC 2021 PPO 80/500 PimaConnect
AZTC 2021 PPO 80/750 PimaConnect
AZTC 2021 PPO 80/1000 PimaConnect
AZTC 2021 PPO 80/1500 PimaConnect
AZTC 2021 PPO 80/2000 PimaConnect
AZTC 2021 PPO 80/2500 PimaConnect
AZTC 2021 PPO 80/3000 PimaConnect
AZTC 2021 PPO 80/4000 PimaConnect
AZTC 2021 PPO 80/5000 PimaConnect
AZTC 2021 PPO 80/6000 PimaConnect
AZTC 2021 PPO 70/1000 PimaConnect
AZTC 2021 PPO 70/2000 PimaConnect
AZTC 2021 PPO 70/3000 PimaConnect
AZTC 2021 Saver HSA 80/1500 PimaConnect
AZTC 2021 Saver HSA 80/3000 PimaConnect
AZTC 2021 Saver HSA 80/4500 PimaConnect
AZTC 2021 Saver HSA 100/3500 PimaConnect
AZTC 2021 Saver HSA 100/6900 PimaConnect
Alliance
AZTC 2021 PPO 100/5000 SBC Alliance
AZTC 2021 PPO 100/7900 SBC Alliance
AZTC 2021 PPO 90/500 SBC Alliance
AZTC 2021 PPO 90/1000 SBC Alliance
AZTC 2021 PPO 80/500 SBC Alliance
AZTC 2021 PPO 80/750 SBC Alliance
AZTC 2021 PPO 80/1000 SBC Alliance
AZTC 2021 PPO 80/1500 SBC Alliance
AZTC 2021 PPO 80/2000 SBC Alliance
AZTC 2021 PPO 80/2500 SBC Alliance
AZTC 2021 PPO 80/3000 SBC Alliance
AZTC 2021 PPO 80/4000 SBC Alliance
AZTC 2021 PPO 80/5000 SBC Alliance
AZTC 2021 PPO 80/6000 SBC Alliance
AZTC 2021 PPO 70/1000 SBC Alliance
AZTC 2021 PPO 70/2000 SBC Alliance
AZTC 2021 PPO 70/3000 SBC Alliance
AZTC 2021 Saver HSA 80/1500 SBC Alliance
AZTC 2021 Saver HSA 80/3000 SBC Alliance
AZTC 2021 Saver HSA 80/4500 SBC Alliance
AZTC 2021 Saver HSA 100/3500 SBC Alliance
AZTC 2021 Saver HSA 100/6900 SBC Alliance
Benefit Booklets
Plan Specific Attachments
AZTC PPO 100/5000
AZTC PPO 100/7900
AZTC PPO 90/500
AZTC PPO 90/1000
AZTC PPO 80/500
AZTC PPO 80/750
AZTC PPO 80/1000
AZTC PPO 80/1500
AZTC PPO 80/2000
AZTC PPO 80/2500
AZTC PPO 80/3000
AZTC PPO 80/4000
AZTC PPO 80/5000
AZTC PPO 80/6000
AZTC PPO 70/1000
AZTC PPO 70/2000
AZTC PPO 70/3000
AZTC HSA 80/1500
AZTC HSA 80/3000
AZTC HSA 80/4500
AZTC HSA 100/3500
AZTC HSA 100/6900
Medical Marketing Material
Welcome Guide for New BCBSAZ Members
Video: BCBSAZ’s Comprehensive Association Health Plan
2021 Medical and Dental Plan Product Guide
AZTC Medical/Dental Flyer
BlueCare Anywhere Telehealth App
Find a Doctor Tool
Seeking Care Away from Home
PayForward Cash Back Rewards Program
Mobilize AZ Diabetes: Get Smart about Diabetes
Welvie Online Program: To guide you through the surgery decision making process
Commonly Used Forms
2020 Plan Year
Summary of Benefit Coverages
Statewide
AZTC PPO 100/5000
AZTC PPO 100/7900
AZTC PPO 90/500
AZTC PPO 90/1000
AZTC PPO 80/500
AZTC PPO 80/1000
AZTC PPO 80/2000
AZTC PPO 80/3000
AZTC PPO 80/5000
AZTC PPO 80/6000
AZTC HSA 80/1500
AZTC HSA 80/3000
AZTC HSA 80/4500
AZTC HSA 100/3500
AZTC HSA 100/6900
PimaConnect
AZTC 2020 PPO 500_80 PimaConnect
AZTC 2020 PPO 500_90 PimaConnect
AZTC 2020 PPO 1000_80 PimaConnect
AZTC 2020 PPO 1000_90 PimaConnect
AZTC 2020 PPO 2000_80 PimaConnect
AZTC 2020 PPO 3000_80 PimaConnect
AZTC 2020 PPO 5000_80 PimaConnect
AZTC 2020 PPO 5000_100 PimaConnect
AZTC 2020 PPO 6000_80 PimaConnect
AZTC 2020 PPO 7900_100 PimaConnect
AZTC 2020 Saver 1500_80 PimaConnect
AZTC 2020 Saver 3000_80 PimaConnect
AZTC 2020 Saver 3500_100 PimaConnect
AZTC 2020 Saver 4500_80 PimaConnect
AZTC 2020 Saver 6900_100 PimaConnect
Alliance
AZTC 2020 PPO 500_80 Alliance
AZTC 2020 PPO 500_90 Alliance
AZTC 2020 PPO 1000_80 Alliance
AZTC 2020 PPO 1000_90 Alliance
AZTC 2020 PPO 2000_80 Alliance
AZTC 2020 PPO 3000_80 Alliance
AZTC 2020 PPO 5000_80 Alliance
AZTC 2020 PPO 5000_100 Alliance
AZTC 2020 PPO 6000_80 Alliance
AZTC 2020 PPO 7900_100 Alliance
AZTC 2020 Saver 1500_80 Alliance
AZTC 2020 Saver 3000_80 Alliance
AZTC 2020 Saver 3500_100 Alliance
AZTC 2020 Saver 4500_80 Alliance
AZTC 2020 Saver 6900_100 Alliance
Benefit Booklets
Plan Specific Attachments
Medical Marketing Material
Welcome Guide for New BCBSAZ Members
Video: BCBSAZ’s Comprehensive Association Health Plan
2020 Medical and Dental Plan Product Guide
AZTC Medical/Dental Flyer
BlueCare Anywhere Telehealth App
Find a Doctor Tool
Seeking Care Away from Home
PayForward Cash Back Rewards Program
Mobilize AZ Diabetes: Get Smart about Diabetes
Welvie Online Program: To guide you through the surgery decision making process
Commonly Used Forms
Dental Plan Information – Blue Cross Blue Shield of Arizona
2021 Plan Year
Dental Plan Summaries
Dental Marketing Material
Vision Plan Information – VSP
2021 Plan Year
Group Vision Care Policy
Vision Benefit Summaries
Life/AD&D & Disability – MetLife
Life/Supp Life/AD&D Plan Summaries
Life/Supp Life/AD&D Certificates
Long-Term Disability Plan Summaries
Long-Term Disability Certificates
Long-term Disability Plan 1
Long-term Disability Plan 2
Long-term Disability Plan 3
Long-term Disability Plan 4
Long-term Disability Plan 5
Short-Term Disability Plan Summaries
Short-term Disability Plan 1: 13 Weeks
Short-term Disability Plan 1: 26 Weeks
Short-term Disability Plan 2: 13 Weeks
Short-term Disability Plan 2: 26 Weeks
Short-term Disability Plan 3: 13 Weeks
Short-term Disability Plan 3: 26 Weeks
Short-term Disability Plan 4: 13 Weeks
Short-term Disability Plan 4: 26 Weeks
Short-Term Disability Forms
Short-Term Disability Certificates
Short-term Disability Plan 1
Short-term Disability Plan 2
Short-term Disability Plan 3
Short-term Disability Plan 4