Employee Benefit Plans

Benefit Plan Documents & Forms

Medical Plan Summaries

Effective June 1, 2019 – December 31, 2019

BlueCross BlueShield of Arizona
80 series, 70 Series, HSA Series

• 80 Series

  Alliance

  • PPO 500
  • PPO 750
  • PPO 1000
  • PPO 1500
  • PPO 2000
  • PPO 2500
  • PPO 3000
  • PPO 4000
  • PPO 5000
  • PPO 6000

  Statewide

  • PPO 500
  • PPO 750
  • PPO 1000
  • PPO 1500
  • PPO 2000
  • PPO 2500
  • PPO 3000
  • PPO 4000
  • PPO 5000
  • PPO 6000
• 70 Series

  Alliance

  • PPO 1000
  • PPO 2000
  • PPO 3000
  • PPO 4000
  • PPO 5000
  • PPO 6000

  Statewide

  • PPO 1000
  • PPO 2000
  • PPO 3000
  • PPO 4000
  • PPO 5000
  • PPO 6000
• HSA Series

  Alliance

  • HSA 1500
  • HSA 2700
  • HSA 3500
  • HSA 4500
  • HSA 6750

  Statewide

  • HSA 1500
  • HSA 2700
  • HSA 3500
  • HSA 4500
  • HSA 6750

Dental Plans - Summary and Booklets

BlueCross BlueShield Arizona

Vision Plan Summaries

VSP