Do you have Medicare and AHCCCS?
Unlock more care, more benefits, and more savings – all at no additional cost.
Fill out this form and a licensed enrollment specialist will contact you to answer any questions.
One health plan. More benefits. NO EXTRA COST.
Our additional benefits at no cost include:
PLUS: • Personal Emergency Response System • Therapeutic Massage • Transportation • Fitness Benefit • Meal Benefit • And More!
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*To be eligible for this Special Supplemental Benefits for the Chronically Ill (SSBCI) benefit, you must be actively engaged with our care management program and incur complications from prediabetes or diabetes, have a recent hospitalization for diabetes, or have a medical condition worsened by prediabetes or diabetes. Not all members qualify, as other coverage criteria may also apply.
What makes our health plan different
Discover BCBSAZ Health Choice Pathway HMO D-SNP: Get quality care and extra benefits at no additional costs.
BCBSAZ Health Choice is a local, Arizona based health plan that has been serving the community for over 30 years. Today, we are part of the Blue Cross® Blue Shield® of Arizona family, which serves more than 1.8 million Arizonans. Together, we are committed to making a difference in the lives of our dual eligible members by keeping them healthy and feeling their best through BCBSAZ Health Choice Pathway.
Our dedication to providing quality healthcare and benefits for our members is one you can trust. You can also find comfort in our Health Plan Accreditation from the National Committee for Quality Assurance (NCQA). This accreditation means we are a high-quality health plan that meets the NCQA standards. We are proud to be one of the few Dual-Eligible Special Needs Plans in Arizona with this accreditation. We’re committed to inspiring health and making it easy.
Understanding how our Medicare Advantage DSNP Plan manages medical services can help you make informed decisions about your care. Here are some key procedures we use to ensure you receive the right services at the right time.
1. Preservice Review, also known as Prior Authorization
Before receiving certain healthcare services, the health plan evaluates if the requested service is a covered benefit. This review ensures enrollees receive medically necessary and appropriate care, based on their specific health needs.
2. Urgent Concurrent Review
We review healthcare services while you are receiving them to ensure they meet your needs.
3. Postservice Review
A post-service review may be done after you have received care to determine if the care met plan coverage guidelines and your needs. This review process ensures enrollees and providers adhere to Medicare guidelines.
4. Filing an Appeal
Enrollees who disagree with a coverage decision have the right to file an appeal. The appeals process allows you to request a review of the health plan’s decision.
To learn more about benefits, services, and coverage, please review our Evidence of Coverage (EOC) at azblue.com/hcpathway or call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
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