Medical
COVID-19 Update: Testing, Treatment and Telehealth Visits at No Cost
In continuing support of the Governor's efforts to proactively address the COVID-19 pandemic, the State of Arizona's Benefits Services Division is offering you and your covered dependents expanded coverage for COVID-19 services at no cost. Your health care plan will now pay for the treatment of COVID-19 at in-network facilities and providers.
What This Means
- For a COVID-19 diagnosis, there will be no deductible, copays or coinsurance for:
- Testing at in-network or out-of-network facilities.
- Treatment at in-network facilities and providers. For example, if you have to get treatment at an in-network hospital, you will be covered at no cost.
- This includes the Triple Choice Plan with all carriers.
- This includes telehealth services.
- Letter for Medical Provider Explaining No Cost Treatment | Link
COVID-19 Resource Page - VACCINES and Testing
For information on vaccines, testing, and critical assistance from government agencies, please visit benefitoptions.az.gov/covid-19.
MEDICAL PLANS
- Triple Choice Plan
- High Deductible Health Plan with Health Savings Account (HDHP w/HSA)
- Description
- Premiums and Copays
- HSA Account Information
- HSA Bulk Transfer for 2020 PayFlex accounts | Learn more
- Watch informative videos listed on the left (on desktop) or below (on mobile).
CARRIERS
The State of Arizona offers medical coverage through two carriers. The plan is identical with each carrier. The difference is the provider networks. Both carriers offer coverage nationwide. When choosing a plan, check with your medical providers (doctors, therapists, etc.) to confirm that they accept the plan. Use the links provided here. Do not use the main carrier websites.
- BlueCrossBlueShield of Arizona | azblue.com/stateofaz | 866-287-1980
- UnitedHealthcare | whyuhc.com/stateofaz | 800-896-1067
MEDICAL ID CARDS
When you enroll in medical and dental benefits you will receive a medical ID card within a few weeks. You can also access your ID card via the insurance company’s website or app. If you need assistance before you can retrieve your card information, contact your carrier. See the information below.
SUMMARY OF BENEFITS AND COVERAGE | SBC
A Summary of Benefits and Coverage (SBC) is an easy-to-understand overview of a health plan's benefits and coverage. The documents listed here apply to all medical plans, regardless of the provider network (carriers).
2021
Resources
POLICIES | SUMMARY PLAN DESCRIPTIONS
2021
- Triple Choice Plan Summary Plan Description | Summary of Material Modifications TCP - issued 4/30/2021- applies to BCBSAZ and UHC
- HDHP with HSA Summary Plan Description | Summary of Material Modifications HDHP - issued 4/30 2021- applies to BCBSAZ and UHC
2020
Full description of each medical plan.
- EPO Summary Plan Description (SPD) - applies to all carriers listed above | 2020
- PPO Summary Plan Description (SPD) - applies to all carriers listed above | 2020
- HDHP with HSA Summary Plan Description - applies to Aetna only | 2020
- HSA Information - common questions, and information from PayFlex, the HSA account administration company.
PREMIUMS & COPAYS
2021
See pg. 11 | Active Enrollment Guide 2021
| Medical premiums per pay period | |||||
|---|---|---|---|---|---|
| Triple Choice Plan (TCP) | High Deductible Health Plan + HSA (HDHP) | ||||
| Employee | State | Employee | State | Agency HSA Contribution | |
| Employee only | $26.17 | $279.46 | $10.15 | $181.87 | $27.69 |
| Employee + Spouse | $71.49 | $576.74 | $30.46 | $376.95 | $55.38 |
| Employee + 1 Child | $57.30 | $376.83 | $25.89 | $246.41 | $55.38 |
| Family | $121.61 | $638.55 | $56.35 | $419.97 | $55.38 |
CONTACT
- Blue Cross Blue Shield of AZ | 866-287-1980
- 2021 Preview Site, including doctors and facilities - azblue.com/stateofaz
- Members - azblue.com | Group: 30855
- UnitedHealthcare | 800-896-1067
- 2021 Preview Site, including doctors and facilities - whyuhc.com/stateofaz
- Members - myuhc.com | Group: 705963
