Medical Policies | Retirees/LTD

COVID-19 No-Cost Coverages Ending July 19

As the COVID-19 vaccine becomes widely available, services that were provided for no-cost will be returning to standard coverage starting July 20. See the coverage chart.

  • Telehealth/Virtual Visits - For service providers such as Doctor on Demand, Teladoc, AmWell, BlueCare Anywhere and the UnitedHealthcare app, charges are as follows:
    • Triple Choice Plan - copay after deductible, HDHP - coinsurance after deductible.
    • For virtual visits from your primary care physician, or specialist, you will pay the billed charge before deductible and the copay or coinsurance after deductible.
    • This applies to all telehealth services, including mental health.
  • COVID-19 Treatment - ER, office visit, inpatient and outpatient care will be charged as per standard coverage. Testing and vaccines remain free.
  • Prescription Drugs - “Refill too soon” restrictions will resume, so prescriptions will be refilled on the standard schedule.

COVID-19 Vaccines and Tests Remain Free and Widely Available

  • Safe, effective, and free vaccines are widely available at doctor’s offices, pharmacies, and numerous other locations around the state. Arizonans age 12 and older are eligible to receive the vaccine. You can find a vaccine site at azdhs.gov.
  • COVID-19 testing is also widely available, please visit azdhs.gov.  Please help prevent the spread of COVID-19 by getting tested if you have symptoms and isolating if you test positive.

MEDICAL CARRIERS

2021 - The State of Arizona offers medical coverage through two medical 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 the carrier websites to ensure your providers are on the plan. Use the links provided here. Do not use the main carrier websites. 

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 the carriers.

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

2020

    Resources

    SUMMARY PLAN DESCRIPTIONS

    2021

    2020

    Full description of each medical plan.

    • EPO Summary Plan Description (SPD) - applies to all carriers  | 2020
    • PPO Summary Plan Description (SPD) - applies to all carriers  | 2020
    Read More

      PREMIUMS & COPAYS | WITH AND WITHOUT MEDICARE

      CONTACT