Download Brochures & Applications for Arizona Plans

Links for Arizona plan descriptions, paper and online applications and medical providers.

Many of the links below contain files or forms that are in Adobe Acrobat Format (PDF files). Many of the documents will only open with the latest version of Acrobat Reader from Adobe Systems. If you don't already have the latest version, click on the yellow "Get Acrobat Reader" image to download the free program.

Or please feel free to call us at 800-600-9663 or 520-760-0392 to request any package be sent to you via the US Mail or as an email attachment PDF file.

1. Aetna Brochure, Rates and Application [PDF file]
   
2. Aetna Application [PDF file]
   
3. Providers for Aetna Policyholders
   
   
   

   

4. AIG Critical Care Insurance Brochure [PDF file]
   
5. AIG Frequently Asked Questions [PDF file]
   
6. AIG Application [PDF file]
   
   
   

   

7. American Community Medalist PPO Brochure [PDF file]
   
8. American Community Next Generation HSA Brochure [PDF file]
   
9. Providers for American Community in Arizona
   
10. Providers for American Community when you are traveling out of your home state

11. American Community Application [PDF file]
    
    
    

    

12. Assurant Short Term Policy Paper Application [PDF file]
    
13. Apply online for an Assurant Short Term Health policy
    
    
14. Assurant Long Term Policy Paper Application [PDF file]
    
15. Assurant Long Term Brochure [PDF file]
    
    
    

    

16. Click here for the Blue Cross Blue Shield of Arizona Paper Application [PDF file]
    
17. Apply online for a Blue Cross Blue Shield of Arizona policy
    
18. Click here for ONLY the Blue Cross signature page [PDF file]
    
19. Blue Cross Blue Shield of Arizona Rate Sheet [PDF file]
    
20. Blue Cross Blue Shield of Arizona Automatic Bank Draft (Sure Pay) form [PDF file]
    
21. Click here for the Blue Cross Blue Shield of Arizona Broker of Record Change Form [PDF file]
    
22. Blue Cross Blue Shield of Arizona BlueSecure HMO Plans description [PDF file]
    
23. Blue Cross Blue Shield of Arizona BlueEssential PPO description [PDF file]
    
24. Blue Cross Blue Shield of Arizona BlueValue PPO description [PDF file]
    
25. Blue Cross Blue Shield of Arizona BlueOptimum PPO description [PDF file]
    
26. Blue Cross Blue Shield of Arizona BluePreferred PPO description [PDF file]
    
27. Blue Cross Blue Shield of Arizona BluePortfolio HSA PPO description [PDF file]
    
28. Compare all of the different non-Medicare Blue Cross plans [PDF file]
    
29. Blue Cross Blue Shield of Arizona Medicare Supplement Brochure [PDF file]
    
30. Blue Cross Blue Shield of Arizona Medicare Supplement Application [PDF file]
    
31. Blue Cross Blue Shield of Arizona "HIPAA/Portability" plan brochure and application [PDF file]
    
32. Blue Cross Blue Shield of Arizona Prescription Medication Guide [PDF file]
    
33. Providers for Blue Cross Blue Shield of Arizona
    
34. Blue Cross Blue Shield of Arizona Urgent Care Center Providers [PDF file]
    
35. Out of state providers for Blue Cross Blue Shield of Arizona (for when you're traveling)
    
    
    

    

36. Click here to apply online for a Celtic policy
    
37. Providers for Celtic
    
    
    

    

38. Cigna HMO description [PDF file]
    
39. Cigna PPO description [PDF file]
    
40. Cigna application [PDF file]
    
41. Providers for Cigna
    
    
    

    

42. Employers Dental Service plan - brochure and application [PDF file]
    
43. Providers for the Employers Dental Service plan [PDF file]
    
44. Form to give your dentist to become a provider for the Employers Dental Service plan [PDF file]
    
45. Providers for EDS Dental
    
    
    

    

46. Click here to apply online for a Health Net policy
    
47. Click here for the Health Net application [PDF file]
    
48. Health Net's PPO brochure and rates (for people UNDER the age of 65) [PDF file]
    
49. Health Net's HMO brochure and rates (for people UNDER the age of 65) [PDF file]
    
50. Health Net's HSA brochure and rates (for people UNDER the age of 65) [PDF file]
    
51. Health Net's Dental and Vision brochure and rates (for people UNDER the age of 65) [PDF file]
    
52. Providers for Health Net
    
    
    

    

53. Apply online for a Humana One individual health insurance policy
    
54. Humana Medicare Supplement A-F Plans brochure [PDF file]
    
55. Humana Medicare Supplement GOLD Plan brochure [PDF file]
    
56. Providers for Humana
    
    
    

    

57. Lehman Brothers of New York and Lehrman Financial Group / Oct 2001 Healthcare Conference Call Transcript (very large file; 21 megabytes) [PDF file]
    
    
    

    

58. Height/Weight Guidelines for Blue Cross, Health Net and Cigna [PDF file]
    
59. Medical Underwriting Guidelines for Blue Cross of Arizona [PDF file]
    
60. Group Census/Quote Request Form [PDF file]
    
61. Group Health History Form [PDF file]
    
62. Lehrman Group Individual "Agent of Record" Form [PDF file]
    
63. Blue Cross of Arizona Individual "Agent of Record" Form [PDF file]
    
64. Medicare Benefit Comparisons [web page]
    
65. Target's $4 Generic Drugs List [PDF file]
    
66. WalMart's $4 Generic Drugs List [PDF file]
    
    
    

    

67. Liaison International Health Insurance information and application [web page]
    
    
    

    

68. LifeWise brochure listing all of their different plans (for people UNDER the age of 65) [PDF file]
    
69. LifeWise health insurance application [PDF file]
    
70. Click here to apply online for a LifeWise health insurance plan
71. Providers for LifeWise
    
    
    

    

72. Providers for PacifiCare HMO
    
    

    

73. Click here for United HealthCare's Golden Rule brochure [PDF file]
    
74. Click here for United HealthCare's Golden Rule application [PDF file]
    
75. Click here to apply online for a United HealthCare Golden Rule policy
    
76. Providers for United HealthCare's Golden Rule plans