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.

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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. Providers for American Community in Arizona
  8. Providers for American Community when you are traveling out of your home state



  9. Assurant Short Term Policy Paper Application [PDF file]
  10. Apply online for an Assurant Short Term Health policy

  11. Assurant Long Term Policy Paper Application [PDF file]
  12. Assurant Long Term Brochure [PDF file]



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



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



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



  41. Delta Dental Individual Plan Matrix [PDF file]
  42. Providers for the Delta Dental Service plan [PDF file]
  43. Application for the delta Dental Individual Plan [PDF file]



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



  48. Click here for United HealthCare's Golden Rule brochure [PDF file]
  49. Click here for United HealthCare's Golden Rule application [PDF file]
  50. Click here to apply online for a United HealthCare Golden Rule policy
  51. Providers for United HealthCare's Golden Rule plans



  52. Click here to apply online for a Health Net policy
  53. Click here for the Health Net application [PDF file]
  54. Health Net's PPO brochure and rates (for people UNDER the age of 65) [PDF file]
  55. Health Net's HMO brochure and rates (for people UNDER the age of 65) [PDF file]
  56. Health Net's HSA brochure and rates (for people UNDER the age of 65) [PDF file]
  57. Health Net's Dental and Vision brochure and rates (for people UNDER the age of 65) [PDF file]
  58. Providers for Health Net



  59. Apply online for a Humana One individual health insurance policy
  60. Humana Medicare Supplement A-F Plans brochure [PDF file]
  61. Humana Medicare Supplement GOLD Plan brochure [PDF file]
  62. Providers for Humana



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



  64. Height/Weight Guidelines for Blue Cross [PDF file]
  65. Medical Underwriting Guidelines for Blue Cross of Arizona [PDF file]
  66. Group Census/Quote Request Form [PDF file]
  67. Group Health History Form [PDF file]
  68. Lehrman Group INDIVIDUAL "Agent of Record" Form [PDF file]
  69. Lehrman Group GROUP "Agent of Record" Form [PDF file]
  70. Blue Cross of Arizona Individual "Agent of Record" Form [PDF file]
  71. Medicare Benefit Comparisons [web page]
  72. Target's $4 Generic Drugs List [PDF file]
  73. WalMart's $4 Generic Drugs List [PDF file]



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



  75. Providers for PacifiCare HMO

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






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