AZ Health Insurance Plans

Arizona plan descriptions, paper and online
applications and medical provider links

Some 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 “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.

    Aetna:

  1. Click here for the Bronze HSA $6450 brochure
[PDF file]
  • Click here for the Silver Everyday Plus brochure [PDF file]
  • Click here for the Gold Diabetes brochure [PDF file]
  • Providers for Aetna Leap plans

    Blue Cross Blue Shield of Arizona:

  • Click here for the Blue Cross Blue Shield of Arizona EverydayHealth HMO overview brochure [PDF file]
    • Click here for the $1000 deductible EverydayHealth HMO brochure [PDF file]
    • Click here for the $4000 deductible EverydayHealth HMO brochure [PDF file]
    • Click here for the $6000 deductible EverydayHealth HMO brochure [PDF file]
  • Click here for the Blue Cross Blue Shield of Arizona Portfolio HSA HMO overview brochure [PDF file]
    • Click here for the $1500 deductible Portfolio HMO brochure [PDF file]
    • Click here for the $3250 deductible Portfolio HMO brochure [PDF file]
    • Click here for the $5500 deductible Portfolio HMO brochure [PDF file]
    • Click here for the $6550 deductible Portfolio HMO brochure [PDF file]
  • Click here for the Blue Cross Blue Shield of Arizona signature page [PDF file]
  • Click here for Blue Cross Blue Shield of Arizona Medicare Supplement brochure [PDF file]
  • Click here for Blue Cross Blue Shield of Arizona Medicare Supplement application [PDF file]
  • Click here for Blue Cross Blue Shield of Arizona Prescription Medication Guide [PDF file]
  • Click here for various network providers for Blue Cross Blue Shield of Arizona
  • Click here for out-of-state providers for Blue Cross Blue Shield of Arizona (for when you’re traveling)
  • Click here for Blue Cross Blue Shield of Arizona Urgent Care Center Providers [PDF file]
  • Click here for Blue Cross Blue Shield of Arizona brochure explaining your benefits when you’re away from home [PDF file]

    Cigna:

  • Providers for Cigna
  • Click here to apply for a Cigna policy

    Delta Dental:

  • Delta Dental Individual Plan Matrix [PDF file]
  • Providers for the Delta Dental Service plan [PDF file]
  • Application for the Delta Dental Individual Plan [PDF file]
  • Apply online for a Dental Dental policy

    EDS – Employers Dental Service:

  • Employers Dental Service plan – brochure and application [PDF file]
  • Providers for the Employers Dental Service plan [PDF file]
  • Form to give your dentist to become a provider for the EDS plan [PDF file]
  • Providers for EDS Dental

    Health Net:

  • Click here for the Bronze CommunityCare HMO brochure [PDF file]
  • Click here for the Silver CommunityCare HMO brochure [PDF file]
  • Click here for the Gold CommunityCare HMO brochure [PDF file]
  • Health Net’s Dental and Vision brochure and rates (for people UNDER the age of 65) [PDF file]
  • Providers for Health Net
  • Click here to apply online for a Health Net policy

    HCC Short Term:

  • Click to apply – up to 6 months
  • Click here for the HCC brochure [PDF file]
  • Click here for the HCC application [PDF file]

    HII – Health Insurance Innovations Short Term:

  • Click to apply for short term – 6 months to 12 months
  • Click here for the HII brochure [PDF file]

    Humana:

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

    IMG International Coverage Plans:

  • Apply online for various IMG international, trip cancellation, travel health insurance, sea captain/crew plans – for groups and individuals

    Lehrman Group Miscellaneous:

  • Marketplace Application Portal [web page]
  • Group Census/Quote Request Form [PDF file]
  • Dental Plan Options
  • Lehrman Group INDIVIDUAL “Agent of Record” Form [PDF file]
  • Lehrman Group GROUP “Agent of Record” Form [PDF file]
  • Blue Cross of Arizona Individual “Agent of Record” Form [PDF file]

    Liaison International Plans:

  • Liaison International Health Insurance information and application [web page]

    Petersen International: For Americans traveling abroad:

  • Petersen International Major Medical Plan [web page]For foreign nationals visiting or migrating to the USA, or
    USA citizens coming back to the USA after being outside the USA, or
    foreign nationals living in their home country working for a US company, or
    foreign nationals traveling to the USA and additional countries prior to returning to their home country
  • Petersen International Major Medical Plan [web page]
  • Petersen High Limit Accident Plan [web page]
  • Petersen High Limit Disability Plan [web page]
  • Apply online for the Lloyd’s of London Short Term Health Insurance Plan [web page]
  • Lloyd’s of London 11-month Short Term plan brochure [PDF file]

    United HealthCare:

  • Click here for United HealthCare’s SHORT TERM health insurance brochure [PDF file]
  • Click here to apply online for a United HealthCare Golden Rule policy
  • Providers for United HealthCare’s COMPASS plans
  • Providers for United HealthCare’s NAVIGATE PLUS plans
  • Click to apply online for United HealthCare dental plan
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