Plan Year 2019 Document Request
The following 2019 BCBSAZ Advantage plan documents are available to be ordered online by members upon request:
Evidence of Coverage (EOC)
Formulary
Provider/Pharmacy Directory
Vision Directory
Dental Directory (Plus Plan)
Documents are also available at
www.azbluemedicare.com/members/forms-information
where they can be downloaded in PDF format.
Enter any 2 of these 3 pieces of info below:
Member name
John Doe
Member ID (XBU)
XBU999 999 999
Date of birth
07/18/1935
Explanation of Coverage (EOC)
Provider and Pharmacy Directory
Vision Directory
Dental Directory
Formulary
