Document Request for Medicare Advantage Plans
The following BCBSAZ Medicare Advantage plan documents are available to be ordered online by members upon request:
Evidence of Coverage
Formulary
Provider/Pharmacy Directory
Vision Directory
Dental Directory
Documents are also available at
https://www.azblue.com/medicare/resources/plandocuments
where they can be downloaded in PDF format.
Enter any 2 of these 3 pieces of info below:
Member name
John Doe
Member ID
ABC123456789
Date of birth
MM/DD/YYYY
Evidence of Coverage - 2023
Formulary - 2023
Provider/Pharmacy Directory - 2023
Vision Directory - 2023
Dental Directory - 2023
Evedencia de cobertura - 2023
Formulario - 2023
Directorio de proveedores/farmacia - 2023
Directorio de vision - 2023
Directorio de proveedores dental - 2023