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