Do you have Medicare and AHCCCS?
Unlock more care, more benefits, and more savings – all at no additional cost.
Fill out this form and a licensed enrollment specialist will contact you to answer any questions.
Why choose Health Choice Pathway?
- Healthy food & produce benefits for eligible members**
- Over-the-Counter (OTC) allowance
- $0 copays on many prescriptions and routine care
- Dental, vision, and hearing aid coverage—including cleanings, crowns, dentures, eyewear, and exams.
Want to speak with a representative right now?
Call us at 1-888-489-0330, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
One health plan. More benefits. NO EXTRA COST.
You’ll keep all your Medicare and AHCCCS benefits and get many extra benefits to care for your health at NO COST!
Our additional benefits at no cost include:
PLUS: • Personal Emergency Response System • Transportation • Fitness Benefit • Meal Benefit • And More!
Ready to enroll? Click here to get started!
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**To be eligible for this Special Supplemental Benefits for the Chronically Ill (SSBCI) benefit, you must be diagnosed with a chronic condition, such as cardiovascular disorders; chronic conditions that impair vision, hearing (deafness), taste, touch, and smell; overweight, obesity, and metabolic syndrome; chronic and disabling mental health conditions; chronic alcohol use disorder and other substance use disorders or another qualifying condition. Not all members qualify, as other coverage criteria may also apply.
Frequently Asked Questions
- A Dual Special Needs Plan is a type of Medicare Advantage plan for people who qualify for both Medicare and Medicaid. It offers extra benefits and care coordination.
- Most members pay $0 monthly premium and enjoy many services at no cost.
- Health Choice Pathway has a large network of providers. Our Member Services team can help you find doctors that are in-network and meet your needs.
- Fill out the form above or call us at 1-888-489-0330. A licensed representative will guide you through the process.
- Yes! Caregivers play an important role. We can walk you through the steps and help you understand your loved one’s options.
Discover Health Choice Pathway HMO D-SNP
Get quality care and extra benefits at no additional costs.
Health Choice Pathway is a local, Arizona based health plan that has been serving the community for over 30 years. Today, we are part of the Blue Cross Blue Shield of Arizona family, which serves more than 1.8 million Arizonans. Together, we are committed to making a difference in the lives of our dual eligible members by helping them stay healthy and feeling their best.
Our dedication to providing quality healthcare and benefits for our members is one you can trust. You can also find comfort in our Health Plan Accreditation from the National Committee for Quality Assurance (NCQA). This accreditation means we are a high-quality health plan that meets the NCQA standards. We are proud to be one of the Dual-Eligible Special Needs Plans in Arizona with this accreditation. We’re committed to inspiring health and making it easy.
Understanding how our Medicare Advantage DSNP Plan manages medical services can help you make informed decisions about your care. Here are some key procedures we use to ensure you receive the right services at the right time.
1. Preservice Review, also known as Prior Authorization
Before receiving certain healthcare services, the health plan evaluates if the requested service is a covered benefit. This review ensures enrollees receive medically necessary and appropriate care, based on their specific health needs.
2. Urgent Concurrent Review
We review healthcare services while you are receiving them to ensure they meet your needs.
3. Postservice Review
A post-service review may be done after you have received care to determine if the care met plan coverage guidelines and your needs. This review process ensures enrollees and providers adhere to Medicare guidelines.
4. Filing an Appeal
Enrollees who disagree with a coverage decision have the right to file an appeal. The appeals process allows you to request a review of the health plan’s decision.
To learn more about benefits, services, and coverage, please review our Evidence of Coverage (EOC) at azblue.com/materials or call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.