Member Services
At BCBSAZ Health Choice Pathway (HMO D-SNP), members are our number one priority. Our mission is to treat you with the utmost respect and dignity while providing you safe, effective, quality healthcare.
One way to accomplish this is to provide members with outstanding customer service. Whether you need member support or you simply have some questions that need answers, we’re always here to answer every question and address every concern.
We are here to help. If you have questions, please call Member Services from 8 a.m. to 8 p.m., 7 days a week.
A few examples the BCBSAZ Health Choice Pathway Member Services team can assist with:
- Check eligibility and/or benefits
- Determine benefits and financial responsibility for a specific service or treatment from a specified provider or institution.
- Request a replacement ID Card
- Member demographic updates (such as change of address or phone number/contact information)
- Assistance with locating a provider
- Pharmacy benefit information
- Determine financial responsibility for a drug, based on the pharmacy benefit
- Check the status on denials or appeals (Or, initiate the exceptions process for Medicare)
- Order a refill for an existing, unexpired mail-order prescription
- Find the location of an in-network pharmacy in close proximity based on zip code search
- Determine the availability of generic substitutes
- Change a primary care provider, as applicable
- Prior Authorization information (Medical Services)
- Determine how and when to obtain referrals and authorizations for specific services, as applicable.
- Check the status on denials or appeals
- Check Claims Status (non-payment of a claim)
Our Member Services Department is open 8 a.m. – 8 p.m., 7 days a week and can be reached by calling 1-800-656-8991. TTY users should call 711.
Or, you may e-mail Member Services at HCHComments@azblue.com.
For additional information related to your Pharmacy benefit, or prescription drugs, you may also visit the Prescription Drug Information page.
Your Health Care Buddy
BCBSAZ Health Choice Pathway understands the importance of individualized care. That is why we assign every member their very own health care buddy.
Your Health Care Buddy can help with many things, like:
- Answer questions about your benefits
- Help you find a doctor
- Set up your health care appointments
- Help you get your prescription drugs
- Help you get prior authorization for medical services
- And much more!
Your buddy is just a phone call away!
Reminder – the Member Portal is here
We're excited to introduce the improved Member Portal, designed with your needs in mind. Whether you've used our portal before or are logging in for the first time, we invite you to explore all the features and benefits now available to you.
Why Use the Member Portal?
Our enhanced Member Portal is your one-stop destination for managing your healthcare benefits with ease. Here's what you can do:
· Access Your Benefits: View detailed information about your medical, dental, vision, and other benefits.
· Find Providers: Use the directory to locate in-network doctors, specialists, dentists, and more.
· Request ID Cards: Easily request new or replacement ID cards.
· Wellness Resources: Discover wellness programs, health tips, and preventive care resources.
How to Get Started:
1. Create Your Account:
a. Visit memberportal.healthchoiceaz.com.
b. Click on "Sign Up" and follow the prompts to create your account using your member ID.
c. Set up your username and password.
2. Log In:
a. Go to memberportal.healthchoiceaz.com - Enter your username and password to log in.
3. Explore and Personalize:
a. Navigate through the portal to familiarize yourself with its features.
b. Update your profile and preferences to tailor the portal to your needs.
Need Assistance?
Our dedicated support team is here to help you make the most of the Member Portal. If you have any questions or need assistance with your account, contact us at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
Don't wait—sign up today and start exploring all the features at your fingertips!