Supplemental Benefits

2025 Plan Year

$0 copay for $125 every month combined allowance for OTC products and Healthy Food and Produce.

The allowance will be loaded to your Mastercard® Flex Card each month to pay for covered groceries and/or OTC items.

Covered items include:

• Healthy foods such as fruits, vegetables, meat, seafood, dairy products, water, and more.
• Brand-name and generic OTC products, such as vitamins, pain relievers, toothpaste, cough drops, and more.

To place an order, view the card balance, view all OTC items, search for eligible products, and find participating store locations, visit bcbs-az.thehelperbeesportal.com or call 1-888-454-1423, TTY:711, Monday – Friday, 8 a.m. – 8 p.m. local AZ time.

Any remaining allowance at the end of the month will expire and does not roll over to the next month. Any unused allowance will not carry over to the next plan year. All other trademarks referenced are the property of their respective companies.

2025 OTC Catalog
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Benefit Overview
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OTC Member Portal Guide
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2026 Plan Year

For Healthy Food and Produce, see the Special Supplemental Benefits for Chronically Ill Members (SSBCI) section.

For Over-the-Counter (OTC) Items:

$0 copay for $50 every three months allowance for OTC products. With this benefit, the allowance will be loaded to your Flex Card every three months to pay for covered OTC items.

Covered items include:

• Brand-name and generic OTC products, such as vitamins, pain relievers, toothpaste, cough drops, and more.

To place an order, view the card balance, view all OTC items, search for eligible products, and find participating store locations, visit bcbs-az.thehelperbeesportal.com or call 1-888-454-1423, TTY: 711, Monday – Friday, 8 a.m. – 8 p.m. local AZ time.

Any remaining allowance at the end of the quarter will expire and does not roll over to the next month. Any unused allowance will not carry over to the next plan year.

2026 OTC Catalog – Coming Soon

2025 Plan Year

$0 copay

$3,500 maximum benefit on comprehensive dental services.

Comprehensive services including:

• Restorative services (i.e. crowns, fillings, bridge to replace one tooth)
• Endodontics services
• Periodontics services
• Oral and maxillofacial surgery, including extractions services
• Dentures
  • Covered once every five years
  • Adjustments up to four per year

No maximum amount for preventive and diagnostic dental services.

Preventive and diagnostic services including:

• One Fluoride Treatment every year
• Two Oral Exams every year
• Two Prophylaxis (Cleanings) every year, once every 6 months
• Two Dental X-rays every year, which consists of:
  • One of either bite-wing X-rays or single X-rays or
  • One complete full mouth X-ray (FMX) or panoramic X-ray. Complete/panoramic only allowed once every 36 months

2026 Plan Year

$0 copay

$3,500 maximum benefit allowance per calendar year for diagnostic and preventive dental services and comprehensive dental services.

Diagnostic and preventive dental services including:

• One Fluoride Treatment every year

• Two Oral Exams every year

• Two Prophylaxis (Cleanings) every year, once every 6 months

• Two Dental X-rays every year, which can consist of:

- Either bite-wing X-rays or

- One complete set—also known as a full-mouth (FMX) set or a panoramic X-ray. A complete set/panoramic X-ray is only permitted once every 36 months.

Comprehensive dental services including:

• Restorative services (i.e., crowns, fillings, bridge to replace one tooth)

• Endodontics services

• Periodontics services

• Oral and maxillofacial surgery including extractions services

• Dentures

- Covered once every five years

- Adjustments up to four per year

2025 Plan Year

You have a $1,000 annual maximum combined allowance each year between In-Home Support Services, Home and Bathroom Safety Devices and Modifications, Support for Caregivers of Enrollees (Respite Care), and Home Repairs.

$0 copay for In-Home Support Services
Members have access to in-home support services, including cleaning, household chores, meal preparation, errands, light yard work, and assistance with other instrumental activities of daily living. Prior authorization may be required.

$0 copay for Home and Bathroom Safety Devices and Modifications
This benefit will include temporary home modifications including ramps and adding grab bars and safety rails in the shower.

$0 copay for Support for Caregivers of Enrollees (Respite Care)

Caregiver respite encompasses a temporary reprieve for primary caregivers, offering them a crucial break from their caregiving responsibilities.

$0 copay for Home Repairs
This benefit will include widening of hallways or doorways, permanent mobility ramps, easy use doorknobs and faucets. To qualify for this benefit, you must be actively engaged with our care management program and have one or more of the following qualifying chronic conditions:

• Chronic heart failure (CHF)
• Chronic lung disorders
• Diabetes
• Post-Acute Sequelae of SARS CoV-2 infection (PASC)/Long COVID

Not all members qualify, as other coverage criteria may also apply.

For more details on these services and additional assistance, please visit bcbs-az.thehelperbeesportal.com or call 1-888-454-1423, TTY: 711, Monday – Friday, 8 a.m. – 8 p.m. local AZ time.

2025 Helper Bees Benefit Overview Flyer - English 
2025 Helper Bees Benefit Overview Flyer - Español

2026 Plan Year

Not Covered

2025 Plan Year and 2026 Plan Year

$0 copay for physical fitness, memory fitness, activity tracker.

Fitness Center Membership and home kits.

Member can choose one of the following items for the At-Home Kits which includes the Quick Start Guide. The Quick Start guide is a printout with some suggested exercises and more information about SilverSneakers.

• Pedometer to track daily steps
• SilverSneakers ball
• Resistance band
• Yoga strap
• Inspire 3 Fitbit

SilverSneakers® can help you live a healthier, more active life through fitness and social connection. You are covered for a fitness benefit through SilverSneakers at participating locations,¹ where you can take classes ²and use exercise equipment and other amenities, at no additional cost to you. Enroll in as many locations as you like, at any time. You also have access to instructors who lead specially designed group exercise online classes, seven days a week with SilverSneakers LIVE.

Activate your free online account at SilverSneakers.com to view your SilverSneakers Member ID number and explore everything SilverSneakers has to offer. For additional questions, go to SilverSneakers.com or call 1-888-423-4632 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. ET. Always talk with your doctor before starting an exercise program.

¹Participating locations (“PL”) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL.
²Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer members additional classes. Classes vary by location.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2024 Tivity Health, Inc. All rights reserved.

2025 Plan Year

You receive a $1,500 allowance every year for hearing aids, for both ears combined.

$0 copay for 1 evaluation/fitting every year, and 1 routine hearing exam every year. For help finding a hearing provider, contact Member Services.

2026 Plan Year

$0 copay for up to two hearing aids (one per ear, every 3 years)

$0 copay for hearing aid fitting unlimited every year

$0 copay for hearing aids

2025 Plan Year and  2026 Plan Year

$0 copay

Personal emergency response system (PERS), also known as medical alert systems, provide continuous in-home and mobile monitoring to aging and at-risk populations.

PERS allows members to call for assistance 24/7, whether at home or on the go.

• Members are immediately connected with professionally trained operators who quickly assess the nature of a call and coordinate appropriate assistance.
• A member experiencing a medical emergency presses a button to speak with an operator who immediately coordinates emergency dispatch.
• Coverage for one personal emergency response device.

To get started, call 1-800-979-9238, TTY: 711, 8 a.m. to 5 p.m., Monday through Friday or visit bcbsaz.connectamerica.com.

2025 Plan Year

$0 copay for 12 treatments every year

This benefit is in addition to the Medicare-covered Acupuncture. Benefit includes coverage for supplemental coverage for evaluation and management, acupuncture and acupressure, modalities, and therapeutic procedures for treatment of pain syndromes, musculoskeletal conditions, and nausea not covered by Medicare. Acupuncture services are delivered by participating American Specialty Health (ASH) providers. To find a contracted ASH provider, please call 1-800-678-9133, TTY: 711, Monday – Friday, 5 a.m. to 8 p.m.; Saturday 12 p.m. to 8 p.m. Pacific Time, or visit ashlink.com/ash/BCBSAZHCP.

2026 Plan Year

Not Covered

2025 Plan Year

$0 copay for 12 visits every year

This benefit is in addition to the Medicare-covered Chiropractic services. Supplemental coverage for evaluation and management, X-ray examination, chiropractic manipulative therapy, modalities, therapeutic procedures, and physical rehabilitation for musculoskeletal conditions of the spine & extremities. Chiropractic services are provided by a Doctor of Chiropractic – DC (“Chiropractor”). Chiropractic services are delivered by participating American Specialty Health (ASH) providers. To find a contracted ASH provider, please call 1-800-678-9133, TTY: 711, Monday – Friday, 5 a.m. to 8 p.m.; Saturday 12 p.m. to 8 p.m. Pacific Time, or visit ashlink.com/ash/BCBSAZHCP.

2026 Plan Year

Not Covered

2025 Plan Year 

$0 copay for 6 visits every year

Includes Supplemental Benefit Coverage for preventive clinical services for the skin of the foot and toenail care, including removal of corns and calluses, nail trimming, and preventive foot hygiene. Routine Foot Care services are provided by a Doctor of Podiatric Medicine – DPM (“Podiatrist”). Podiatry services are delivered by participating American Specialty Health (ASH) providers. To find a contracted ASH provider, please call 1-800-678-9133, TTY: 711, Monday – Friday, 5 a.m. to 8 p.m.; Saturday 12 p.m. to 8 p.m. Pacific Time, or visit ashlink.com/ash/BCBSAZHCP.

2026 Plan Year

Not Covered

2025 Plan Year

Lodging and Utilities Flex Card

$0 copay

If eligible, our plan offers a prepaid Mastercard® debit card with a limit of up to $1,000 per year to help cover the cost of lodging and certain utilities (electric, gas, sanitary, water, and/or telephone service).

To qualify, you must be actively engaged with our care management program and have qualifying chronic conditions: Complications from prediabetes or diabetes and/or recent hospitalization for diabetes or a medical condition worsened by pre-diabetes or diabetes. Not all members qualify, as other coverage criteria may also apply.

Any unused Flex Card benefit dollars will expire at the end of the year. The funds are intended for temporary accommodation following a qualifying inpatient hospital stay, rather than being allocated for rental or mortgage assistance. This benefit is for your use only, may not be sold or transferred, and has no cash value. All other trademarks referenced are the property of their respective companies.

Not all members qualify, as other coverage criteria may also apply.

To qualify, you must:

• Be actively engaged with BCBSAZ Health Choice Pathway care management and:
• have qualifying chronic conditions: Complications from prediabetes or diabetes and/or recent hospitalization for diabetes or a medical condition worsened by pre-diabetes or diabetes. 

 

2026 Plan Year

Lodging and Utilities Flex Card - Not Covered

Healthy Food and Produce for 2026 Plan Year

$0 copay for $225 allowance every three months for Healthy Food and Produce.

For members with an eligible chronic condition, a quarterly allowance is loaded to the flex card to pay for approved healthy groceries.

To be eligible for this Special Supplemental Benefits for the Chronically Ill (SSBCI) benefit, you must have one of the following plan-approved chronic conditions: 

• Chronic alcohol use disorder and other substance use disorders (SUDs);

• Cardiovascular disorders;

• Chronic heart failure;

• Diabetes mellitus;

• Overweight, obesity, and metabolic syndrome;

• Chronic gastrointestinal disease;

• Chronic lung disorders;

• Chronic and disabling mental health conditions;

• Chronic conditions that impair vision, hearing (deafness), taste, touch, and smell;

• Conditions that require continued therapy services in order for individuals to maintain or retain functioning.

Not all members qualify.

To place an order, check the card balance, view healthy food and produce items, search for eligible products, and find participating store locations, visit bcbs-az.thehelperbeesportal.com or call 1-888-454-1423, TTY: 711, Monday – Friday, 8 a.m. to 8 p.m. local AZ time.

Unused allowance does not roll over to the next quarter. Allowance remaining at the end of the year does not carry over to the following plan year.

 

 

2025 Plan Year

$0 copay for 6 visits every year

Supplemental coverage for therapeutic massage, including assessment, massage, or soft tissue work for treatment of myofascial conditions, musculoskeletal injuries, and pain syndromes. Therapeutic Massage services are provided by licensed providers of massage including licensed massage therapists – LMT, and can also be provided by physical therapists. Therapeutic massage services are delivered by participating American Specialty

Health (ASH) providers. To find a contracted ASH provider, please call 1-800-678-9133, TTY: 711, Monday – Friday, 5 a.m. to 8 p.m.; Saturday 12 p.m. to 8 p.m. Pacific Time, or visit ashlink.com/ash/BCBSAZHCP.

2026 Plan Year

Not Covered

2025 Plan Year and 2026 Plan Year 

$0 copay

You receive up to 24 additional one-way transportation trips every calendar year. If you need transportation to and from plan-approved locations, including medical appointments, call 1-888-418-0903, TTY: 711, 24 hours a day, 7 days a week.

Please call 72 hours before your appointment to schedule transportation. If you have an urgent medical need, please call to arrange transportation. For emergency medical needs, please call 911.

Covered Services include:

                • Curb-to-curb service

                • Wheelchair-accessible vans upon request

                 • Each one-way trip must not exceed 50 miles.

                • A trip is considered one way, a round trip is considered two trips

Covered Services do not include:

                • Transportation by ambulance

2025 Plan Year and 2026 Plan Year

Quick access to a Provider when you need care

You can talk to a primary care provider, specialist, or urgent care from the comfort of your own home 24 hours a day, 7 days a week. Not all medical conditions can be treated through virtual visits. Download the BlueCare Anywhere app today or visit bluecareanywhereaz.com to get started.

2025 Plan Year and 2026 Plan Year

You receive a $350 allowance towards your choice of contacts and/or eyeglasses (lenses and frames).

$0 copay for 1 routine eye exam every year. For help finding a vision provider, contact Member Services.