Supplemental Benefits

$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.

 

 

$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
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OTC Member Portal Guide
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$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

$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.

$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

Meal Benefit: Nutritious Meals Delivered to Support Your Health

Who qualifies?

Post-Hospital Stay: You may receive 28 meals after each discharge from a hospital, skilled nursing facility, or inpatient rehab.

Chronic Condition Support: If you’re enrolled in our Care Management program and have a qualifying chronic condition, you may also receive 28 meals to help support lifestyle changes.

Eligible chronic conditions include:

• Chronic Obstructive Pulmonary Disease (COPD)
• Congestive Heart Failure (CHF)
• Diabetes (DM)

These meals help you stay nourished while focusing on your health.
If you think you may qualify, reach out to your Care Manager or Member Services at 1-800-656-8991, TTY: 711 to learn more.

$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.

$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

Quick access to a Provider when you need care

Need help now? You can talk to a doctor on your phone, tablet, or computer – anytime, at no cost! No appointments. No waiting. Just quick care when you need it. Click here to connect through your member portal.

Not all medical conditions can be treated through virtual visits. 

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.