Medical Plans


The City's health insurance plan is self-insured and self-administered with Blue Cross Blue Shield of Arizona (BCBSAZ) as our in-network provider. Members may choose among four different medical plans depending upon their needs.

 

The four medical plans offered are:

  • Choice PPO Plan (80/20) - This plan features 80% coverage after the $300 per person/$900 family deductible has been met for in-network services. PPO BCBSAZ providers are considered as in-network for this plan. $2,300 out of pocket annual maximum per person.
  • Copay Choice PPO Plan - There is a $20 copay for office visits. PPO BCBSAZ providers are considered in-network. $4,000 per person/$12,700 family out of pocket annual maximum.
  • Basic Choice Plan (50/50) - This plan offers catastrophic coverage for the individual with few medical expenses. $550 deductible per person/$1,650 family, coinsurance 50/50, $5,550 out of pocket annual maximum per person. PPO BCBSAZ providers are considered as in-network.

Here is a  worksheet to help determine which plan is right for you.

 

Medical Plan Overview

 

For a summary of detailed coverage, please refer to the following links:

2014 Benefits Package - Active/COBRA

2014 Benefits Package - Retiree

City of Mesa Plan Document


2014 Premiums

Full-time/Part-Time              

Retiree Members - Due to the number of factors that are considered in calculating individual retiree premiums (years of service, plan, coverage level, ASRS/PSPRS subsidy, Medicare discount, etc.), the retiree premiums will not be posted.  If you have a question about the calculation of your retiree premium, please call Employee Benefits at (480) 644-2299.

Members who reside out of state more than 4 months per year must use BCBS Blue providers for in-network coverage.  For help locating both in state and out of state providers go to: Finding Providers

 

Hints for providers about claims submission

Please submit claims electronically to Blue Cross Blue Shield of Arizona, when possible. Otherwise, paper claims are mailed to "City of Mesa, PO BOX 1818, San Leandro, CA 94577.  Please do not fax claims! Find more information about claims submission.

 

 

Employee Benefits Office 20 E

Employee Benefits
20 E Main Street, Ste 600
Mesa, AZ 85201
Open Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax

Option 2: Medical/Dental Verify

Other Questions

Password Resets

Option 3: Claim Status

Option 4: Retiree Questions

Option 5: Flex Spending


E-mail (password resets cannot be done via email)

Forms

Federally Mandated Notices