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.
- Choice Plus PPO Plan (90/10) - This
plan provides 90% coverage after the $200 deductible has
been met. PPO BCBSAZ providers
are considered as in-network for this plan. $1,200 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
- 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
help determine which plan is right for you.
For a summary of detailed coverage, please refer to the
2014 Benefits Package -
2014 Benefits Package - Retiree
City of Mesa Plan
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.
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:
Hints for providers about
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
more information about claims
Employee Benefits Office 20 E
Main Street, Ste 600
Mesa, AZ 85201
Open Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax
Option 3: Claim Status
E-mail (password resets cannot be done via email)
Federally Mandated Notices