Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Blue Best Life Plus (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Blue Best Life Plus (HMO) in 2026, please refer to our full plan details page.
Blue Best Life Plus (HMO) is a HMO plan offered by Blue Cross Blue Shield of Arizona available for enrollment in 2025 to people living in Maricopa and Pinal Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Blue Best Life Plus (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about Blue Best Life Plus (HMO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Blue Best Life Plus (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $44.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $385.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2500.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
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The Blue Best Life Plus (HMO) plan features an Enhanced Alternative drug benefit with a $385.00 annual prescription drug deductible and a standard Part D premium of $44.00. During the initial coverage phase, standard pharmacy and standard mail orders offer a $9.00 copay for Tier 1 preferred generics and a $47.00 copay for Tier 2 standard generics. Tier 3 preferred brands cost a $100.00 copay, Tier 4 non-preferred drugs require a 28% coinsurance, and Tier 5 specialty tier drugs have no copay. These initial coverage rates apply until your total combined drug costs reach $2,100.00. After your yearly out-of-pocket drug expenses reach this $2,100.00 threshold, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. This structured coverage helps beneficiaries easily predict and manage their prescription medication expenses throughout the year.
The Blue Best Life Plus (HMO) plan offers structured coverage for essential medical services, balancing predictable copays with no coinsurance for many services. Inpatient hospital stays require a $195 daily copay for the first five days and no copay for days six through 90, while outpatient care features copays ranging from $25 to $200. Essential preventive care, annual physicals, and fitness benefits are available with no copay or coinsurance, though specialist visits range from $15 to $75 per visit. For supplemental care, the plan provides routine vision exams with no copay to a $25 copay, alongside dental services ranging from a $10 copay to a 20% coinsurance. Hearing benefits include routine exams for a $25 copay and coverage for up to two hearing aids per year with copays between $499 and $999. Additionally, members benefit from a $50 quarterly over-the-counter allowance and acupuncture services for a $15 copay, with no coinsurance required for either benefit.
Blue Best Life Plus (HMO) partially covers inpatient hospital benefits, requiring a $195 daily copay for days 1 through 5, no copay for days 6 through 90, and no coinsurance for acute and psychiatric stays. Non-Medicare-covered stays, upgrades, and additional days for psychiatric stays are not covered.
Blue Best Life Plus (HMO) covers outpatient services with copays ranging from $25 to $200 and no coinsurance. Covered benefits include outpatient hospital care, ambulatory surgical center services, observation stays, and substance abuse sessions, though some services require prior authorization.
Partial hospitalization benefits are covered under the Blue Best Life Plus (HMO) plan, requiring prior authorization and featuring a $55.00 copay with no coinsurance.
Blue Best Life Plus (HMO) partially covers ambulance and transportation services, though transportation services to health-related locations are not covered. Covered ground ambulance services require a $275 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay, with prior authorization required for both.
Blue Best Life Plus (HMO) covers emergency services with a $135 copay and urgently needed services with a $25 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $60,000 limit with a $100 copay and no coinsurance.
Primary Care benefits are partially covered under the Blue Best Life Plus (HMO) plan, as podiatry services are not covered. Covered services, such as specialist visits, therapy, and chiropractic care, require copays ranging from $15 to $75 per visit with no coinsurance.
Blue Best Life Plus (HMO) partially covers preventive services, offering Medicare-covered preventive care, annual physicals, kidney disease education, and fitness benefits with no copay or coinsurance. Therapeutic massage is covered for a $15 copay and no coinsurance, but several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home safety modifications, and counseling.
Hearing services are covered by Blue Best Life Plus (HMO), including one routine hearing exam per year for a $25 copay and no coinsurance, as well as unlimited fitting evaluations. Prescription hearing aids are partially covered with a copay between $499 and $999 and no coinsurance for up to two devices per year, though inner ear, outer ear, over the ear, and over-the-counter hearing aids are not covered.
Blue Best Life Plus (HMO) features partially covered vision services, including one routine eye exam per year with no coinsurance and a copay ranging from no copay to $25. Eyewear is also partially covered with no copay and a 20% coinsurance up to a $200 annual allowance for contact lenses and eyeglasses, while separate eyeglass lenses, eyeglass frames, and upgrades are not covered.
Blue Best Life Plus (HMO) partially covers dental services, excluding adjunctive general services, maxillofacial prosthetics, and orthodontics. Covered Medicare dental services require a 20% coinsurance and no copay, while other covered dental services range from a $10 copay with no coinsurance to a $10 copay with 50% coinsurance.
Home infusion bundled services are covered by Blue Best Life Plus (HMO) with prior authorization, requiring no copay and a coinsurance ranging from no coinsurance to 20% for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are also covered under this benefit with a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis services are covered by the Blue Best Life Plus (HMO) plan with no copay and a 20% coinsurance.
Blue Best Life Plus (HMO) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes with a 20% coinsurance and no copay, though prior authorization is required for some services. Diabetic supplies are covered with no copay and a coinsurance ranging from no coinsurance to 20%.
Diagnostic and radiological services are partially covered by Blue Best Life Plus (HMO) with prior authorization required, though lab services are not covered. Covered diagnostic procedures range from no copay to a $75 copay and no coinsurance to 20% coinsurance, while radiological services require up to a $300 copay and 20% coinsurance, and outpatient X-rays cost a $10 copay with no coinsurance.
Home Health Services are covered under the Blue Best Life Plus (HMO) plan, though prior authorization is required. Specific copay and coinsurance details are not specified in the plan benefits.
Cardiac Rehabilitation Services are not covered under the Blue Best Life Plus (HMO) plan. This lack of coverage applies to all related sub-services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) services, meaning there are no associated copays or coinsurance benefits.
Blue Best Life Plus (HMO) partially covers Skilled Nursing Facility (SNF) services, requiring prior authorization and excluding coverage for additional days beyond the Medicare-covered limit. There is no coinsurance for these services, featuring no copay for days 1 through 20 and days 41 through 100, and a $203 daily copay for days 21 through 40.
Other Services are partially covered by Blue Best Life Plus (HMO), featuring acupuncture with a $15 copay and no coinsurance, as well as meal benefits and a $50 quarterly over-the-counter reimbursement with no copay or coinsurance. Prior authorization is required for acupuncture and meals, and Dual Eligible SNPs with Highly Integrated Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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