Blue Cross Blue Shield of New Mexico is a US-based health insurance provider. It is a Division of Health Care Service Corporation that offers health care solutions to the people of New Mexico. Founded in 1940, the BCBSNM headquarters is located in New Mexico. Its network has over 45 hospitals and more than 9000 participating providers. Blue Care® Connection, an innovative care management program of BCBSNM, ensures the proper distribution of health care services among the members.
Types of Blue Cross Blue Shield of New Mexico Plans
Blue Cross Blue Shield of New Mexico offers three different types of insurance plans. These include:
HMOs
Health Maintenance Organizations or HMO plans have their own network of doctors and hospitals. Insurance companies will either directly pay a certain percentage of your bill to the hospitals or reimburse the amount you have paid. The costs of HMO plans are generally lower than other plans.
PPOs
Preferred Provider Organization or PPO plans are expensive as they allow you to see doctors outside the companies’ network. PPO plans have many doctors, hospitals, and other healthcare providers.
CDHP
Consumer-Driven Health Plans or CDHP allow members to use HSAs, HRAs, or other similar medical payment accounts to pay for their regular healthcare expenses. However, a high-deductible health plan protects them against costly medical expenses.
Health Insurance Plans
Blue Cross Blue Shield of New Mexico offers a wide range of health insurance plans for the people of New Mexico. These plans include:
Individual and Family Plans
Blue Cross Blue Shield of New Mexico offers the following three health plans for members and their families –
- Bronze Plan
- Silver Plan
- Gold Plan
|
|
Bronze Plan | Silver Plan |
Gold Plan |
| Deductible | Highest | Lower than Bronze Plans | Lower than Silver Plans |
| Premium | Lowest | Higher than Bronze Plans | Higher than Silver Plans |
| Coinsurance | Health Care Plan pays 60% of care, you’ll pay 40% | Health Care Plan pays 70% of care, you’ll pay 30% | Health Care Plan pays 80% of care, you’ll pay 20% |
| Primary Care Visit Copay | Highest | Lower than Bronze Plans | Lower than Silver Plans |
Medicare
Blue Cross Blue Shield of New Mexico offers several Medicare plans for their members. These are:
Original Medicare
The federal government offers original Medicare, or Medicare Parts A and B. Part A is the hospital insurance that pays for your inpatient hospital care and skilled nursing facility. On the other hand, Part B is the medical insurance that pays for doctor office visits, outpatient care, and home health care services.
Medicare Advantage
Medicare Advantage or Medicare Part C combines everything that is covered by Medicare Parts A and B. Moreover, Medicare Advantage sometimes includes prescription drug coverage (Part D) and dental, hearing, and vision care.
Prescription Drug Coverage
Prescription Drug Coverage (Part D) provides coverage for the costs of prescription drugs with copays or coinsurance.
Medical Supplement
Medicare Supplement insurance plans help cover costs not covered by Medicare Parts A and B. They help to pay for coinsurance, copayments, and deductibles.
Medicaid
Blue Cross Blue Shield of New Mexico offers a Medicaid program through its Blue Cross Community Centennial Health insurance plan. They provide coverage for –
- Hospital stays
- Emergency and urgent care
- Preventive care
- Diagnostic tests
- Family planning etc.
In addition to these, they provide other benefits, such as:
- Medical benefits
- Drug coverage
- Dental and vision care
- Behavioral health services
- Transportation services
- Long-term care and Community benefit
Blue Cross Blue Shield of New Mexico offers their members a wide range of health insurance plans. People of New Mexico can enroll in any of the plans that best fit their medical needs. For more information about their services and products, you can visit https://www.bcbsnm.com/.
Frequently Asked Questions
Q. How much is health insurance in New Mexico?
Residents of New Mexico can expect to pay around $211 on average for a medical individual health insurance plan. Prices will vary depending on your insurance provider, and premiums can be lower if your health condition is good.
Q. What are the preferred pharmacies of Blue Cross Blue Shield?
Blue Cross Blue Shield has some preferred pharmacies like any health insurance company. These are:
- Walmart
- Albertsons
- HEB
- Walgreens
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