BlueSalud^SM

If you qualify for health care under Medicaid, now you can choose BlueSalud from Blue Cross and Blue Shield of New Mexico (BCBSNM).

Choosing health care is important to you. Your health is important to us. That's why BCBSNM offers benefits to help meet your needs.

As a BlueSalud member, you have access to full Medicaid benefits. And, when you choose BlueSalud, you also get these value-added services:

• Full Medicaid benefits for pregnant women
• Routine annual physical for adults
• Special Beginnings maternity program
• Infant Car Seat
• Smoking Cessation Program
• Weight Management Program

Ready to choose BlueSalud?

To apply for BlueSalud, follow these steps:

• Visit the New Mexico Department of Human Services website and Apply for Assistance* .
• Visit a State of New Mexico Income Support Division (ISD) office. View a list of ISD Offices* . When you're ready to select a health plan, let your ISD case worker know you wish to choose BlueSalud.
• Call BCBSNM toll-free 1-866-689-1523. We can answer questions about this plan.

You'll need to verify you are a U.S. citizen. View requirements*  for proof of U.S. citizenship.

Services are funded in part under a contract with the State of New Mexico.

* We do our best to make sure that the information on the health-related website listed above is useful.  But we are not responsible for the content of that site.  We also are not responsible for any information you may take from them.  Please read our legal disclaimer.  When you click on a choice above, it will open in a new window.  This lets you explore that site without leaving the BCBSNM website.  When you are done with the other site, you can close that window and return to the BCBSNM site.

Need to find a doctor or hospital?

As a BlueSalud member, you can access providers in New Mexico. The BCBSNM network has PCPs in almost every county in the state. There's also a wide selection of specialists.

Our Provider Finder® makes it easy to find providers in your area. Select the link below to open a new browser window. Search for providers. When you're done, simply close that window and continue viewing this site. Search Provider Finder

Tips for searching Provider Finder

Download a printable version of the BlueSalud Provider Network Directory . Please note that this is a large file; it may take longer to download depending on your Internet connection speed.

If you need help finding Medicaid providers, call 1-866-689-1523.

Services are funded in part under a contract with the State of New Mexico.

BCBSNM Drug List

BCBSNM goes by a list of approved drugs. The list is called a "drug formulary" or "drug list." The list is created by a group of providers and pharmacists. BCBSNM will pay for medicines on this list.

• Drug List — Therapeutic Class with Alphabetical Index — English  Spanish 
• Drug List Updates - English  Spanish 

Certain drugs on the list need prior authorization. Your doctor will need to send BCBSNM a request before these drugs can be prescribed. If your doctor wants you to have a drug that is not on the list, he or she can send a request for approval to BCBSNM.

Pharmacies

BCBSNM contracts with most pharmacies. You must get your drugs at a contracted pharmacy. Locate one of these pharmacies using the link below. You can also call Customer Service at 1-866-689-1523 to find a pharmacy close to you.

• Look up pharmacies in the printable provider directory 

Search Drug List and Find a Pharmacy

The BlueSalud Plan includes Rx benefits. These are administered by a pharmacy benefits manager (PBM). Prime Therapeutics* is the PBM for BCBSNM.

Visit Prime Therapeutics to:

• Search for prescription drugs (online search) 
• Find a Pharmacy (online search) 
• Order refills online
• View formulary status
• Download forms and brochures

Contact Us

For more information about BCBSNM Medicaid Rx drug benefits:

• Members — call 1-866-689-1523
• Providers — call 1-888-349-3706

Rx Drug Resources

• Frequently Asked Questions
• Learn About Generic Drugs
• Free Diabetes Glucose Meter

Download Rx Forms

• Patient Medication List Form — Keep a record of your medications to share with your doctor — English  Spanish 
• PrimeMail Rx Mail-Order Flyer — English  Spanish 
• PrimeMail New Prescription Order Form — English 
• PrimeMail Refill Prescription Order Form — English 
• Medicaid Prescription Drug Claim Form 

* Blue Cross and Blue Shield of New Mexico prescription drug benefits are administered by Prime Therapeutics, LLC. Services are funded in part under a contract with the State of New Mexico.

Getting to Your Appointment

BCBSNM contracts with LogistiCare® for transportation services.* This includes rides to and from your doctor's office or a health care facility. You must be receiving covered services. LogistiCare will make sure your medical needs are approved before arranging the ride.

Trips must be medically necessary. Examples include rides to:

• Doctor appointments
• Counseling
• Dialysis

You can only use this service for medical needs. Rides to go shopping or to visit a friend are not covered.

Transportation is for BlueSalud members who have no other way to get to a doctor. This means you cannot walk, use mass transit, or drive yourself. If you can take yourself to the doctor, you must do so.

Contact LogistiCare to Schedule a Ride

• Reservations: 1-866-913-4342
• Ride Assist: 1-866-418-9829 (If you have questions about a ride that you've already scheduled, or if you need to cancel your ride)
• Hearing Impaired (TTY): 1-866-288-3133
• 8 a.m. to 5 p.m., Monday–Friday
• Closed weekends and holidays

Frequently Asked Questions About Transportation Services

View FAQs in English  or Spanish  and learn about requesting or changing a ride.

* Blue Cross and Blue Shield of New Mexico transportation services are administered by LogistiCare, LLC. Services are funded in part under a contract with the State of New Mexico.

BlueSalud includes dental care for eligible members. Dental care is administered through DentaQuest.* It is important to use these benefits to keep your teeth healthy.

Finding a Dentist

If you need to find a dentist in your area, call Customer Service. If you have special needs, Customer Service can help you. Examples:

• Need to know handicap accessible offices
• Need to know languages spoken by a dentist

You can also search for dentists on DentaQuest's website** . (Select "New Mexico" from the drop-down menu.)

Dental Emergency

Most dental problems are not "emergencies." An emergency means the dental problem is life-threatening. Examples of a dental emergency:

• Broken tooth
• Knocked-out tooth
• Toothache with swelling (possible infection)

If you have a dental emergency, call your dentist.

Urgent Dental Care

An urgent dental problem is when you need to be seen the same day, but it isn't serious enough to go the ER. You should be seen within 24 hours for urgent dental care. If you cannot find a dentist to see you within 24 hours, call Customer Service.

Non-Urgent Dental Care

A non-urgent dental problem is when you have symptoms but don't need to see a dentist the same day. Non-urgent dental problems should be seen within 14 days.

Routine Dental Care

Routine care is a regular dental check-up. Or it's a dental condition that is not causing problems or pain. You should be seen within 60 days of your request for routine care. If your dentist cannot see you within 60 days, call Customer Service.

What services are covered?

Many dental services are covered when you see an in-network provider:

• Preventive dental care — oral exams, cleanings, x-rays
• Restorative dental care — fillings, crowns, tooth extractions
• Periodontia — services to help you maintain healthy gums
• Orthodontia — braces for eligible members under 21 years old

Dental benefits can vary depending on your age. See the Member Handbook for a list of covered services.

What services are not covered?

BlueSalud does not cover certain dental services such as cosmetic dentistry, tooth bleaching, and implants. See the Member Handbook for a list of non-covered services.

Prior Authorization for Dental

Some dental care requires prior approval. You must have approval before getting treatment. Call for approval before your appointment. For more information, check the Member Handbook.

Questions?

Call Customer Service at 1-866-689-1523.

*Blue Cross and Blue Shield of New Mexico dental care services are administered by DentaQuest. Services are funded in part under a contract with the State of New Mexico.

** We do our best to make sure that the information on the health-related website listed above is useful.  But we are not responsible for the content of that site.  We also are not responsible for any information you may take from them.  Please read our legal disclaimer.  When you click on a choice above, it will open in a new window.  This lets you explore that site without leaving the BCBSNM website.  When you are done with the other site, you can close that window and return to the BCBSNM site.

BlueSalud includes vision care for eligible members. Davis Vision®* is in charge of these benefits. Benefits include routine vision care, eyeglasses, and eye check-ups.

Finding a Provider

To find a vision provider, use Find a Provider** . You can also call Davis Vision.

What is covered?

When you see an in-network provider, covered services include:

• Eye exams
• Eyeglasses
• Replacement lenses
• Aids to manage double vision
• Minor repairs to eyeglasses

Vision benefits can vary depending on your age. See the Member Handbook for a list of covered services.

What is not covered?

BlueSalud does not cover:

• Contact lens insurance
• Low vision aids
• Laser vision correction

See the Member Handbook for the list of non-covered services.

Questions?

Call Davis Vision at 1-877-393-2393.

* Blue Cross and Blue Shield of New Mexico vision care services are administered by Davis Vision. Services are funded in part under a contract with the State of New Mexico.

** We do our best to make sure that the information on the health-related website listed above is useful.  But we are not responsible for the content of that site.  We also are not responsible for any information you may take from them.  Please read our legal disclaimer.  When you click on a choice above, it will open in a new window.  This lets you explore that site without leaving the BCBSNM website.  When you are done with the other site, you can close that window and return to the BCBSNM site.

Behavioral health benefits are administered by OptumHealth^SM New Mexico.*

For more information about their services, call OptumHealth:

• 1-866-660-7185
• 24 hours a day, 7 days a week

To find a behavioral health provider, search the OptumHealth website** .

* Blue Cross and Blue Shield of New Mexico behavioral health services are administered by OptumHealth New Mexico. Services are funded in part under a contract with the State of New Mexico.

** We do our best to make sure that the information on the health-related website listed above is useful.  But we are not responsible for the content of that site.  We also are not responsible for any information you may take from them.  Please read our legal disclaimer.  When you click on a choice above, it will open in a new window.  This lets you explore that site without leaving the BCBSNM website.  When you are done with the other site, you can close that window and return to the BCBSNM site.

A few services require WDI or CHIP members to pay a copayment. A copayment is a fixed dollar amount members must pay for a service at the time they receive care. For more information, see the Summary of Benefits .

Services are covered at 100 percent. You do not have to meet a deductible. You do not have to fill out claim forms when you see a participating provider.

Services are funded in part under a contract with the State of New Mexico.