Employer Offered Benefits Information
We want to provide you with all the information and documents you need to help you take full advantage of your Employer Offered plan. View information on benefits and resources available to you from your specific Employer Offered plan. Click the applicable plan section below to view benefits information.
The plan benefit documents here are available as PDF files. If you do not have Adobe® Reader®, download it free of charge at Adobe's site 
. Please note that some of these documents, such as Benefit Booklets, are large files and may take longer to download (depending on your Internet connection speed).
As a BlueNet member, you have comprehensive coverage with simple cost-sharing features when using our PPO provider network. You will pay a set copayment for some services, or meet a deductible and pay coinsurance for other services. See these plan documents for more details.
As a BlueNet "H" member, you have comprehensive coverage with simple cost-sharing features when using our PPO provider network. You will pay a set copayment for some services or pay coinsurance for other services. See these plan documents for more details.
BCBSNM is pleased to offer this plan that delivers broad coverage and flexibility to meet your health care needs. See these plan documents for more details.
- Benefit Summaries
- BluePPO Evolution Benefit Booklet
- Endorsement: 2012 Behavioral Health Preauthorization Changes
- Endorsement: 2011 Transplant Benefits - Per Diem Changes
- Endorsement: 2011 Behavioral Health Insourcing for Health Plans with Mental Health and/or Chemical Dependency Benefits
- Endorsement: Out-of-Network Pricing for Fully Insured Health Plans
BCBSNM is pleased to offer you this plan that delivers broad coverage and flexibility to meet your health care needs. See these plan documents for more details.
- Benefit Summaries
- Blue PPO Options Benefit Booklet
- Endorsement: 2012 Behavioral Health Preauthorization Changes
- Endorsement: 2011 Transplant Benefits - Per Diem Changes
- Endorsement: 2011 Behavioral Health Insourcing for Health Plans with Mental Health and/or Chemical Dependency Benefits
- Endorsement: Out-of-Network Pricing for Fully Insured Health Plans
HMO Blue gives you predictable copayments, access to the most comprehensive provider network in the state with no referrals necessary, preventive health care and more. See these plan documents for more details. Note: If you are unsure which HMO plan you have, check the plan name on your member ID card (e.g., HMO Blue Plan 10) to make sure you select the correct one.
Benefit Summaries — HMO Blue Plans
- Benefit Summaries - HMO Blue Traditional
- Benefit Summaries - HMO Blue Alternatives
Benefit Booklet and Endorsements
- HMO Blue Benefit Booklet
- Endorsement: 2012 Behavioral Health Preauthorization Changes
- Endorsement: 2011 Transplant Benefits - Per Diem Changes
- Endorsement: 2011 Behavioral Health Insourcing for Health Plans with Mental Health and/or Chemical Dependency Benefits
- Endorsement: 2009 Prescription Drug Benefit Changes
- Endorsement: 2008 HMO Benefit Changes
- HMO Blue Options Rider: Out-of-Network Coverage
Away From Home Care
Guest Membership (also known as Away From Home Care) allows an HMO member to be a "guest" of a participating HMO while out of the BCBSNM service area for 90 consecutive days or more. Guest Members remain members of their BCBSNM HMO plan, and their premium continues to be paid to BCBSNM. Learn more about the Guest Membership benefit.
As a BlueEdge member, you realize the advantages of a high-deductible health insurance plan combined with an HCA. You have the power to decide when, where, and how to spend money on health care. We give you innovative member resources and a support network to help you gather information, make decisions, and keep track of expenses. See these plan documents for more details.
BlueEdge is a PPO plan designed to be used with a tax-free Health Savings Account (HSA) from a financial institution. Funds from the account can be used to help pay for health care plan out-of-pocket expenses, such as deductibles and coinsurance, or left to grow as a savings account. This High-Deductible Health Plan (HDHP) gives you the power to decide when, where, and how to spend money on health care. We provide online resources to help you gather information, make decisions, and keep track of expenses. See these plan documents for more details.
Benefit Summaries
- Benefit Summaries– BlueEdge HSA for Groups
- Benefit Summaries– BlueEdge HSA 100 for Groups
Benefit Booklet and Endorsements
- Benefit Booklet
- Endorsement: 2012 Behavioral Health Preauthorization Changes
- Endorsement: 2011 Transplant Benefits - Per Diem Changes
- Endorsement: 2011 Preauthorization/Network Change for Health Plans with Mental Health and/or Chemical Dependency Benefits
- Endorsement: Out-of-Network Pricing for Fully Insured Health Plans
- Endorsement: 2009 Prescription Drug Benefit Changes
- Endorsement: 2008 Benefit Changes
- Endorsement: 2007 Benefit Changes
If you have vision benefits with your employer-sponsored BCBSNM health plan, you receive quality care, matched with comprehensive benefits, at the most affordable cost. With Preferred or Premier Vision Care Plans, you and your eligible dependents can enjoy a a routine annual eye exam for a low copayment, access to local providers in New Mexico and to more than 20,000 contracting eye care professionals nationwide, and discounts on the purchase of eyewear and contact lenses. See these plan documents for more details.
The New Mexico Health Insurance Alliance (NMHIA) was created by the New Mexico state legislature to help those who are unable to qualify for commercial health insurance and to provide easier small employer and individual participation requirements and no medical underwriting.
Visit the NMHIA website* to view plan benefit information.
* We do our best to ensure that the information on the website shown above is useful, but can't be responsible for the content of that site or any information you may take from there (please read our legal disclaimer). When you click on the site link above, it will open in a new window so that you can explore that site without having to leave here. When you are through visiting the other site, you can close that window and return to the BCBSNM site.
