Blue Medicare PPO - ID Card Information

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Outside

The in-network office visit copayments for Blue Medicare PPO Members are:

Value Plan

  • $10 = Primary Care Physician
  • $40 = Specialty Care Physician/Professional Provider

Advantage Plan

  • $10 = Primary Care Physician
  • $30 = Specialty Care Physician/Professional Provider

Premier Plan

  • $0 = Primary Care Physician
  • $20 = Specialty Care Physician/Professional Provider

Note: The office visit copayment is determined by how a physician/professional provider is contracted for Blue Cross and Blue Shield of New Mexico (BCBSNM).

  • If the physician is contracted as a Primary Care Physician, the physician should collect the Primary Care Physician copayment.
  • If the physician/professional provider is contracted as a Specialty Care Physician/Professional Provider, the physician/professional provider should collect the Specialty Care Physician/Professional Provider copayment.
  • If the physician is contracted as a Primary Care Physician and a Specialty Care Physician, then the physician should collect the Primary Care Physician copayment.

For additional information, please refer to the Blue Medicare PPO Section.

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