The Standard Option features:
- Access to UNMH providers and facilities, plus access to additional providers such as urgent care centers, labs, pharmacies, home health care, and durable medical equipment suppliers
- Coverage for medical, mental health, and prescription drugs
- No referrals required to see a contracted specialist
- Out-of-network benefits (you meet the deductible and pay a percentage of covered charges)
- Certain services require prior authorization
UNM Hospitals benefit information is available in Adobe Acrobat PDF format. Please note that the Benefit Booklet is a large file and may take longer to download (depending on your Internet connection speed). If you do not have Adobe Acrobat Reader, download it free of charge from Adobe's site*.
- Summary of Benefits (PDF 60K)
- Benefit Booklet (PDF 1M)
Coverage when traveling
The BlueCard® program helps our HMO members to access emergency health care services while traveling in another Plan's service area by taking advantage of local Blue Cross and Blue Shield provider discounts.
Coverage when temporarily residing away from home
For HMO members who are away from home for at least 90 days, the Away From Home Care® program provides nationwide access to managed care providers at a participating Blue Cross and Blue Shield HMO.
Pharmacy Benefit Information
UNMH members have a 4-Tier Prescription Drug Plan. Log in to Blue Access® for Members and go to My Coverage – Rx Drugs to access the Prime Therapeutics site and view the Drug List, order prescriptions online via the PrimeMail prescription mail-order service, and research medications. If you have any questions about your prescription drug benefits, call customer service at 1-800-432-1630.
Discounted Child Safety Products
As BCBSNM member, you can receive discounts on child safety products from Safe Beginnings.
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