Serving Our Members in 2019

A Message from Our President

Jan. 15, 2019


As we begin a new year, I’d like to thank you for choosing Blue Cross and Blue Shield of New Mexico (BCBSNM) and trusting us to provide health care coverage for you and your family in 2019.

Whether you get your insurance through your employer, the individual market, or Medicare or Medicaid, we are prepared to serve you.

At BCBSNM, we know health care coverage means more than just “having insurance.” We’re committed to making coverage and care more affordable, helping our members navigate the complex health care system, and empowering whole-person health.

In 2018, we were proud to be selected as one of three managed care organizations for Centennial Care 2.0 to provide services for Medicaid members. Since 2008, BCBSNM has served Medicaid members with comprehensive benefits, services and access to a broad provider network. We look forward to continuing to serve Medicaid members in 2019.

We also added a second Care Van® in 2018 with the goal of broadening access to care, especially for underserved communities across the state. The Care Van has worked as a clinic on wheels in New Mexico since 2006. In 2018, the two Care Vans served more than 17,000 people and provided more than 6,600 medical services and screenings.

Buying health insurance and going to a doctor or hospital — even with insurance — can cause financial strain for many households. That’s why we’re finding new and innovative ways to address these costs and help our members attain their best health.

We’re working with local doctors and other health care partners to influence the price we pay for care and make sure our members get effective and appropriate services in the right settings.

Like many in health care, we understand that ZIP code is as important as genetic code in determining a person’s health. Social determinants, or factors outside the health care system, can play a big role in a person’s cost of care. We’re building on our long-term network of community partners to better support our members’ needs, such as access to transportation and healthy food.

In the year ahead, we look forward to introducing new member-centered programs, forging deeper partnerships with our communities and care providers and, as always, standing with our members in sickness and in health.

Kurt Shipley
President, Blue Cross and Blue Shield of New Mexico

Recent Updates

Employer Updates

Health Coverage Remains in Place for Blue Cross Blue Shield Federal Employee Program® (FEP®)

Jan. 09, 2019

Health care coverage for members of the Blue Cross Blue Shield Federal Employee Program (FEP) remains in place and active during the government shutdown. Eligible FEP members can also contact Blue Cross and Blue Shield of New Mexico if they have a Qualifying Life Event, such as the birth of a baby that allows them to change their coverage or add eligible individuals to their policy.

We remain committed to the health and wellbeing of our members and want them to know that they will continue to have full access to their health care coverage during this time.

Transition to Wellbeing Management for Many Employer Groups

Jan.01, 2019

On Jan. 1, six million employer group customers will transition to Wellbeing Management. This new program replaces Blue Care Connection®, our previous health management and wellness offering. Wellbeing Management is a new holistic approach to health and wellbeing using integrated, multidisciplinary teams to help manage a member’s care comprehensively throughout their health journey.

The program also provides expanded digital solutions for members to become more engaged in their health. By focusing on whole person health, Wellbeing Management provides us with a better understanding of our members, so we can help connect them with the quality, affordable health care they need. For questions or to learn more, contact your customer advocate at the number on the back of your health insurance card.

Quarterly Drug List Updates for Employer Groups

Jan.01, 2019

Each quarter, the Blue Cross and Blue Shield of New Mexico prescription drug lists for our employer group customers are reviewed and updated. Drugs can be added or removed from the lists due to pharmaceutical industry changes and to make sure the medications on the drug list are safe, effective and affordable.

It’s important to note that generic equivalents are available for most medications excluded from a drug list. Members should discuss any medication concerns with their doctor or pharmacist.

First quarter changes for most non-regulated employer group plans go into effect on Jan. 1, 2019. Affected members were sent a letter detailing the updates.

Changes and effective dates may depend on group funding type (fully insured/self-funded), plan renewals and the specific prescription drug list the group has selected.

Retail Updates

Texas Judge Rules Individual Mandate Unconstitutional. Nothing Changes for Our Members.

Dec. 16, 2018

You may be aware that a federal judge in Texas ruled that the individual mandate was unconstitutional, and that the entire Affordable Care Act was invalid. For now, nothing changes; current and 2019 coverage remains in place for our members and employers.

We expect this decision to be appealed, and for the litigation process to continue for a period of time. We are currently reviewing the decision and will keep you updated on any next steps.

Meanwhile, Blue Cross and Blue Shield of New Mexico continues to work with state and federal regulators and legislators to ensure a stable and affordable health insurance market that is accessible to all Americans regardless of health status.

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