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Blue Cross and Blue Shield of New Mexico Announces Medicare Advantage Offerings and Enhanced Care Coordination for the 2017 Annual Enrollment Period

Oct. 05, 2016

Medicare Beneficiaries will have Access to Coordinated Care, Improved Networks and Additional Benefits

Albuquerque, NM – Focused on continuing to provide quality care to Medicare beneficiaries, Blue Cross and Blue Shield of New Mexico (BCBSNM) is offering more optimized networks, health care flexibility and affordability during this annual open enrollment period. Beginning October 15 through December 7, Medicare eligible individuals can enroll in Blue Cross Medicare Advantage (HMO) SM; Blue Cross Medicare Advantage (HMO-POS) SM; ; Blue Cross Medicare Advantage (PPO)SM; or Blue Cross MedicareRx (PDP) SM; (Part D) insurance plans for a January 1, 2017, effective date.

These products, approved by the Centers for Medicare & Medicaid Services (CMS), are part of the company’s ongoing commitment to providing greater flexibility and increasing access to health care throughout the state.

"Our offerings for 2017 reflect our longstanding commitment to providing a variety of quality health care options for Medicare-eligible beneficiaries throughout the entire state of New Mexico,” said Janice Torrez, Divisional Vice President of External Affairs and Chief of Staff. “We are invested in these communities and are proud to once again offer these choices for seniors that now include enhanced networks and improved care coordination."

BCBSNM’s MAPD products include features such as lower cost sharing, enhanced network options and benefits such as dental, vision, hearing, travel benefits, local transportation and worldwide emergency care. For 2017, we are also offering online and educational resources for members to learn about the benefits available through their plan, including a 24/7 nurse line. MAPD members are also eligible for the BCBSNM incentive program that rewards members for keeping up-to-date with preventive screenings and the SilverSneakers®† Fitness Program, which encourages physical activity through fitness center memberships and social events at no additional cost.

BCBSNM’s 2017 prescription drug plans (PDP) offers lower monthly premiums, reduced cost-sharing at preferred pharmacies, an expansive formulary of generic and brand prescription drugs and access to 65,000*+ network pharmacies nationwide . The plans include different coverage levels to support the changing needs and lifestyles of the Medicare eligible population, including three plans offering prescription drug copays for some generics as low as $0.

Y0096_MRK_TMP_NM_PR17 Accepted 09062016

For more information about enrolling, visit or call 1-866-886-0282, (TTY/TDD: 711), 8:00 a.m. – 8:00 p.m., local time, 7 days a week to speak to a licensed agent. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

*The SilverSneakers(R)†

Fitness program is a wellness program owned and operated by Healthways, Inc., an independent company. Healthways and SilverSneakers are registered trademarks of Healthways, Inc. and/or its subsidiaries.

*Source: (accessed August 2012) * This list and data are accurate as of the date this release was published. This list is subject to change without advanced notice. For the most current information, please visit Out-of-network/non-contracted providers are under no obligation to treat BCBSTX members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Medicare Advantage Plan Notice:

HMO and HMO-POS plans available in Bernalillo, Chaves, Cibola, Eddy, Lea, Lincoln, Otero, Rio Arriba, San Miguel, Sandoval, Santa Fe, Taos, Torrance, Valencia counties.

PPO plans available in Bernalillo, Cibola, Guadalupe, Los Alamos, Mora, Rio Arriba, San Miguel, Sandoval, Santa Fe, Socorro, Torrance, and Valencia counties.

HMO, HMO-POS and PPO plans are provided by Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC’s plans depends on contract renewal.

Medicare Part D Plan Notice:

Prescription drug plan is provided by Blue Cross and Blue Shield of New Mexico, which refers to HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HCSC’s plan depends on contract renewal. BCBSNM’s pharmacy network offers limited access to pharmacies with preferred cost sharing in in New Mexico. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please consult the online pharmacy directory at Plan information is available for free in other languages. Please call our customer service number at 1-866-886-0282 (TTY/TDD: 711) from 8:00 a.m. – 8:00 p.m., local time, 7 days a week. Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al cliente al 1-866-886-0282 (los usuarios de TTY/TDD deben llamar al 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).