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About Our Care & Networks

Your health insurance needs are as unique as your business. That’s why employer groups depend on Blue Cross and Blue Shield of New Mexico for our expertise, quality, and options across a range of price levels.

Every day, we earn our reputation for generating sustainable cost savings, and offering networks of providers dedicated to quality and healthy outcomes.

We Innovate with Purpose

We’re constantly evolving our products to reach even higher standards for care, quality, affordability, and accessibility. We drive innovation from a deep integration of advanced analytics, expert insights, and leading-edge technology to advance better health outcomes for your employees. From digital tools and mobile applications to incentive programs and groundbreaking coverage options, we are transforming the health care industry as we enable better health, smarter care, and more meaningful connections between our members and providers.

The Blue Distinction Program

Blue Distinction® is a designation given by Blue Cross and Blue Shield (BCBS) companies to health care facilities that have demonstrated expertise in delivering efficient, high-quality care with proven results, lower readmission rates and fewer complications across 11 areas of care.

Learn More About Blue Distinction

Blue High-Performance Network® (BlueHPN®)

Designed to deliver greater value for companies and employees, the Blue High-Performance Network (BlueHPN) gives employees portable access to care across 65+ major markets—more markets nationwide than competitors.

  • Employers that choose BlueHPN average more than 10% in additional savings1 as compared to our already industry-leading PPO.
  • Providers in BlueHPN are measured on a consistent set of quality metrics across four key domains2.
  • Discover why businesses looking to tailor a cost-conscious benefits package with access to high-quality health care services choose BlueHPN.
Learn More About BlueHPN
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Total Care

Total Care is a national designation program that recognizes providers for their efforts in coordinating total patient care and focusing on wellness and prevention. Blue Cross and Blue Shield (BCBS) Plans partner with these providers to improve health outcomes for members and curb the rising cost of healthcare.

Most Total Care programs are primary care models. Providers belong to Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs). The ACOs and PCMHs must perform against both quality and cost outcome targets to receive incentives and rewards.

Employers have the flexibility to provide 2 or 3 configurable tiers or custom benefit designs, effectively steering members to designated providers.

Explore PPO Plans

Our BCBSNM PPO network gives employers flexible benefit design options at a price they can afford while giving their employees a wide range of benefits and the freedom to visit any doctor they choose.

Blue PPO℠

Best Fit: 2-50 Employees

The Blue PPO provides flexibility to your employees through our statewide PPO provider network with a choice of annual out-of-pocket maximums and deductible amounts.

BluePPO Evolution℠

Best Fit: All Groups

Your employees choose their own provider from the most comprehensive provider network in New Mexico and have access to our nationwide provider network through the BlueCard® program.

Explore HMO Plans

The HMO network provides basic care and prescription medication coverage while coordinating with our care specialists for any necessary referrals. Your employees have a choice of Primary Care Providers from a large network of contracting HMO physicians and medical groups.

HMO Blue℠

Best Fit: 51-150 and 151+ Employees

HMO Blue offers your employees a choice of Primary Care Providers (PCPs) and coverage for preventive health services, access to the most comprehensive provider network, and predictable copays.

Blue HMO Network℠

Best Fit: 2-50 Employees

The Blue HMO Network provides basic care and prescription medication and coordinates specialist care with appropriate referrals. Your employees have a choice of PCPs from a large network of contracting HMO medical groups.

Blue Advantage HMO℠

Best Fit: 2-50 Employees

The Blue Advantage HMO offers a broad provider network of contracting medical groups, independent practice associations, and contracting hospitals at a more affordable cost.

Explore EPO Plans

EPO plans from BCBSNM offer the benefits that your employees need most with no referrals required. Your employees can choose their own in-network provider and can take their benefits with them when they travel with access to the BlueCard® program.

BlueNet EPO℠

Best Fit: All Groups

Immediate benefits for the most used services — office visits, exams, and lab tests, without having to meet the deductible and with no referrals required. Preventive care coverage at no cost. Get a choice of deductible, coinsurance, and copay plan options.

BlueNet “H” EPO℠

Best Fit: 51-150 and 151+ Employees

Your employees can choose their own in-network provider. They’ll also have coverage when traveling, including the unique BlueCard® program. The plan also provides comprehensive coverage with simple cost-sharing features, prescription drug coverage, including retail and mail-order services, and additional features.

Blue Preferred EPO℠

Best Fit: All Groups

The Blue Preferred EPO gives your employees the flexibility to select a primary care provider and find specialized care with no referrals required. The plan also provides support and guidance tools to help your employees make informed decisions about their health care.

1 Savings are based on Consortium Health Plans analysis, 2019. Savings are on average and assume 100% enrollment. Results will vary based on employer locations and implementation.
2 Measures align with those being utilized by credible industry organizations, including American Hospital Association, Catalyst for Payment Reform and America’s Health Insurance Plans.