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Medium Group Health Insurance Plans

Blue Cross and Blue Shield of New Mexico (BCBSNM) offers health care plans with the choice, flexibility and affordable options that growing companies want.

Ask your agent, broker or consultant to contact us for details on mid-market group (51-150) solutions.

Mid-Market Business Coverage with Big Benefits

The following network products are available for mid-market groups with 51-150 participants.

BluePPO EvolutionSM

Deliver broad coverage and choices to your employees by giving them access to our statewide PPO provider network— the most comprehensive provider network in New Mexico.

  • Broad Statewide PPO Network
  • No Primary Care Provider (PCP) selection required
  • No referral required
  • Out-of-network benefits
  • BlueCard access

BlueNet EPO and BlueNet H EPO

The BlueNet Exclusive Provider Option (EPO) provides employees with immediate benefits without having to meet the deductible. The BlueNet “H” EPO (ASO only) gives your employees comprehensive coverage with simple cost-sharing features.

  • Broad Statewide EPO Networks
  • No PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access

Blue Preferred EPO

Lower cost option when compared to the larger PPO network. While it is a statewide network, it offers a high concentration of providers in these four Albuquerque counties: Bernalillo, Valencia, Torrance, and Sandoval.

  • PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access

HMO BlueSM

With the HMO Blue Plan, your employees choose a PCP from our large statewide network of providers. Your employees have predictable copays and do not have to meet a deductible when visiting participating providers. The HMO Blue plan also covers all preventive health care services.

  • PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access available for urgent and emergency services only

Blue Preferred PlusSM

Tiered Statewide PPO

  • Leverages benefit design to increase utilization at cost-effective providers.
  • There are three benefit tiers:
    • Tier 1 – Blue Preferred EPO. Lower cost-share when employees select from this network of providers
    • Tier 2 – Broad Blue PPO. The flexibility of accessing the broader PPO network, but with a higher cost-share
    • Tier 3 – Out of Network. The ability to use OON providers and still receive some coverage
  • Primary Care Provider (PCP) selection required
  • No referral required
  • BlueCard access

BCBSNM Supports Your Business

Health care benefits are a crucial part of recruiting new employees and retaining your existing workforce. That’s why BCBSNM provides you with the tools, resources, and professional health care expertise you need to maintain the health, productivity, and satisfaction of the employees who help your business thrive.

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