Discover a complete portfolio of standard to customizable, end-to-end health care solutions from Blue Cross and Blue Shield of New Mexico (BCBSNM).
Ask your agent, broker or consultant to contact us for details on large group (151+) solutions.
Large Group Health Insurance Plans
Better Value, Better Benefits, Better Business
As an experienced and trusted health insurance carrier, we’re committed to providing options that meet your unique needs, from innovative local offerings to national solutions. Our goal is uncovering your goals and meeting them. The network product is a big piece of a holistic health care solution.
The following network products1 are available for local, labor/municipal, and national groups with 151+ participants for both types of funding arrangements: fully insured and self-funded (aka Administrative Services Only or ASO). Exceptions noted.
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
Blue Preferred EPOSM
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
Blue Preferred PlusSM
- Leverages benefit design to increase utilization at cost-effective providers
- A lower-cost alternative to the broad PPO. There are three benefit tiers:
- Tier 1 – Blue Preferred EPO. Lower cost-share when employees select from this smaller 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
- Out-of-network benefits
- BlueCard access
BlueNet EPOSM and BlueNet “H” EPOSM
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.
- No 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
Easily Boost Medical Benefits with Ancillary
We can combine our medical coverage with some of the most popular ancillary benefits in one quote. Package pricing1 combines medical coverage with other ancillary benefits and allows for a reduction in medical premium. Ask your agent, broker or consultant to add the following:
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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1 Ancillary product package pricing is available to mid-market (51-150) and large group market segments (151+) with up to 3,000 eligible employees when combining medical with qualifying ancillary options. Multiple Employer Welfare Arrangements, small groups (1-50), Blue Balanced FundedSM, student health plans, select large group segments, Minimum Premium Plans and ASO groups with percent-of-claims arrangements are excluded from this program.