Blue Preferred Group Plans

Blue Preferred EPO^SM

Blue Cross and Blue Shield of New Mexico (BCBSNM) offers a health insurance plan designed to give members access to an exclusive statewide network of physicians and hospitals with a high concentration of providers in in the Albuquerque four-county areas (Bernalillo, Valencia, Torrance, and Sandoval).

Blue Preferred EPO, a lower cost alternative to our broad PPO, does not compromise benefits, quality or any services. Support and guidance tools are available to help our members make informed decisions and help them make the best use of their benefits.

• Members select a primary care physician (PCP).
• No referrals are needed.
• There is no benefit coverage when you visit out-of-network providers.
• Standard prior authorization is required
• Presbyterian Healthcare Systems is not included in the Tier 1 network.

2021 – 2022 Plan Highlight Sheets

Summaries are for groups with non-grandfathered benefit plans that have an original effective date beginning on or renewing between July 1, 2021 through June 30, 2022.

• Blue Preferred EPO 0040 ($500)  
• Blue Preferred EPO 0000 ($1,000)  
• Blue Preferred EPO 0010 ($2,500)  
• Blue Preferred EPO 0030 ($5,000)

Blue Preferred EPO HSA 100^SM

2021 – 2022 Plan Highlight Sheets

Summaries are for groups with non-grandfathered benefit plans that have an original effective date beginning on or renewing between July 1, 2021 through June 30, 2022.

• Blue Preferred EPO HSA 100 0001 ($2,900)
• Blue Preferred EPO HSA 100 0011 ($5,000)

Blue Preferred Plus POS^SM

The Blue Preferred Plus product uses the Blue Preferred network at the top tier with the large PPO network aligned to Tier 2 and out of network at Tier 3:

• Tier 1 - Blue Preferred - Albuquerque four-county area
• Tier 2 - Statewide PPO
• Tier 3 - Out of Network (OON)

Requires at least a 30% benefit differential between Tiers 1 and Tier 2 (Example: Tier 1 – 90%, Tier 2 – 60%, and Tier 3 – 50%).

Like the Blue Preferred network:

• The Blue Preferred Primary Care Provider (PCP) selection is required. 
• Referrals are not required. 
• Standard NM prior authorization applies.
• Managed care is optional.
• Presbyterian Healthcare Systems is not included in the Tier 1 network.

2021 – 2022 Plan Highlight Sheets

Summaries are for groups with a non-grandfathered benefit plan that has an original effective date beginning on or renewing between July 1, 2021 through June 30, 2022.

• Blue Preferred Plus POS 0000 ($1,000)  
• Blue Preferred Plus POS 0020 ($2,500)