Using Your Medicare Plan
If you choose a Medicare Advantage plan from Blue Cross and Blue Shield of New Mexico, we’ll make sure you have the right resources to help you get the most from your plan. This section details how to find out what’s covered in the plan, how to file an appeal or grievance, download the formulary, search for a pharmacy, and more.
Is It Covered
It’s easy to ask questions or voice concerns about Medicare Advantage coverage. If you have questions about what the plan covers, you can:
- Read the Evidence of Coverage – This important notice in the welcome kit we mail you shortly after you enroll. It details what the plan covers, how much you pay, and more. You can find it on the Plan Documents page.
- Call the Customer Service number listed on your member ID card, and a representative can help you understand the plan benefits.
Medicare Organization/Coverage Determination, Appeals and Grievances
Blue Cross Medicare Advantage Plans have processes in place to address Medicare coverage issues, complaints and problems. If you have issues, complaints or problems with your Medicare plan or the care you receive, you have the right to file a complaint. You can find more information on the Medical Care Appeals and Grievances page and on the Drug Coverage, Appeals and Grievances page.