Blue Cross Medicare Advantage Dual Care (HMO SNP)SM Plan | Blue Cross and Blue Shield of New Mexico

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Blue Cross Medicare Advantage Dual Care (HMO SNP) Plan

A Dual-Eligible Special Needs Plan is a Medicare Advantage plan that is offered to beneficiaries who qualify both for Medicare and Medicaid. A Medicare Advantage Plan (like an HMO) is sometimes called "Part C" or "an MA Plan," and is offered by private insurance companies approved by Medicare.

Whether you're new to Medicare or thinking about switching plans, here are some important things to consider before choosing Blue Cross Medicare Advantage Dual Care (HMO SNP)SM or Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)℠.

  • Be sure you are eligible for Medicaid benefits with the New Mexico Human Services Department.
  • Have a primary residence in a county Blue Cross Medicare Advantage Dual Care (HMO SNP) plan is offered. These counties include: Bernalillo, Sandoval, Torrance, Valencia. Counties for Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) include: Bernalillo, Dona Ana, Sandoval, Santa Fe, Torrance, Valencia.
  • Depending on your level of Medicaid eligibility, you may not have any cost-sharing responsibility for Original Medicare services, including premium.
  • Review the 2020 Blue Cross Medicare Advantage Dual Care (HMO SNP) or Dual Care Plus (HMO SNP) plan benefits and built-in drug coverage below.
  • If you'd like to enroll in a Medicare Advantage plan, make sure you're aware of enrollment periods. Members may have the opportunity to change health plans once per calendar quarter. 
HMO SNP
2020 Blue Cross Medicare Advantage Plans
Blue Cross Medicare Advantage Dual Care (HMO SNP)
Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)
  Dual Care Dual Care Plus
Monthly Premium $23.60* $23.60*
In-Network
Medical Deductible $0 or $185 $0 or $185
Doctors Office Visits
(Primary Care and Physician Specialist)
0%-20% of the cost 0%-20% of the cost
Dental Covered Covered
Routine Vision Covered Covered
Outpatient Services/Surgery 0%-20% of the cost 0%-20% of the cost
Silver Sneakers® Fitness Program Covered Covered
Prescription Copays and Coinsurances
For Generic Drugs
(depending on your Extra Help)
$0 copay; or
$1.30 copay; or
$3.60 copay
$0 copay; or
$1.30 copay; or
$3.60 copay
For All Other Drugs
(depending on your Extra Help)
$0 copay; or
$3.90 copay; or
$8.95 copay
$0 copay; or
$3.90 copay; or
$8.95 copay

*Dependent on members Medicaid eligibility.

‡SilverSneakers® is a wellness program owned and operated by Tivity Health, Inc., an independent company.

Tivity Health and SilverSneakers® are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries.

This plan is available to anyone who has both Medical Assistance from the State and Medicare.

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