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Blue Cross Medicare Advantage Dual Care Plus (SNP) Plans

Special Needs Plans for Those Eligible for Medicare and Medicaid

Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)SM Plan

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 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 where Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) is offered. Eligible counties are Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, De Baca, Doña Ana, Eddy, Grant, Guadalupe, Harding, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay, Rio Arriba, Roosevelt, San Juan, San Miguel, Sandoval, Santa Fe, Sierra, Socorro, Taos, Torrance, and Valencia.
  • Have a primary residence in a county where Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP) is offered. Eligible counties are Bernalillo, Chaves, Curry, Doña Ana, Otero, Quay, Roosevelt, Sandoval, Santa Fe, Taos, Torrance, and Valencia.
  • Depending on your level of Medicaid eligibility, you may not have any cost-sharing responsibility.
  • Review the plan benefits and built-in drug coverage in the chart.
  • 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
2024
Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)
Monthly Premium
$0 - $35.60*
In-Network
Medical Deductible $0 or $248
Doctors Office Visits (Primary Care and Physician Specialist) 0% or 20% of the cost
Dental Covered
Routine Vision Covered
Outpatient Services/Surgery 0%-20% of the cost
Silver Sneakers® Fitness Program
Covered
Prescription Copays and Coinsurances
For Generic Drugs (depending on your Extra Help) $0 copay; or 
$1.55 copay; or 
$4.50 copay
For All Other (depending on your Extra Help) $0 copay; or
$4.60 copay; or 
$11.20 copay

Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP)SM Plan

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 Plus Preferred (PPO SNP).

  • Be sure you are eligible for Medicaid benefits with the New Mexico Human Services Department.
  • Have a primary residence in a county where Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP) is offered. Eligible counties are Bernalillo, Chaves, Curry, Dona Ana, Otero, Quay, Roosevelt, Sandoval, Santa Fe, Taos, Torrance, and Valencia.
  • Depending on your level of Medicaid eligibility, you may not have any cost-sharing responsibility.
  • Review the plan benefits and built-in drug coverage in the chart.
  • 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. 
PPO SNP
2024
Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP)
Monthly Premium
$0 - $35.60*
In-Network
Medical Deductible $0 or $248
Doctors Office Visits (Primary Care and Physician Specialist) 0%-20% of the cost
Dental Covered
Routine Vision Covered
Outpatient Services/Surgery 0%-20% of the cost
Silver Sneakers® Fitness Program
Covered
Prescription Copays and Coinsurances
For Generic Drugs (depending on your Extra Help) $0 copay; or 
$1.55 copay; or 
$4.50 copay
For All Other (depending on your Extra Help) $0 copay; or
$4.60 copay; or 
$11.20 copay

*Dependent on members Medicaid eligibility.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

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 Medicare and Medicaid.

Help Me Choose a Plan

Already a BCBSNM member? If you are age 64 or older, use the Help Me Choose tool to find the plan that's right for you.

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Now that you’ve picked a plan, it’s time to enroll.

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