Policy Documents for Small Group Qualified Health Plans
Below is a list of actual Blue Cross and Blue Shield of New Mexico policy documents for Small Group Metallic Qualified Health Plans. These policies describe how the plans generally work and include eligible expenses, claim filing steps, appeals procedures, coverage limitations and exceptions, and more.
Help locating your policy
- Get your policy documents through your online account .
- Get your policy documents through the BCBSNM app. Learn more about the BCBSNM app.
- Contact a customer service representative at 1-800-236-1702 to get help finding or accessing your policy documents.
- If you have coverage through an employer, you may want to contact the employer's benefit administrator to get the name of your plan.
- If you know you have a Small Group Qualified Health Plan, and you know its name, find it below and download the policy.
Small Group Metallic Qualified Health Plan policy documents for the 2027 plan year are not available yet. The links below go to placeholder files. The policy documents will be available in November. Please check back then.
Platinum Plans
Blue PPO Platinum Plans
Off Exchange
- Blue PPO Platinum 110 - Off Exchange
- Blue PPO Platinum 111 - Off Exchange
- Blue PPO Platinum 301 - Off Exchange
- Blue PPO Platinum 601 - Off Exchange
- Blue PPO Platinum 602 - Off Exchange
- Blue PPO Platinum 603 - Off Exchange
Blue Preferred Platinum EPO Plans
Off Exchange
- Blue Preferred Platinum EPO 127 - Off Exchange
- Blue Preferred Platinum EPO 128 - Off Exchange
- Blue Preferred Platinum EPO 301 - Off Exchange
- Blue Preferred Platinum EPO 601 - Off Exchange
- Blue Preferred Platinum EPO 602 - Off Exchange
- Blue Preferred Platinum EPO 603 - Off Exchange
Blue Advantage Platinum HMO Plans
Blue HMO Network Platinum Plans
Gold Plans
Blue PPO Gold Plans
Off Exchange
- Blue PPO Gold 102 - Off Exchange
- Blue PPO Gold 103 - Off Exchange
- Blue PPO Gold 104 - Off Exchange
- Blue PPO Gold 107 - Off Exchange
- Blue PPO Gold 114 - Off Exchange
- Blue PPO Gold 115 - Off Exchange
- Blue PPO Gold 302 - Off Exchange
Blue HMO Network Gold Plans
Off Exchange
- Blue HMO Network Gold 204 - Off Exchange
- Blue HMO Network Gold 205 - Off Exchange
- Blue HMO Network Gold 401 - Off Exchange
Blue Advantage Gold Plans
Off Exchange
- Blue Advantage Gold HMO 207 - Off Exchange
- Blue Advantage Gold HMO 209 - Off Exchange
- Blue Advantage Gold HMO 401 - Off Exchange
Blue Preferred Gold EPO Plans
Off Exchange
- Blue Preferred Gold EPO 103 - Off Exchange
- Blue Preferred Gold EPO 122 - Off Exchange
- Blue Preferred Gold EPO 123 - Off Exchange
- Blue Preferred Gold EPO 129 - Off Exchange
- Blue Preferred Gold EPO 130 - Off Exchange
- Blue Preferred Gold EPO 137 - Off Exchange HSA
- Blue Preferred Gold EPO 208 - Off Exchange
- Blue Preferred Gold EPO 302 - Off Exchange
Silver Plans
Blue PPO Silver Plans
Off Exchange
- Blue PPO Silver 101 - Off Exchange HSA
- Blue PPO Silver 105 - Off Exchange HSA
- Blue PPO Silver 106 - Off Exchange
- Blue PPO Silver 108 - Off Exchange
- Blue PPO Silver 116 - Off Exchange HSA
- Blue PPO Silver 117 - Off Exchange
Blue Preferred Silver EPO
Off Exchange
- Blue Preferred Silver EPO 125 - Off Exchange
- Blue Preferred Silver EPO 131 - Off Exchange
- Blue Preferred Silver EPO 135 - Off Exchange HSA
- Blue Preferred Silver EPO 136 - Off Exchange
Blue HMO Network Silver Plans
Off Exchange
Blue Advantage Silver Plans
Off Exchange
Bronze Plans
Blue PPO Bronze Plans
Off Exchange
Blue Preferred Bronze EPO Plans
Off Exchange
Platinum Plans
Blue PPO Platinum Plans
Off Exchange
- P811PPO Blue PPO Platinum 111
- P810PPO Blue PPO Platinum 110
- P730PPO Blue PPO Platinum 301
- P7AAPPO Blue PPO Platinum 601
- P7ABPPO Blue PPO Platinum 602
- P7ACPPO Blue PPO Platinum 603
- P7ADPPO Blue PPO Platinum 604
Blue Preferred Platinum EPO Plans
Off Exchange
- P821PFR Blue Preferred Platinum EPO 128
- P820PFR Blue Preferred Platinum EPO 127
- P730PFR Blue Preferred Platinum EPO 301
- P7AAPFR Blue Preferred Platinum EPO 601
- P7ABPFR Blue Preferred Platinum EPO 602
- P7ACPFR Blue Preferred Platinum EPO 603
- P7ADPFR Blue Preferred Platinum EPO 604
Blue Advantage Platinum HMO Plans
Blue HMO Network Platinum Plans
Gold Plans
Blue PPO Gold Plans
Off Exchange
- G822PPO Blue PPO Gold 104
- G7E1PPO Blue PPO Gold 114
- G820PPO Blue PPO Gold 102
- G821PPO Blue PPO Gold 103
- G823PPO Blue PPO Gold 107
- G7E3PPO Blue PPO Gold 115
- G730PPO Blue PPO Gold 302
- G7AEPPO Blue PPO Gold 605
- G7AFPPO Blue PPO Gold 605
Blue HMO Network Gold Plans
Off Exchange
Blue Advantage Gold Plans
Off Exchange
- G7E1ADT Blue Advantage Gold HMO 207
- G7J5ADT Blue Advantage Gold HMO 209
- G7N1ADT Blue Advantage Gold HMO 401
Blue Preferred EPO Gold Plans
Off Exchange
- G832PFR Blue Preferred Gold EPO 122
- G833PFR Blue Preferred Gold EPO 123
- G836PFR Blue Preferred Gold EPO 130
- G7E1PFR Blue Preferred Gold EPO 137
- G801PFR Blue Preferred Gold EPO 208
- G835PFR Blue Preferred Gold EPO 129
- G730PFR Blue Preferred Gold EPO 302
- G821PFR Blue Preferred Gold EPO 103
- G7AEPFR Blue Preferred Gold EPO 605
- G7AFPFR Blue Preferred Gold EPO 606
Silver Plans
Blue PPO Silver Plans
Off Exchange
- S830PPO Blue PPO Silver 105
- S7E4PPO Blue PPO Silver 116
- S831PPO Blue PPO Silver 106
- S7E7PPO Blue PPO Silver 117
- S833PPO Blue PPO Silver 108
- S751PPO Blue PPO Silver 101
- S7AGPPO Blue PPO Silver 607
Blue Preferred Silver EPO
Off Exchange
- S7E1PFR Blue Preferred Silver EPO 135
- S842PFR Blue Preferred Silver EPO 131
- S7E5PFR Blue Preferred Silver EPO 136
- S840PFR Blue Preferred Silver EPO 125
- S7AGPFR Blue Preferred Silver EPO 607
Blue HMO Network Silver Plans
Off Exchange
Blue Advantage Silver Plans
Off Exchange
Bronze Plans
Blue PPO Bronze Plans
Off Exchange
Blue Preferred Bronze EPO Plans
Off Exchange
Platinum Plans
Blue PPO Platinum Plans
Off Exchange
Blue Preferred Platinum EPO Plans
Off Exchange
- P821PFR Blue Preferred Platinum EPO 128
- P820PFR Blue Preferred Platinum EPO 127
- P730PFR Blue Preferred Platinum 301
Blue Advantage Platinum HMO Plans
Blue HMO Network Platinum Plans
Gold Plans
Blue PPO Gold Plans
Off Exchange
- G822PPO Blue PPO Gold 104
- G7E1PPO Blue PPO Gold 114
- G820PPO Blue PPO Gold 102
- G821PPO Blue PPO Gold 103
- G823PPO Blue PPO Gold 107
- G7E3PPO Blue PPO Gold 115
- G730PPO Blue PPO Gold 302
Blue HMO Network Gold Plans
Off Exchange
Blue Advantage Gold Plans
Off Exchange
- G7E1ADT Blue Advantage Gold HMO 207
- G7J5ADT Blue Advantage Gold HMO 209
- G7N1ADT Blue Advantage Gold HMO 401
Blue Preferred EPO Gold Plans
Off Exchange
- G832PFR Blue Preferred Gold EPO 122
- G833PFR Blue Preferred Gold EPO 123
- G836PFR Blue Preferred Gold EPO 130
- G7E1PFR Blue Preferred Gold EPO 137
- G801PFR Blue Preferred Gold EPO 208
- G835PFR Blue Preferred Gold EPO 129
- G730PFR Blue Preferred Gold EPO 302
- G821PFR Blue Preferred Gold EPO 103
Silver Plans
Blue PPO Silver Plans
Off Exchange
- S830PPO Blue PPO Silver 105
- S7E4PPO Blue PPO Silver 116
- S831PPO Blue PPO Silver 106
- S7E7PPO Blue PPO Silver 117
- S833PPO Blue PPO Silver 108
- S751PPO Blue PPO Silver 101
Blue Preferred Silver EPO
Off Exchange
- S7E1PFR Blue Preferred Silver EPO 135
- S842PFR Blue Preferred Silver EPO 131
- S7E5PFR Blue Preferred Silver EPO 136
- S840PFR Blue Preferred Silver EPO 125
Blue HMO Network Silver Plans
Off Exchange
Blue Advantage Silver Plans
Off Exchange
Bronze Plans
Blue PPO Bronze Plans
Off Exchange
Blue Preferred Bronze EPO Plans
Off Exchange
Platinum Plans
Blue PPO Platinum Plans
Off Exchange
Blue Preferred Platinum EPO Plans
Off Exchange
- P821PFR Blue Preferred Platinum EPO 128
- P820PFR Blue Preferred Platinum EPO 127
- P730PFR Blue Preferred Platinum 301
Blue Advantage Platinum HMO Plans
Gold Plans
Blue PPO Gold Plans
Off Exchange
- G822PPO Blue PPO Gold 104
- G7E1PPO Blue PPO Gold 114
- G820PPO Blue PPO Gold 102
- G821PPO Blue PPO Gold 103
- G823PPO Blue PPO Gold 107
- G7E3PPO Blue PPO Gold 115
- G730PPO Blue PPO Gold 302
Blue HMO Network Gold Plans
Off Exchange
Blue Advantage Gold Plans
Off Exchange
- G7E1ADT Blue Advantage Gold HMO 207
- G7J5ADT Blue Advantage Gold HMO 209
- G7N1ADT Blue Advantage Gold HMO 401
Blue Preferred EPO Gold Plans
Off Exchange
- G832PFR Blue Preferred Gold EPO 122
- G833PFR Blue Preferred Gold EPO 123
- G836PFR Blue Preferred Gold EPO 130
- G7E1PFR Blue Preferred Gold EPO 137
- G801PFR Blue Preferred Gold EPO 208
- G835PFR Blue Preferred Gold EPO 129
- G730PFR Blue Preferred Gold EPO 302
Silver Plans
Blue PPO Silver Plans
Off Exchange
- S830PPO Blue PPO Silver 105
- S7E4PPO Blue PPO Silver 116
- S831PPO Blue PPO Silver 106
- S7E7PPO Blue PPO Silver 117
- S833PPO Blue PPO Silver 108
Blue Preferred Silver EPO
Off Exchange
- S7E1PFR Blue Preferred Silver EPO 135
- S842PFR Blue Preferred Silver EPO 131
- S7E5PFR Blue Preferred Silver EPO 136
- S840PFR Blue Preferred Silver EPO 125
Blue HMO Network Silver Plans
Off Exchange
Blue Advantage Silver Plans
Off Exchange
Bronze Plans
Blue PPO Bronze Plans
Off Exchange
Blue Preferred Bronze EPO Plans
Off Exchange
Last Updated: Aug. 13, 2026