2019 New Mexio QHP Small Group Actual Policy Documents

Below is a list of actual policy documents for QHP small group coverage. These policies describe how the plans work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.

If you have questions, contact a customer service representative at the number provided on the back of your ID card for more information.

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Platinum Plans

Blue PPO Platinum Plans
Off Exchange

Blue PPO Platinum 111
Blue PPO Platinum 110

Blue Preferred Platinum EPO Plans
Off Exchange

Blue Preferred Platinum EPO 128
Blue Preferred Platinum EPO 127

Gold Plans

Blue PPO Gold Plans
Off Exchange

Blue PPO Gold 104
Blue PPO Gold 102
Blue PPO Gold 103
Blue PPO Gold 107
Blue PPO Standard Gold 107

Blue HMO Network Gold Plans
Off Exchange

Blue HMO Network Gold 201

Blue EPO Gold Plans
Off Exchange

Blue EPO Gold 111

Blue Preferred Gold EPO
Off Exchange

Blue Preferred Gold EPO 122
Blue Preferred Gold EPO 129
Blue Preferred Gold EPO 123
Blue Preferred EPO Standard Gold 130
Blue Preferred Gold EPO 130
Blue Preferred Gold EPO 128

Silver Plans

Blue PPO Silver Plans
Off Exchange

Blue PPO Silver 105 - A
Blue PPO Silver 106
Blue PPO Silver 108

Blue Preferred Silver EPO
Off Exchange

Blue Preferred Silver EPO 131
Blue Preferred Silver EPO 125
Blue Preferred Silver EPO 136

Blue HMO Network Silver Plans
Off Exchange

Blue HMO Network Silver 202

Blue Advantage Silver Plans
Off Exchange

Blue Advantage Silver HMO 204

Blue EPO Silver Plans
Off Exchange

Blue EPO Silver 112

Bronze Plans

Blue PPO Bronze Plans
Off Exchange

Blue PPO Bronze 101
Blue PPO Bronze 109

Blue Preferred Bronze EPO Plans
Off Exchange

Blue Preferred Bronze EPO 132
Blue Preferred Bronze EPO 134