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Frequently Asked Questions 

NMRHCA Medicare Supplement Plan

  • Can I purchase the BCBSNM Medicare Supplement Plan in place of Medicare?
    Medicare Supplement plans doesn't replace Medicare coverage. Medicare Supplement is designed to help cover the "gaps" in coverage that original Medicare Part A and Part B does not pay. You must be eligible for Medicare and enrolled in Medicare Parts A and B to purchase the BCBSNM Medicare Supplement Plan. This helps to ensure you receive the highest level of benefits from the Medicare Supplement Plan. For more information, please call the New Mexico Retiree Health Care Authority at 1-800-233-2576.
  • Do I need to have a Primary Care Provider (PCP) and referrals to see a specialist?
    This Medicare Supplement Plan does not require you to select a PCP or require referrals. However, it is wise to establish a relationship with a doctor so he/she knows your medical history.
  • Do I need to go to a certain laboratory to have my lab work done?
    You may go to any Medicare-contracted lab.
  • Will I have coverage when traveling outside of the United States?
    You pay the first $250 each calendar year for medically necessary emergency care services received while temporarily outside the Medicare territorial limits. After you pay that amount, the Medicare Supplement Plan covers 80 percent of the remaining charges up to the BCBSNM lifetime maximum allowable fee ($50,000).
  • Do I have prescription drug coverage?
    Blue Cross and Blue Shield of New Mexico does not administer your prescription drug plan – it is administered by Express Scripts®. For questions about your pharmacy benefits, call Express Scripts customer service toll-free at 1-800-551-1866 or visit www.express-scripts.com.
  • What if I have questions about my medical plan benefits?
    BCBSNM's customer service advocates are available to answer your questions 6 a.m. to 8 p.m. MT, Monday through Friday, and 8 a.m. to 5 p.m. MT, Saturdays and holidays (closed Thanksgiving and Christmas). If you call after hours, you can leave a message and we will return your call by the next business day. Call the NMRHCA Designated Service Unit toll-free at 1-800-788-1792; the number is also printed on the back of your member ID card. Please have your ID card available when you call. You can also contact Customer Service with a secure message through Blue Access for Members.