Skip to main content

Small Group Fully Funded Metallic Plans

Blue Cross and Blue Shield of New Mexico offers a variety of fully-funded standard ACA plans for your small group clients with 1–50 employees.

Network Options

Plan Name Blue PPO℠ Blue HMO℠ Blue Preferred EPO℠ Blue Advantage HMO℠
Plan Type Broad Nationwide PPO Broad Statewide HMO Smart Nationwide EPO Smart Statewide PPO
Primary Care Physician Not required Required Required Required
Specialist Referral Not required Not required Not required Not required
Out-of-Network Benefits Yes No No No
Access to BlueCard Yes Urgent/Emergency Services Only Yes Urgent/Emergency Services Only
Residency Required No Yes No Yes

Complementary Value-Add Programs

Putting the power of wellness in members’ hands helps them save money and prevent some types of health conditions, reducing doctor visits and hospitalizations. Complementary programs include:

savings icon

Blue365

Employees save on health products from top retailers with no claims or referrals needed.

Visit the member site
wellness icon

Wondr Health

This online weight management program* teaches skills to improve physical, mental, and emotional wellbeing.

See Wondr's curriculum
diabetes management

Metabolic Health Management

Eligible members have access to a diabetes reversal program. The program improves blood sugar, safely reduces or eliminates medications and reverses type 2 diabetes — all offered as a covered benefit and at no cost.

Pharmacy & Prescription Management

With the Blue Access for Members account, members can search for in-network pharmacies, find covered medicine, get cost and coverage details on prescriptions and manage refills. Learn more.

Share the Drug List when consulting with employers about small group metallic plans.

Wellbeing Management

This complete wellness solution delivers member-centered wellness tools and care management programs, including:

Well onTarget®

This program provides comprehensive tools and rewards members for making healthy choices.

Share our employer flyer

Fitness Program

This program offers a flexible gym network to fit members’ lifestyles and budgets.

Learn more

Blue Points

Members earn and redeem points for participating in wellness activities.

Review our member flyer

Mental Health Hub

Digital one-stop-shop for mental health resources, recommended solutions, and access to behavioral health providers

Share member flyer

Ready to Create a Quote?

Get the tips, how-tos, and resources on quoting a small group metallic plan for your employer client.

 

Hinge Health and Wondr are independent companies contracted with Blue Cross and Blue Shield of New Mexico to provide chronic disease prevention and management solutions for members with coverage through BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.  

Twin Health is an independent company that has contracted with BCBSNM to provide care and disease management for members with coverage through BCBSNM.