Medicare Advantage Members to Transition to BCBSNM Kidney Care Program

Oct. 23, 2023

In January 2024 we’re launching a specialized care coordination program for eligible Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM members who have chronic or end-stage kidney disease. Our Kidney Care Program will replace the Somatus kidney care program, a service currently provided by vendor Somatus, Inc.®

Program Transition

Medicare Advantage members who currently use Somatus will transition to our program from January through March 2024. During the transition, Blue Cross and Blue Shield of New Mexico (BCBSNM) and Somatus care coordinators will work together to support members. Members transitioning to the BCBSNM Kidney Care Program will receive a letter with details.

BCBSNM Care Coordination

As part of our Kidney Care Program, BCBSNM care coordinators collaborate with providers to coordinate services and help members follow a plan of care. Our goal is to support our members as they work with you to manage their disease and improve health outcomes. The program is free of charge.

Call the Customer Service number on the member ID card if you have questions or to refer a Medicare Advantage member to our Kidney Care Program.

 

Somatus is an independent company that provides care management services for certain BCBSNM members with CKD and ESKD. Somatus is wholly responsible for its own products and services. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.