COVID-19 Initiatives Extended
Blue Cross and Blue Shield of New Mexico has taken steps to make access to the testing and treatment for our members easier and less expensive during this national health emergency. We have extended the duration of these measures to continue serving our members.
The chart below details those dates. We will continue to monitor the situation and update as needed. Check our provider site and News & Updates for the latest information on each initiative.
Note: By rule of the New Mexico Office of Superintendent of Insurance (OSI), there is currently no end date for mandatory cost share waiver for COVID-19 testing, COVID-19 testing-related visits (in person or telemedicine), COVID-19 treatment (in person or telemedicine), and testing/treatment for COVID-related pneumonia and influenza (in person or telemedicine). This New Mexico rule applies to fully insured and Interagency Benefits Advisory Council (IBAC) members.
|Initiative||Start Date||End Date|
|Chest CT Scan without Prior Authorization||March 2, 2020||Open ended*|
|COVID-19 Testing Cost-Share Waiver||March 7, 2020||End of Health and Human Services (HHS) public health emergency, or the end of the OSI rule|
|COVID-19 Testing-Related Visits Cost-Share Waiver||March 18, 2020||End of HHS public health emergency or end of the OSI rule|
|COVID-19 Treatment Cost -Share Waiver||April 1, 2020||Oct. 23, 2020* or end of the OSI rule|
|Interfacility Transfer without Prior Authorization||April 1, 2020||Sept. 30, 2020**|
|Prior Authorization Extension||Services scheduled between Jan. 1 and June 30, 2020||Dec. 31, 2020|
|Telehealth Expansion, Cost-Share Waiver||March 18, 2020||Members will have access to the expanded telemedicine services through Dec. 31, 2020, but the cost-share waiver will end on Sept. 20, 2020* (beyond Dec. 31, 2020, for COVID-19-related testing and treatment delivered by telemedicine for fully insured and IBAC members). Copays, deductibles and coinsurance will apply after Sept. 30, 2020.
For Medicare (not Part D) and Medicare Supplement plans, cost-share waiver extended through Dec. 31, 2020*
*Services that were originally scheduled to end May 31, 2020
** Service originally scheduled to end May 15, 2020
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association