COVID-19 Initiatives Extended

May 19, 2020
Updated June 30, 2020
Updated July 28, 2020
Updated Aug. 10, 2020

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.

InitiativeStart DateEnd 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

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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