Know About BCBSNM 2020 Health Care Plans

You may shop for a BCBSNM Health Care Plan if you don’t get health care coverage through your job or other options, like Medicaid.

Individual Health Care Plans have choices for you and your family, such as your spouse or children under the age of 26.

With a BCBSNM Health Care Plan you have:

  • Choice of in-network doctors and hospitals
  • Preventive care services, like an annual exam, shots and screenings
  • Prescription drug coverage with mail order programs
  • Mental health and substance abuse disorder benefits and services
  • Health and wellness programs

 

Health Plan Basics

Here are some important basics to know about the BCBSNM health care plans in New Mexico.

HMO Plans 

An HMO, also known as a Health Maintenance Organization plan, often costs less than other health care plan types. This means you’ll pay a lower monthly premium bill. You’ll also pay less when getting care from your primary care provider (PCP) and other network providers.

Plan Network 

A network (also called group of doctors) is part of each plan. If you want to control costs, you’ll need to get care in your plan’s network. If you don’t, you may have to pay for most of or the full cost of your care.

See cost examples

Primary Care Provider (PCP)

You will need to select a PCP (also called your primary doctor) with your coverage.  A PCP will coordinate your health care needs and refer you to a specialist. If you have preferred doctors, check if they are in your preferred plans network using our Provider Finder®.

Preventive Care Services

Your PCP can also provide preventive care services, like an annual exam or screenings, at no additional cost to you.

Essential Health Benefits 

All of our New Mexico health care plans cover these essential health benefits and services: wellness, maternity, newborn/pediatric care, ambulance, emergency, hospitalization, labs, prescription drugs, disease management, mental health, substance abuse and rehabilitative devices.

Prescription Drug Coverage

All our health care plans offer prescription drug coverage. Based on your plan, once you have met your deductible, you will either pay a set amount (copayment) or a percentage (coinsurance) of your drug costs. Learn more about coverage.

See If You Qualify for Financial Help

Based on your income and family size, you may be able to qualify for a subsidy, also known as a premium tax credit (PTC). A PTC helps you pay less for your health care plan. 

Use our PTC tool to see if you can get these savings. Begin PTC estimate.

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We’re Here to Help You!

Send us a question or request more information. Our team is here to help you get a 2020 Health Care Plan for yourself or family.

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Please fill out the form below and a Blue Cross and Blue Shield of New Mexico authorized agent will contact you within 1 to 2 business days. They will schedule an appointment at a time and location that is convenient for you. There is no cost or obligation for this service.

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Sales Questions and Additional Plan Information:
1-888-809-1135

Calls may or may not be answered inside the United States.

Monday – Friday: 7 a.m. – 7 p.m. MT
Saturday: 7:00 a.m. – 5:00 p.m. MT
Sunday: 9:00 a.m. – 1:00 p.m. MT

Customer Service:
1-866-236-1702

Calls may or may not be answered inside the United States.

Monday – Friday: 6 a.m. – 7 p.m. MT
Saturday: 7 a.m. – 4 p.m. MT
Sunday: Closed

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