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Medical Benefits
Blue Cross and Blue Shield of New Mexico covers your physical health care needs. Your Turquoise Care plan includes:
- Preventive care services to help keep you healthy
- Well-child visits for kids from birth to age 21
- Early and periodic screening, diagnostic and treatment (EPSDT)
- Family planning services
- Urgent care
- Emergency care
What is Covered?
Here are just some of the services covered when medically necessary:
Covered Service |
Does service need prior authorization? |
|---|---|
Office visits to PCPs or specialists |
No |
Diabetes self-management services |
Depends on the exact service |
Podiatry (foot and ankle) services |
Depends on the exact service |
Routine exams for kids and teens |
No |
Pregnancy related and maternity services |
No |
Covered services provided in school-based health clinics |
No |
Medical supplies; durable medical equipment |
Depends on the exact service |
Ground and air ambulance |
No |
Hospital services (inpatient, skilled nursing) |
Yes |
Dialysis services |
Yes |
Surgery, including pre- and post-operative care |
Depends on the surgery. All transplants and pre-transplant evaluations require prior authorization. |
Lab tests, x-rays, EKGs, medical imaging |
Depends on the exact service |
Special rehab services such as physical therapy, speech therapy, cardiac rehab, etc. |
Yes |
Home health care and IV services |
Yes |
Chemotherapy and radiation therapy |
No |
Hospice |
Yes |
To learn more about covered medical benefits, check the .
What is Not Covered?
Health care that is not covered includes:
- Treatments that are not medically necessary
- Cosmetic services
- Procedures that are still being tested or experimental
- Care from a non-licensed provider
- Getting care in an emergency room for health issues that are not emergencies
Check the to learn more about what your plan covers.
Resources to Stay Healthy
Don't forget to talk with your PCP about how to stay fit and eat right. There are recommended health screenings for adults and kids. Here are guidelines to help you manage your care. Ask your doctor about what screenings you might need.
MEMBER RESOURCES
Helpful Tools and Resources
Find a Doctor or Hospital
Our Provider Finder® makes it easy to search for providers in your area.
Find a Provider
Transportation Services
Learn how you can get a no-cost ride to your medical appointments.
Schedule a Ride
Forms and Documents
For details about your plan, check your Member Handbook.
Go to Forms and Documents