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

Here are just some of the services covered when medically necessary:

List of Blue Cross Community Centennial Plan Benefits. Shows if the service needs prior authorization.
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 Member Handbook.

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.

Preventive Care Guidelines for Adults
Preventive Care Guidelines for Children

Learn How Your Plan Works

Review the Member Handbook for details about plan benefits.

FAQs

Find answers to Frequently Asked Questions about this health plan.