New Mexico Health Insurance: BCBSNM Plans & Benefits | Find A Plan Today!

Nigel Pagac PhD 24 May 2025

Are you navigating the complexities of healthcare in New Mexico? Understanding the available health insurance options is crucial, and Blue Cross and Blue Shield of New Mexico (BCBSNM) offers a comprehensive suite of plans designed to meet a diverse range of needs.

In the ever-evolving landscape of healthcare, securing the right insurance plan is paramount. BCBSNM recognizes this and provides a variety of options tailored to individuals, families, employers, and those eligible for Medicare and Medicaid. Beyond simply offering insurance, BCBSNM strives to provide a supportive and user-friendly experience for its members. This includes access to a vast network of providers, telehealth services, vision and dental benefits, and a wealth of resources designed to promote overall well-being. Whether you're seeking to check claims, find a local healthcare provider, request an ID card, or participate in the Well OnTarget rewards program, BCBSNM offers the tools and support you need to manage your health effectively.

For comprehensive details, including contact information for inquiries, claims processing, precertification, and disease management programs, visit the official Blue Cross and Blue Shield of New Mexico website. Additionally, the BCBSNM medical policy manual provides in-depth information on medical policies. As of June 30, 2024, Blue Cross and Blue Shield of New Mexico (BCBSNM) and Presbyterian Health Plan (PHP) will continue providing services from the Centennial Care MCOs. Molina Healthcare of New Mexico (MHC) and United Healthcare (UHC) will join as new MCOs to provide services, beginning on July 1, 2024.

Attribute	Details
Health Insurance Plans	Individuals, Families, Employers, Medicare, and Medicaid
Provider Network	Large network of providers
Benefits	Telehealth, Vision, Dental, and more
Online Resources	Check claims, find a provider, request ID card
Member Programs	Well OnTarget rewards program
Contact Information	General inquiries, Claims, Precertification, Disease Management
Medical Policy Manual	Contains medical policies used by BCBSNM
Centennial Care MCOs (until June 30, 2024)	BCBSNM and Presbyterian Health Plan (PHP)
New MCOs (from July 1, 2024)	Molina Healthcare of New Mexico (MHC) and United Healthcare (UHC)

As a Blue Cross and Blue Shield of New Mexico member, you're not just a policyholder; you gain access to a secure, online resource tool designed to simplify your healthcare journey. Blue Access for Members provides Medicare coverage and benefit information. The platform also offers a wealth of health and wellness resources, equipping you with the information and support you need to embrace a healthier lifestyle. It's a commitment to providing support far beyond just insurance coverage.

The information provided is not exhaustive and should not be considered a substitute for professional medical advice. Always consult with a qualified healthcare provider for any health concerns or before making any decisions related to your health or treatment.

BCBSNM understands the importance of community involvement. They actively support New Mexico communities through volunteer initiatives and financial commitments, including grants, sponsorships, and employee volunteerism. For those seeking answers, BCBSNM also offers easy access to information related to claims, pre-certification, and various health management programs. The goal is to provide clarity and assistance so members can concentrate on what is most important: their health and the well-being of their loved ones.

Navigating the often complex world of prescription medications is made simpler with the BCBSNM drug list, often referred to as a "formulary." This list specifically outlines the drugs that are covered by your BCBSNM health plan. Ensuring you have access to the medications you need is a vital component of any health insurance plan, and BCBSNM recognizes this. The drugs are covered as long as you meet all of the requirements.

A crucial aspect of healthcare accessibility for many members is the inclusion of breast pump coverage. BCBSNM is pleased to offer coverage for a variety of breast pumps to members whose health care plans include this benefit. This is a commitment to supporting new mothers and promoting the well-being of families.

Benefit	Details
Drug List (Formulary)	List of drugs covered by the BCBSNM health plan
Breast Pump Coverage	Coverage for a variety of breast pumps for eligible members
OTC Benefit Allowance	Use your allowance before it expires
Rewards Experience	Digital gift cards replace merchandise mall
New Redemption Process	Available in the Well OnTarget portal and mobile app

Members can use their Blue Access for Members credentials to easily access the WellOnTarget.com platform, a valuable resource for health and wellness information.

BCBSNM is committed to efficient claim processing. They provide valuable tips and information to help members manage and submit claims, preventing potential delays and billing errors. For those needing assistance, detailed instructions are often available to simplify the claims process.

Well OnTarget and the alwayson wellness mobile app are valuable resources. For 2025, the blue points merchandise mall will be replaced by digital gift cards, and this new redemption process will be available in the well ontarget portal and the alwayson wellness mobile app. The activity portal is a website owned and operated by healthmine, inc., an independent company that provides digital health and personal clinical engagement tools and services for blue cross and blue shield of new mexico.

Blue Cross and Blue Shield of New Mexico has a long-standing presence in the community, celebrating 85 years of service. As one of the largest providers of health benefits in New Mexico, they are pleased to offer health insurance plans for those who qualify. Thank you for choosing Blue Cross and Blue Shield of New Mexico, and for taking advantage of your OTC benefit allowance before it expires.