Tier 1 – Blue Preferred Plus Provider Network
This network replaces the Sandia Health Partner Network (SHPN). Your share of costs is lowest when you use providers in Tier 1. Tier 1 includes Lovelace and Davita hospitals, doctors, as well as an expanded network of other providers.
Tier 2 – Other BCBS in-network providers
Through Tier 2 providers, you have access to a nationwide network of healthcare providers and facilities. The deductible, coinsurance, and out-of-pocket maximums are much lower when compared with out-of-network providers.
Tier 3 – Out-of-network providers
You can use any out-of-network provider or facility; however, benefits are paid at a lower level, which means you can expect to pay more. In addition, you are responsible for any charges above the plan’s allowed cost for a given healthcare service. This is known as balance billing.
Go to bcbsnm.com/sandia > Search our Provider Finder
Tier 1 providers are listed as Blue Preferred Plus. Be sure to note the change to our provider network name. You’ll no longer use the term “Sandia Health Provider Network.”
If you need help finding a primary doctor, call one of the Ambassador Lines below.
Davita Medical Group Ambassador Line
Lovelace Concierge Line
Sandia Total Health covers a wide range of in-network preventive care services at no cost to you:
- Well-baby, well-child, well-woman exam
- Bone density test (osteoporosis screening)
- Colon cancer screening
- Diabetes screening
- Immunizations / vaccines
- Prostate-specific antigen (PSA) test
All in-network preventive care is subject to the US Preventive Task Force Guidelines and BCBSNM administration guidelines. Frequency and age restrictions may apply. Review the Sandia Total Health administered by Blue Cross and Blue Shield of New Mexico Program Summary.
If you need care outside of doctor office hours or while traveling, you are covered.
This option lets you use your smartphone, tablet, or computer for secure, online visits with a board-certified doctor.
You pay a $10 copay for virtual visits, and there is no deductible.
To get started, go to MDLIVE or download the MDLIVE mobile app.
Be sure to register and create an account before you need care.
Registered nurses are on call to answer your health questions and provide general health tips anytime, anywhere, 24/7.
Call the Blue Cross Blue Shield of New Mexico Nurseline at 800-973-6329.
A medical ID card will automatically be sent to you after you enroll. If you need another card, you can use the mobile app, go online, or call 877-498-7652.
BCBSNM Dedicated Customer Advocate: Erica Lindenmuth
Walk-in and onsite services are currently unavailable due to COVID restrictions.
BCBSNM Customer Service
6 a.m. to 8 p.m. MT, Monday through Friday
9 a.m. to 5 p.m. MT, holidays (closed Thanksgiving and Christmas)
MDLIVE (Virtual Visits)