Tier 1 — Blue Preferred Plus provider network: Your share of costs is lowest when you use providers in Tier 1. Tier 1 includes hospitals, doctors, as well as an expanded network of other providers in New Mexico.
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. Balance billing does not apply for services covered under the No Surprises Act as described in the medical plan program summary.
Go to bcbsnm.com/sandia > Search our Provider Finder
Tier 1 providers are listed as Blue Preferred Plus.
If you need help finding a primary doctor, call one of the support lines below.
Optum Ambassador Line
Lovelace Concierge Line
Sandia’s medical plans cover 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 U.S. Preventive Services Task Force recommendations and BCBSNM administration guidelines. Frequency and age restrictions may apply.
You’re covered when you need care outside of doctor office hours or while traveling.
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 when you use MDLIVE. Employees enrolled in the Health Savings Plan must meet their annual deductible before the $10 copay applies. Download the MDLIVE mobile app and be sure to register 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.
You’ll receive a medical ID card when you enroll with BCBSNM for the first time (or if you switch medical plans during an enrollment period). If you need another card, you can use the mobile app, go online and log in, or call 877-498-7652. You can view your virtual ID card any time through the mobile app or member portal.