Blue Cross Blue Shield of New Mexico BlueEdge 100 – New Mexico Health Insurance Plan
A detailed comparison of the Blue Cross Blue Shield of New Mexico BlueEdge 100 health insurance plan as offered in New Mexico is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Blue Cross Blue Shield of New Mexico plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Blue Cross Blue Shield of New Mexico health insurance quote for New Mexico now or view all of our Blue Cross Blue Shield of New Mexico health insurance quotes.
| Network | Non-Network | |
|---|---|---|
| Copay | N/A | N/A |
| OfficeVisit | Office Services (nonroutine): Office Visit/Exam: Plan pays 100% after deductible
|
Office Services (nonroutine): Office Visit/Exam: Plan pays 80%
|
| Deductible true | Individual: $5,000, Family: $10,000 | Individual: $7,500, Family: $15,000 |
| Coinsurance | 100% | 80% |
| Coinsurance Limit | N/A | N/A |
| Out-of-Pocket Maximum | ||
| Lifetime Maximum | None | None |
| Prescription Drugs | Prescription Drugs, Insulin, Diabetic Supplies, Enteral Nutritional Products, Special Medical Foods: Retail Pharmacy/Specialty Pharmacy Program (up to a 30-day supply or 180 units, whichever is less. Includes nonprescription enteral nutritional products a | Prescription Drugs, Insulin, Diabetic Supplies, Enteral Nutritional Products, Special Medical Foods: Retail Pharmacy/Specialty Pharmacy Program (up to a 30-day supply or 180 units, whichever is less. Includes nonprescription enteral nutritional products a |
| Emergency Room | Emergency Room Treatment: Plan pays 100% after deductible; Ambulance Services (Ground and Emergency Air Transport): 100% after deductible | Emergency Room Treatment: Plan pays 100% after deductible; Ambulance Services (Ground and Emergency Air Transport): 100% after deductible |
| Adult Preventative Care | Routine Adult Physicals and Gynecological Exams, Related Testing (includes routine Pap tests, mammograms, preventive/routine colonoscopies, cholesterol tests, urinalysis, etc.): Plan pays 100% no deductible | Routine Adult Physicals and Gynecological Exams, Related Testing (includes routine Pap tests, mammograms, preventive/routine colonoscopies, cholesterol tests, urinalysis, etc.): Plan pays 100% no deductible |
| Child Preventative Care | Well-Child Care; Routine Vision or Hearing Screenings; Routine Testing, and Immunizations: Plan pays 100% (no deductible) | Well-Child Care; Routine Vision or Hearing Screenings; Routine Testing, and Immunizations: Plan pays 100% (no deductible) |
| Lab / X-Ray | Plan pays 100% after deductible | Plan pays 80% |
| Maternity | ||
| Physical Therapy | Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility; maximum benefit of up to 20 visits/year for outpatient services and 30 days/year for inpatient services): Plan pays 100% | Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility; maximum benefit of up to 20 visits/year for outpatient services and 30 days/year for inpatient services): No benefit |
| Home Health Care | Home Health Care/Home I.V. Services (max. 100 visits/year): Plan pays 100% after deductible; Hospice Services (100 visit max/year): Plan pays 100% after deductible | Home Health Care/Home I.V. Services (max. 100 visits/year): Plan pays 80%; Hospice Services (lifetime max. $10,000): Plan pays 80% |
| Mental Health | ||
| Hospital Care | Inpatient Hospital/Facility Services: Medical/Surgical and Board and Covered Ancillaries: Plan pays 100% after deductible; Routine Nursery Care for Covered Newborns: Plan pays 100% after deductible; Outpatient Facility/Physician (including surgical proced | Inpatient Hospital/Facility Services: Medical/Surgical and Board and Covered Ancillaries: Plan pays 80%; Routine Nursery Care for Covered Newborns: Plan pays 80%; Outpatient Facility/Physician (including surgical procedures, family planning, nonroutine co |
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