Blue Cross Blue Shield of New Mexico BlueEdge Individual HSA – New Mexico Health Insurance Plan
A detailed comparison of the Blue Cross Blue Shield of New Mexico BlueEdge Individual HSA 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):
|
|
| Deductible false | Enhanced - Individual: $1,700, Family: $3,450 | Enhanced - Individual: $1,700, Family: $3,450 |
| Coinsurance | 80% | 60% |
| Coinsurance Limit | N/A | N/A |
| Out-of-Pocket Maximum | ||
| Lifetime Maximum | None | None |
| Prescription Drugs | Retail Pharmacy Program (up to a 30-day supply or 180 units, whichever is less): Generic Drug: You pay higher of $20 or 25%, maximum $75; Brand-Name Drug: You pay higher of $40 or 50%, maximum $125; Mail-Order Plan (up to a 90-day supply or 540 units, whi | Retail Pharmacy Program (up to a 30-day supply or 180 units, whichever is less): Generic Drug: You pay higher of $20 or 25%, maximum $75; Brand-Name Drug: You pay higher of $40 or 50%, maximum $125; Mail-Order Plan (up to a 90-day supply or 540 units, whi |
| Emergency Room | Emergency Room Treatment and Urgent Care Facility: Plan pays 80%; Ambulance Services (Ground and Emergency Air Transport): Plan pays 80% | Emergency Room Treatment and Urgent Care Facility: Plan pays 60%; Ambulance Services (Ground and Emergency Air Transport): Plan pays 80% |
| Adult Preventative Care | Preventive Services: Routine Adult Physicals and Gynecological Exams including Related Testing (e.g., routine Pap tests, mammograms, colonoscopies, cholesterol tests, urinalysis, etc.): No Charge | Preventive Services: Routine Adult Physicals and Gynecological Exams including Related Testing (e.g., routine Pap tests, mammograms, colonoscopies, cholesterol tests, urinalysis, etc.): No Charge |
| Child Preventative Care | Well-Child Care including Immunizations; Routine Lab, and Routine Vision or Hearing Screenings: No Charge | Well-Child Care including Immunizations; Routine Lab, and Routine Vision or Hearing Screenings: No Charge |
| Lab / X-Ray | Plan pays 80% | Plan pays 60% |
| Maternity | ||
| Physical Therapy | Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility):
|
Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility):
|
| Home Health Care | Home Health Care/Home I.V. Services (max. 100 visits/year for all three services combined): 80%; Hospice: Plan pays 80% | Home Health Care/Home I.V. Services (max. 100 visits/year for all three services combined): 60%; Hospice: Plan pays 60% |
| Mental Health | ||
| Hospital Care | Inpatient Hospital/Facility Services: Room and Board and Physician Care such as Physician Visits, Surgeon, and Anesthesiologist: Plan pays 80%; Routine Nursery Care for Covered Newborn Infants (Other services related to pregnancy are not covered): Plan pa | Inpatient Hospital/Facility Services: Room and Board and Physician Care such as Physician Visits, Surgeon, and Anesthesiologist: Plan pays 60%; Routine Nursery Care for Covered Newborn Infants (Other services related to pregnancy are not covered): Plan pa |
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