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Blue Cross Blue Shield of New Mexico BlueTransitions – New Mexico Health Insurance Plan

A detailed comparison of the Blue Cross Blue Shield of New Mexico BlueTransitions 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:
  • Office Visit (excludes routine physicals and other preventive care): 70%
  • Office Surgery (including casts, splints, and dressings): 70%
  • Lab Tests, X-Rays, EKGs, Other Diagnostic Services: 70%
Office Services:
  • Office Visit (excludes routine physicals and other preventive care): 70%
  • Office Surgery (including casts, splints, and dressings): 70%
  • Lab Tests, X-Rays, EKGs, Other Diagnostic Services: 70%
Deductible false $500 (per member/per benefit period) $500 (per member/per benefit period)
Coinsurance 70% 70%
Coinsurance Limit N/A N/A
Out-of-Pocket Maximum
Lifetime Maximum $2000000 (per member) $2000000 (per member)
Prescription Drugs Prescription Drugs, Enteral Nutritional Products, Special Medical Foods: Plan pays 70% (max. $500/benefit period) Prescription Drugs, Enteral Nutritional Products, Special Medical Foods: Plan pays 70% (max. $500/benefit period)
Emergency Room Emergency Room Treatment and Urgent Care: Plan pays 70%; Ambulance Services: Plan pays 70% Emergency Room Treatment and Urgent Care: Plan pays 70%; Ambulance Services: Plan pays 70%
Adult Preventative Care Not covered Not covered
Child Preventative Care Not covered Not covered
Lab / X-Ray Plan pays 70% Plan pays 70%
Maternity Not covered Not covered
Physical Therapy Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility):
  • Inpatient Rehabilitation (max. 30 days): Plan pays 70%
  • Outpatient and Office Rehabilitation (max. $3,500): P
Short-Term Rehabilitation (Occupational, Physical, and Speech Therapy; including Physical Rehabilitation and Skilled Nursing Facility):
  • Inpatient Rehabilitation (max. 30 days): Plan pays 70%
  • Outpatient and Office Rehabilitation (max. $3,500): P
Home Health Care
  • Home Health Care (max. 100 visits): Plan pays 70%
  • Hospice (max. $5,000): Plan pays 70%
  • Home Health Care (max. 100 visits): Plan pays 70%
  • Hospice (max. $5,000): Plan pays 70%
  • Mental Health Not covered Not covered
    Hospital Care Inpatient Hospital/Facility Services: Room and Board and Physician Care such as Physician Visits, Surgeon, and Anesthesiologist: Plan pays 70%;Lab, X-Ray, and Other Diagnostic Tests: Plan pays 70% Inpatient Hospital/Facility Services: Room and Board and Physician Care such as Physician Visits, Surgeon, and Anesthesiologist: Plan pays 70%;Lab, X-Ray, and Other Diagnostic Tests: Plan pays 70%
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