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Premium Assistance for Kids (PAK)



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The New Mexico Human Services Department (HSD) designed Premium Assistance for Kids (PAK) to assist eligible individuals with paying for comprehensive commercial health insurance. Currently the State pays a portion of the monthly premium for children who qualify.*

 

*Note: Due to the state's budgetary constraints, the below changes have taken place for the PAK program:

  • Effective 09/01/2010, the state no longer accepts new PAK applications
  • Effective 05/01/2011, the state's portion of the monthly PAK premium amount changed to a fixed amount per month for all existing PAK enrollees

Premium Assistance for Kids services are funded in part under a contract with the State of New Mexico.



Finding a Provider

Are you a PAK Plan member who needs to find BCBSNM providers in New Mexico?

Search our Provider Finder® — select "Preferred Provider Organization (PPO)" in the Network Type drop-down menu.

network type


For more information about providers, please email us or call Customer Service toll-free at 1-866-689-1523.

What’s Included with PAK

PAK covers children who are under the age of 12 years; or up to age 18 if they are part of a sibling group with a child under age 12. Children eligible for Medicaid or CHIP do not qualify.

  • More than 19,000 providers statewide – the most comprehensive provider network of any health plan serving New Mexico.
  • Coverage outside of New Mexico. With BlueCard® you can take your PAK benefits nationwide and to over 200 countries, including Mexico. This includes 24/7 emergency care and more.
  • Top-notch customer service – We welcome your phone calls and questions
  • Blue Care Connection® – Tools and information to help keep your child healthy
  • No referrals needed to see network specialists for covered benefits
  • You are free to choose any provider – You maximize your benefits by using providers in the BCBSNM network

Premium Assistance for Kids services are funded in part under a contract with the State of New Mexico.

PAK Costs

Currently the state pays a portion of the monthly premium for PAK members. Members pay low monthly premium payments and affordable copayments for doctor visits and prescriptions.

When you use BCBSNM network providers, you pay a small copayment for these services:

  • Office visit with primary care provider: $20
  • Office visit with specialist: $20
  • Generic prescription drugs: $10

There is no deductible for:

  • Doctor visits
  • Routine physicals
  • Prescription drugs

There is a $500 deductible for most other covered services, including:

  • Hospital services
  • Emergency care
  • Diagnostic tests
  • Immunizations

Once you meet the $500 deductible, 80 percent of the cost for covered services is paid, and you pay only 20 percent.


Services are funded in part under a contract with the State of New Mexico.