• How can I find information about my health plan?
• What if I have questions about prescription drug benefits?
• Do I need to have Medicare Part A and B to be eligible for the NMSU Medicare Carveout Plan?
• Do I have to use a contracted BCBSNM doctor to receive benefits from Medicare and BCBSNM?
• Do I have to file a claim for payment to BCBSNM after Medicare pays?
• How do I find out what Medicare pays for?
• Who should I call if I have questions about my medical plan benefits?
• Who should I call for mental health services or chemical dependency treatments?
How can I find information about my health plan?
Here in the NMSU corner, you can look at benefit information or view prescription drug information.
If you have questions, you can send an email inquiry directly to BCBSNM Customer Service.
What if I have questions about prescription drug benefits?
To learn more about your prescription drug benefits, call Customer Service toll-free at 1-877-838-3875.
Do I need to have Medicare Part A and B to be eligible for the NMSU Medicare Carveout Plan?
No. To be eligible for coverage under the Medicare Carveout Plan, you must be an NMSU retiree, the eligible dependent of a retiree, or an eligible surviving dependent of a retiree or employee.
The Medicare Carveout Plan bases payment on how Medicare paid your claim. The Carveout Plan pays your Medicare deductible and coinsurance when you receive services from a provider that accepts Medicare assignment.
Do I have to use a contracted BCBSNM doctor to receive benefits from Medicare and BCBSNM?
No, you can go to any provider anywhere in the United States or around the world. Your out-of-pocket expenses will differ depending on whether the provider accepts Medicare assignment. If you receive Medicare-covered services from a provider that accepts Medicare assignment, you will be responsible for $0 out-of-pocket expenses. If you receive Medicare-covered services from a provider that does not accept Medicare assignment, you will be responsible for meeting the $100 deductible and 20 percent coinsurance.
Do I have to file a claim for payment to BCBSNM after Medicare pays?
If you receive services from a doctor who accepts Medicare assignment, the claim will be sent to BCBSNM automatically. You will not have to file a claim. If you receive services from a provider that does not accept Medicare assignment, you may have to send the claim to BCBSNM for processing. You will have to include the Medicare Explanation of Medicare Benefits (EOMB) with your claim.
How do I find out what Medicare pays for?
You can call toll-free at 1-800-MEDICARE (633-4227). Or you can send an e-mail inquiry to Medicare at www.medicare.gov.* You can also request a Medicare and You Handbook that explains your Medicare benefits.
Who should I call if I have questions about my medical plan benefits?
Whenever you have a question about your medical plan, contact BCBSNM Customer Service at the toll-free number on the back of your member ID card. You may also directly e-mail inquiries to Customer Service.
Who should I call for mental health services and chemical dependency treatments?
Medicare Carveout (MCO) Plan members do not need to call Mesa Mental Health or get a referral for services. However, if a service is not covered by Medicare, you or your physician will need to obtain prior approval from BCBSNM toll-free at 1-800-325-8334.
Learn More About NMSU Medicare Carveout Plan:
Benefit Information
Downloadable Forms
Provider Information
*We do our best to ensure that the information on the Web site listed above is useful, but can't be responsible for the content of that site or any information you may take from there (please read our legal disclaimer). When you click on a choice above, it will open in a new window so that you can explore that site without having to leave here. When you are through visiting the other site, you can close that window and return to the BCBSNM site.
