Your health is our priority. With a BCBSNM health plan, you have access to care for COVID-19 related health issues.
Unless you are enrolled in an HSA-eligible High Deductible Health Plan (HDHP), BCBSNM is waiving your share of some COVID-19 costs as required by applicable rules declared by the federal government and the state of New Mexico.
- COVID-19 vaccines are covered for all members at no cost.
- Unless you are enrolled in an HSA-eligible HDHP, COVID-19 diagnostic lab tests are covered at no cost. (However, tests for things like return to work or school, travel and recreational event requirements may not be covered.)
- Over-the-counter COVID-19 diagnostic tests are not covered through your medical or pharmacy benefits.
- Unless you are enrolled in an HSA-eligible HDHP, COVID-19 testing-related visits are covered when you see a primary care provider in your health plan’s network, either in person or using telemedicine.
- Unless you are enrolled in an HSA-eligible HDHP, Cost-sharing is waived for COVID-19 treatment if you are a member in a fully insured group, individual, Medicare (excluding Part D), Medicare Supplement, or Medicaid plan.
- FDA-authorized oral anti-viral prescription medicines to treat mild to moderate COVID-19 may be covered under your pharmacy benefit. These medicines are Paxlovid and Lagevrio (molnupiravir). There is a limit of one course of treatment every 90 days per person. You will pay your member cost share, based on your benefit plan.
Benefits for members of self-funded (“ASO Only“) plans may vary. If you are unsure what your plan covers, contact your benefits administrator or call BCBSNM Customer Service at the number listed on your member ID card.
Remember to use your BCBSNM member ID card for your doctor’s visit and testing to help with the reimbursement process.