2024 QHP Small Group Policy Documents

Below is a list of actual policy documents for Blue Cross and Blue Shield of New Mexico QHP small group coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.

If you have questions, contact a customer service representative at 1-866-236-1702 for more information.

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Platinum Plans

Blue PPO Platinum Plans
Off Exchange

• P811PPO Blue PPO Platinum 111
• P810PPO Blue PPO Platinum 110
• P730PPO Blue PPO Platinum 301

Blue Preferred Platinum EPO Plans
Off Exchange

• P821PFR Blue Preferred Platinum EPO 128
• P820PFR Blue Preferred Platinum EPO 127
• P730PFR Blue Preferred Platinum 301

Blue Advantage Platinum HMO Plans

• P7J4ADT Blue Advantage Platinum HMO 210

Gold Plans

Blue PPO Gold Plans
Off Exchange

• G822PPO Blue PPO Gold 104
• G7E1PPO Blue PPO Gold 114
• G820PPO Blue PPO Gold 102
• G821PPO Blue PPO Gold 103
• G823PPO Blue PPO Gold 107
• G7E3PPO Blue PPO Gold 115
• G730PPO Blue PPO Gold 302

Blue HMO Network Gold Plans
Off Exchange

• G7E1HMO Blue HMO Network Gold 204
• G7E3HMO Blue HMO Network Gold 205
• G7N1HMO Blue HMO Network Gold 401

Blue Advantage Gold Plans
Off Exchange

• G7E1ADT Blue Advantage Gold HMO 207
• G7J5ADT Blue Advantage Gold HMO 209
• G7N1ADT Blue Advantage Gold HMO 401

Blue Preferred EPO Gold Plans
Off Exchange

• G832PFR Blue Preferred Gold EPO 122
• G833PFR Blue Preferred Gold EPO 123
• G836PFR Blue Preferred Gold EPO 130
• G7E1PFR Blue Preferred Gold EPO 137
• G801PFR Blue Preferred Gold EPO 208
• G835PFR Blue Preferred Gold EPO 129
• G730PFR Blue Preferred Gold EPO 302

Silver Plans

Blue PPO Silver Plans
Off Exchange

• S830PPO Blue PPO Silver 105
• S7E4PPO Blue PPO Silver 116
• S831PPO Blue PPO Silver 106
• S7E7PPO Blue PPO Silver 117
• S833PPO Blue PPO Silver 108

Blue Preferred Silver EPO
Off Exchange

• S7E1PFR Blue Preferred Silver EPO 135
• S842PFR Blue Preferred Silver EPO 131
• S7E5PFR Blue Preferred Silver EPO 136
• S840PFR Blue Preferred Silver EPO 125

Blue HMO Network Silver Plans
Off Exchange

• S840PFR Blue Preferred Silver EPO 125

Blue Advantage Silver Plans
Off Exchange

• S7E3ADT Blue Advantage Silver HMO 208

Bronze Plans

Blue PPO Bronze Plans
Off Exchange

• B832PPO Blue PPO Bronze 134
• B730PPO Blue PPO Bronze 303

Blue Preferred Bronze EPO Plans
Off Exchange

• B832PFR Blue Preferred Bronze EPO 134
• B832PFR Blue Preferred Bronze EPO 134