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Mid-Market Group Health Insurance Plans

Blue Cross and Blue Shield of New Mexico offers health care plans with the choice, flexibility and affordable options that growing companies in the 51-150 market want.

The 2023 BCBSNM Mid-Market Group Portfolio is available from July 1, 2023, through June 30, 2024. Check out what's in store this year to help employers reduce health care costs and improve the lives of their employees. And learn what we're doing to make it easier for members to stay healthy throughout the year. 

Mid-Market Business Coverage with Big Benefits

The following network products are available for mid-market groups with 51-150 participants.

BluePPO EvolutionSM

Deliver broad coverage and choices to your client's employees by giving them access to our statewide PPO provider network— the most comprehensive provider network in New Mexico.

  • Broad Statewide PPO Network
  • No Primary Care Provider (PCP) selection required
  • No referral required
  • Out-of-network benefits
  • BlueCard access

BlueNet EPOSM and BlueNet H EPOSM

The BlueNet Exclusive Provider Option (EPO) provides client's employees with immediate benefits without having to meet the deductible. The BlueNet “H” EPO (ASO only) gives your client's employees comprehensive coverage with simple cost-sharing features.

  • Broad Statewide EPO Networks
  • No PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access

Blue Preferred EPOSM

Lower cost option when compared to the larger PPO network. While it is a statewide network, it offers a high concentration of providers in these four Albuquerque counties: Bernalillo, Valencia, Torrance, and Sandoval.

  • Smart statewide EPO network
  • PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access

HMO BlueSM

With HMO Blue, your client's employees choose a PCP from our large statewide network of providers. Employees have predictable copays and do not have to meet a deductible when visiting participating providers.

  • Broad statewide HMO network
  • PCP selection required
  • No referral required
  • No out-of-network benefits
  • BlueCard access available for urgent and emergency services only

Blue Preferred PlusSM

Tiered Statewide PPO

  • Leverages benefit design to increase utilization at cost-effective providers.
  • There are three benefit tiers:
    • Tier 1 – Blue Preferred EPO. Lower cost-share when employees select from this network of providers
    • Tier 2 – Broad PPO. Give employees flexibility of accessing broader PPO network, but with a higher cost-share
    • Tier 3 – Out of Network. The ability to use OON providers and still receive some coverage
  • Primary Care Provider (PCP) selection required
  • No referral required
  • BlueCard access, but paid at Tier 2

Bundling Life and Disability Programs Reduces Premiums

Offering ancillary benefits alongside medical coverage can help employers protect their employees’ physical and financial wellbeing while providing them with peace of mind.  We offer ancillary benefits with medical benefits under a single brand. This comprehensive approach to coverage enables us to focus on supporting the overall health, wellbeing and financial security of your client's employees.

The Ancillary Producers Corner, our secure password-protected site, offers up-to-date sales tools to save you time, help grow your business and successfully service existing ancillary group customers.