Your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes vision care for eligible members. Davis Vision®* is in charge of these benefits. Benefits include routine vision care, eyeglasses, and eye check-ups.
Please note: If you have the Alternative Benefit Plan (ABP), routine vision care is not covered. ABP only covers vision care that is medically necessary to diagnose and treat eye disease. Under the ABP, one eye exam is covered every 36 months. This eye exam is to detect an eye disease or injury. The ABP does not cover refractions or eyeglasses, except after aphakia (when the lens of the eye is removed).
Finding a Provider
Do you need to find a vision provider in your area? Or do you want to confirm if a vision treatment needs prior authorization? Call Member Services at 1-866-689-1523.
You can also use Find a Provider to search for vision providers.
What is covered?
When you see an in-network provider, covered services include:
- Routine eye exams
- Eyeglasses (frames and/or lenses)
- Replacement lenses
- Aids to manage double vision
- Minor repairs to eyeglasses
Do you have diabetes or another disease that could affect your eyesight? You may be eligible for more than the standard number of eye exams each year.
Vision benefits can vary depending on your age. Check the Member Handbook for a list of covered services.
What is not covered?
This plan does not cover:
- Eyeglasses or contact lens insurance
- Low vision aids
- Laser vision correction
- Trifocals
- Anti-scratch, anti-reflective, or mirror coating
Check the Member Handbook for the list of non-covered services.
Prior Approval for Vision Care
Some vision care requires approval from BCBSNM. This approval is called “prior authorization.” You must receive this approval before treatment. If BCBSNM does not approve the service, the cost will not be covered (paid) by BCBSNM. To learn more, check the Member Handbook. Or call Member Services.
Questions?
Call Member Services at 1-866-689-1523.
*Blue Cross and Blue Shield of New Mexico vision care services are administered by Davis Vision.