CHAVES COUNTY
STATE OF NEW MEXICO |
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CHAVES COUNTY
STATE OF NEW MEXICO |
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INSURANCE BENEFITS |
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Medical Plans
Effective July 1, 2005, Chaves County, through the State of New Mexico offers three different plans from which to choose. The first of which is a statewide Health Maintenance Organization (HMO) administered by Presbyterian Health Plan. The second is an Open Access Plus Plan administered by CIGNA Healthcare. The final option is dual option PPO Plan administered by Blue Cross Blue Shield of New Mexico.
Presbyterian Health
Plan
Presbyterian Health Plan is the State of New Mexico's Health Maintenance
Organization (HMO). Under this plan you will be required to select and access
care through a Primary Care Physician (PCP) who will assist you in coordinating
your health care through the Presbyterian network. However, effective July 1,
2005, referrals to network specialist are not required. Any services provided by
a non-participating provider must be pre-approved by Presbyterian in order to be
covered. Emergency and Urgent Care Services are the only out-of-state services
that are paid through this plan. Please refer to your summary plan
description/benefits summary for full details. Additional information can be
obtained by visiting
www.phs.org
CIGNA HealthCare Open
Access Plus Plan
The CIGNA HealthCare plan offers access to providers and hospitals in New
Mexico, Texas, Colorado, and across the country, through a seamless network.
Effective July 1, 2004 members will no longer need a referral to access care,
including specialist care. You are not required to select a Primary Care
Physician (PCP). When you visit a CIGNA contracted provider (PCP or Specialist)
you will have access to that care at the lowest out of pocket costs. The second
option includes the flexibility to visit any licensed provider outside the CIGNA
network at any time. Again, you do not need a referral or need to select a PCP,
but your out of pocket costs will be higher. Please refer to your summary plan
description/benefits summary for full details. Additional information can be
obtained by visiting
www.cigna.com
Blue Cross Blue
Shield of New Mexico
The Blue Cross Blue Shield dual option PPO plan provides choice and flexibility
in benefits on a nation wide basis. Effective July 1, 2005 members will no
longer need a referral to access specialist care. You are not required to select
a Primary Care Physician (PCP). When you visit a Blue Cross & Blue Shield
contracted PPO Primary Provider (PCP or OBGYN) you will have access to that care
at the lowest out of pocket costs. The second option includes the flexibility to
visit any licensed provider outside the Blue Cross & Blue Shield network at any
time. Again, you do not need a referral or need to select a PCP, but your out of
pocket costs will be higher. Please refer to your summary plan
description/benefits summary for full details.. Please refer to your summary
plan description/benefits summary for full detail. Additional information can be
obtained by visiting
www.bcbsnm.com
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| Insurance Internet Links |
MEDICAL PLANS:
Blue Cross/Blue Shield of New
Mexico
CIGNA
(Open Access Plus Plan)
Presbyterian
PRESCRIPTION PLAN:
Express Scripts
VISION PLAN:
Vision Service Plan
DENTAL PLAN:
DentalSource