You pay lower co-pays and coinsurance amounts when you access the UNM Health Network.
Our extended network is provided by BCBSNM. Access to the Extended Network within New Mexico:
Services are considered out-of-network if providers and facilities are not contracted with UNM Health and a Benefit Determination for the Extended-Tier 2 network is not obtained.
Only usual and customary charges are covered, and some preventive services are not covered for Out-of-Network providers.
Please refer to your Schedule of Benefits or contact UNM Health Customer Care.
Emergency room and urgent care visits for all members, and regular appointments for dependents who live out of state, are covered at the Tier 2 benefit level when you use UNM Health's BCBS extended network.
Notify UNM Health Customer Care of dependents living out of state.