PPO Plans: Carriers (BCBSNM, Principal & United Health Care)
Employee/individual pays an annual deductible and the insurance company pays a portion of their medical bills after that. PPO plans offer employee/individual choice of receiving care from a preferred provider at a higher level of coverage or from their choice of providers outside the PPO network.
HMO Plans:
Carriers (BCBSNM, Lovelace, Presbyterian)
Employee/individual pays a co-pay to each doctor and the plan pays for most of all of the remaining covered medical bills. HMO plans require an employee/individual or spouse to live and work in the HMO's service areas. HMO medical care is coordinated through a Primary Care Physician that the employee/individual chooses from the panel of available doctors. |