Planes de salud de Medicaid en New Mexico

Servicios para miembros: 1-866-689-1523

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• Nonemergency medical transportation

  Members can schedule medical transportation at no cost to get to the pharmacy, a doctor visit, or urgent care.

• Dental care

  The plan covers dental exams, cleanings, fillings, and more.

• Vision care

  The plan covers routine eye exams, checkups, and eyeglasses.

• Home meal delivery

  Members transitioning from an inpatient stay or a long term care facility who cannot shop for food or prepare meals can get home meal delivery.

• Blue Cross and Blue Shield of New Mexico Obtenido el 2026-07-17
• Blue Cross and Blue Shield of New Mexico Obtenido el 2026-07-17
• Blue Cross and Blue Shield of New Mexico Obtenido el 2026-07-17
• Blue Cross and Blue Shield of New Mexico Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured New Mexico Health Care Authority (HCA) Turquoise Care overview page (hca.nm.gov/turquoise-care/). New Mexico's Medicaid managed care enrollment channel is not a separate third-party broker the way Texas, Florida, or New York use one; a person picks an MCO directly through the state's own YES.NM.GOV portal or the Health Care Authority's Consolidated Customer Service Center, run by the same state agency that runs Turquoise Care itself. The legacy yes.state.nm.us domain still referenced in some HCA copy 301-redirects straight to yes.nm.gov (confirmed live 2026-07-17), so yes.nm.gov is recorded as the current portal_url. The areas.statewide.plans roster fact is quote-gate verified against the same captured Turquoise Care overview snapshot: the page lists all four MCO names as one contiguous block, right after the line 'Read more about each health plan on their websites:', one plan name per line, so the fact's verbatim_quote is that single contiguous four-name block rather than a compiled composite. A second captured HCA page, the Turquoise Care Health Plans roster (hca.nm.gov/turquoise-care-health-plans/), independently corroborates the same four MCOs and supplied each plan's own member services phone number used on its plan record below, though it is not itself cited by a fact. choice_window_days is left null with an honest not_found fact: the only '90 days' figures found in HCA's own Turquoise Care Systems Manual and open-enrollment materials describe either the one-time program-launch transition window around the July 1, 2024 Turquoise Care start date, or a 90-day advance reminder letter sent before a member's annual 12-month lock-in period ends, not a single evergreen choice-window length that would be honest to quote as a standing figure; HCA's own 'How to Switch MCOs' page (hca.nm.gov/lookingforinformation/how-to-switch-mcos/, also captured here) instead describes an outside-of-recertification 'for cause' switch process (poor quality of care, lack of access to covered benefits, or lack of access to providers) via a written MAD 776 form, which is what switch_note describes. New Mexico's Health Care Authority is procuring a statewide Medicaid Preferred Drug List for 2026 (hca.nm.gov/preferred-drug-list/); a PDL document dated for a July 1, 2026 effective date has been posted there, but the page's own prose still describes the PDL as under development pending a vendor, so each plan's own formulary or pharmacy benefit manager page is used here as formulary_url instead of one statewide URL, pending clearer confirmation that the PDL fully supersedes MCO-level formularies; a human reviewer should re-check this before this state ships. Carrier legal names for Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, and Presbyterian Health Plan were confirmed against their own New Mexico Office of Superintendent of Insurance (osi.state.nm.us) quarterly statement filings. UnitedHealthcare Community Plan of New Mexico is the marketing brand of the NM-licensed carrier entity UnitedHealthcare of New Mexico, Inc., also confirmed via an OSI quarterly statement filing. Presbyterian Health Plan publishes two member services numbers on its own site (505-923-5200 local and 888-977-2333 toll free); the toll-free number is recorded here, noted for a human reviewer. Provider directory URLs, formulary/PBM URLs, and extra benefits for all four plans were verified against each plan's own official Turquoise Care Medicaid pages but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today, so the state as a whole stays unverified.

Servicios para miembros: 1-844-862-4543

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• Dental care

  Dental services are covered for Medicaid eligible members, including adults, pregnant women, and children, through DentaQuest.

• Vision care

  The plan covers one eye exam and one pair of glasses each year for members age 20 and under, and one eye exam and one pair of glasses every three years for members age 21 and older.

• Nonemergency medical transportation

  The plan covers unlimited nonemergency medical transportation to get to medically necessary covered services.

• Molina Healthcare of New Mexico Obtenido el 2026-07-17
• Molina Healthcare of New Mexico Obtenido el 2026-07-17
• DentaQuest Obtenido el 2026-07-17
• Molina Healthcare of New Mexico Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured New Mexico Health Care Authority (HCA) Turquoise Care overview page (hca.nm.gov/turquoise-care/). New Mexico's Medicaid managed care enrollment channel is not a separate third-party broker the way Texas, Florida, or New York use one; a person picks an MCO directly through the state's own YES.NM.GOV portal or the Health Care Authority's Consolidated Customer Service Center, run by the same state agency that runs Turquoise Care itself. The legacy yes.state.nm.us domain still referenced in some HCA copy 301-redirects straight to yes.nm.gov (confirmed live 2026-07-17), so yes.nm.gov is recorded as the current portal_url. The areas.statewide.plans roster fact is quote-gate verified against the same captured Turquoise Care overview snapshot: the page lists all four MCO names as one contiguous block, right after the line 'Read more about each health plan on their websites:', one plan name per line, so the fact's verbatim_quote is that single contiguous four-name block rather than a compiled composite. A second captured HCA page, the Turquoise Care Health Plans roster (hca.nm.gov/turquoise-care-health-plans/), independently corroborates the same four MCOs and supplied each plan's own member services phone number used on its plan record below, though it is not itself cited by a fact. choice_window_days is left null with an honest not_found fact: the only '90 days' figures found in HCA's own Turquoise Care Systems Manual and open-enrollment materials describe either the one-time program-launch transition window around the July 1, 2024 Turquoise Care start date, or a 90-day advance reminder letter sent before a member's annual 12-month lock-in period ends, not a single evergreen choice-window length that would be honest to quote as a standing figure; HCA's own 'How to Switch MCOs' page (hca.nm.gov/lookingforinformation/how-to-switch-mcos/, also captured here) instead describes an outside-of-recertification 'for cause' switch process (poor quality of care, lack of access to covered benefits, or lack of access to providers) via a written MAD 776 form, which is what switch_note describes. New Mexico's Health Care Authority is procuring a statewide Medicaid Preferred Drug List for 2026 (hca.nm.gov/preferred-drug-list/); a PDL document dated for a July 1, 2026 effective date has been posted there, but the page's own prose still describes the PDL as under development pending a vendor, so each plan's own formulary or pharmacy benefit manager page is used here as formulary_url instead of one statewide URL, pending clearer confirmation that the PDL fully supersedes MCO-level formularies; a human reviewer should re-check this before this state ships. Carrier legal names for Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, and Presbyterian Health Plan were confirmed against their own New Mexico Office of Superintendent of Insurance (osi.state.nm.us) quarterly statement filings. UnitedHealthcare Community Plan of New Mexico is the marketing brand of the NM-licensed carrier entity UnitedHealthcare of New Mexico, Inc., also confirmed via an OSI quarterly statement filing. Presbyterian Health Plan publishes two member services numbers on its own site (505-923-5200 local and 888-977-2333 toll free); the toll-free number is recorded here, noted for a human reviewer. Provider directory URLs, formulary/PBM URLs, and extra benefits for all four plans were verified against each plan's own official Turquoise Care Medicaid pages but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today, so the state as a whole stays unverified.

Servicios para miembros: 1-888-977-2333

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• Routine dental exams

  Routine exams to keep your teeth and gums strong.

• Routine eye exams

  Eye exams to keep your eyes healthy.

• Rides to medical appointments

  Help to get you to and from your medical appointments.

• Meals on Wheels

  For members in care coordination returning home from an inpatient admission who have a food insecurity.

• Presbyterian Health Plan, Inc. Obtenido el 2026-07-17
• Presbyterian Health Plan, Inc. Obtenido el 2026-07-17
• Presbyterian Health Plan, Inc. Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured New Mexico Health Care Authority (HCA) Turquoise Care overview page (hca.nm.gov/turquoise-care/). New Mexico's Medicaid managed care enrollment channel is not a separate third-party broker the way Texas, Florida, or New York use one; a person picks an MCO directly through the state's own YES.NM.GOV portal or the Health Care Authority's Consolidated Customer Service Center, run by the same state agency that runs Turquoise Care itself. The legacy yes.state.nm.us domain still referenced in some HCA copy 301-redirects straight to yes.nm.gov (confirmed live 2026-07-17), so yes.nm.gov is recorded as the current portal_url. The areas.statewide.plans roster fact is quote-gate verified against the same captured Turquoise Care overview snapshot: the page lists all four MCO names as one contiguous block, right after the line 'Read more about each health plan on their websites:', one plan name per line, so the fact's verbatim_quote is that single contiguous four-name block rather than a compiled composite. A second captured HCA page, the Turquoise Care Health Plans roster (hca.nm.gov/turquoise-care-health-plans/), independently corroborates the same four MCOs and supplied each plan's own member services phone number used on its plan record below, though it is not itself cited by a fact. choice_window_days is left null with an honest not_found fact: the only '90 days' figures found in HCA's own Turquoise Care Systems Manual and open-enrollment materials describe either the one-time program-launch transition window around the July 1, 2024 Turquoise Care start date, or a 90-day advance reminder letter sent before a member's annual 12-month lock-in period ends, not a single evergreen choice-window length that would be honest to quote as a standing figure; HCA's own 'How to Switch MCOs' page (hca.nm.gov/lookingforinformation/how-to-switch-mcos/, also captured here) instead describes an outside-of-recertification 'for cause' switch process (poor quality of care, lack of access to covered benefits, or lack of access to providers) via a written MAD 776 form, which is what switch_note describes. New Mexico's Health Care Authority is procuring a statewide Medicaid Preferred Drug List for 2026 (hca.nm.gov/preferred-drug-list/); a PDL document dated for a July 1, 2026 effective date has been posted there, but the page's own prose still describes the PDL as under development pending a vendor, so each plan's own formulary or pharmacy benefit manager page is used here as formulary_url instead of one statewide URL, pending clearer confirmation that the PDL fully supersedes MCO-level formularies; a human reviewer should re-check this before this state ships. Carrier legal names for Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, and Presbyterian Health Plan were confirmed against their own New Mexico Office of Superintendent of Insurance (osi.state.nm.us) quarterly statement filings. UnitedHealthcare Community Plan of New Mexico is the marketing brand of the NM-licensed carrier entity UnitedHealthcare of New Mexico, Inc., also confirmed via an OSI quarterly statement filing. Presbyterian Health Plan publishes two member services numbers on its own site (505-923-5200 local and 888-977-2333 toll free); the toll-free number is recorded here, noted for a human reviewer. Provider directory URLs, formulary/PBM URLs, and extra benefits for all four plans were verified against each plan's own official Turquoise Care Medicaid pages but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today, so the state as a whole stays unverified.

Servicios para miembros: 1-877-236-0826

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• Extra dental cleanings

  The plan covers four teeth cleanings a year. Standard Medicaid covers one cleaning a year.

• Vision care

  The plan covers routine eye exams and prescription eyeglasses, managed through March Vision.

• Bus pass or mileage reimbursement

  Members may qualify for a bus pass or mileage reimbursement for a friend or family member who drives them to appointments.

• UnitedHealthcare Community Plan Obtenido el 2026-07-17
• UnitedHealthcare Community Plan Obtenido el 2026-07-17
• UnitedHealthcare Community Plan Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured New Mexico Health Care Authority (HCA) Turquoise Care overview page (hca.nm.gov/turquoise-care/). New Mexico's Medicaid managed care enrollment channel is not a separate third-party broker the way Texas, Florida, or New York use one; a person picks an MCO directly through the state's own YES.NM.GOV portal or the Health Care Authority's Consolidated Customer Service Center, run by the same state agency that runs Turquoise Care itself. The legacy yes.state.nm.us domain still referenced in some HCA copy 301-redirects straight to yes.nm.gov (confirmed live 2026-07-17), so yes.nm.gov is recorded as the current portal_url. The areas.statewide.plans roster fact is quote-gate verified against the same captured Turquoise Care overview snapshot: the page lists all four MCO names as one contiguous block, right after the line 'Read more about each health plan on their websites:', one plan name per line, so the fact's verbatim_quote is that single contiguous four-name block rather than a compiled composite. A second captured HCA page, the Turquoise Care Health Plans roster (hca.nm.gov/turquoise-care-health-plans/), independently corroborates the same four MCOs and supplied each plan's own member services phone number used on its plan record below, though it is not itself cited by a fact. choice_window_days is left null with an honest not_found fact: the only '90 days' figures found in HCA's own Turquoise Care Systems Manual and open-enrollment materials describe either the one-time program-launch transition window around the July 1, 2024 Turquoise Care start date, or a 90-day advance reminder letter sent before a member's annual 12-month lock-in period ends, not a single evergreen choice-window length that would be honest to quote as a standing figure; HCA's own 'How to Switch MCOs' page (hca.nm.gov/lookingforinformation/how-to-switch-mcos/, also captured here) instead describes an outside-of-recertification 'for cause' switch process (poor quality of care, lack of access to covered benefits, or lack of access to providers) via a written MAD 776 form, which is what switch_note describes. New Mexico's Health Care Authority is procuring a statewide Medicaid Preferred Drug List for 2026 (hca.nm.gov/preferred-drug-list/); a PDL document dated for a July 1, 2026 effective date has been posted there, but the page's own prose still describes the PDL as under development pending a vendor, so each plan's own formulary or pharmacy benefit manager page is used here as formulary_url instead of one statewide URL, pending clearer confirmation that the PDL fully supersedes MCO-level formularies; a human reviewer should re-check this before this state ships. Carrier legal names for Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, and Presbyterian Health Plan were confirmed against their own New Mexico Office of Superintendent of Insurance (osi.state.nm.us) quarterly statement filings. UnitedHealthcare Community Plan of New Mexico is the marketing brand of the NM-licensed carrier entity UnitedHealthcare of New Mexico, Inc., also confirmed via an OSI quarterly statement filing. Presbyterian Health Plan publishes two member services numbers on its own site (505-923-5200 local and 888-977-2333 toll free); the toll-free number is recorded here, noted for a human reviewer. Provider directory URLs, formulary/PBM URLs, and extra benefits for all four plans were verified against each plan's own official Turquoise Care Medicaid pages but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today, so the state as a whole stays unverified.