| Presbyterian | Lovelace | United Healthcare | BCBS of NM Preferred Network | |
|---|---|---|---|---|
| Deductible | ||||
| Single | $150 | $150 | $300 | $300 |
| 2 Person | $300 | $300 | $600 | $600 |
| Family | $450 | $450 | $900 | $900 |
| Out of Pocket Maximum | ||||
| Single | $3,000 | $3,000 | $3,000 | $3,000 |
| 2 Person | $6,000 | $6,000 | ||
| Family | $9,000 | $9,000 | $9,000 | $9,000 |
| Physician Office Visit | ||||
| Primary Care | $15 | $15 | $20 | $20 |
| Specialty Care | $30 | $30 | $30 | $30 |
| Preventative Services | ||||
| Routine Physical | No Co-Pay | No Co-Pay | No Co-Pay | No Co-Pay |
| Well Child Care | No Co-Pay | No Co-Pay | No Co-Pay | No Co-Pay |
| Hospital Services | ||||
| In Patient Admission | $400 per admission | $400 per admission | $400 per admission | $400 per admission |
| Outpatient Surgery | 10% | 10% | 10% | 10% |
| Emergency Room Visit | $175 | $175 | $175 | $175 |
| Urgent Care Center | $50 | $50 | $50 | $50 |
| Ambulance Services (Ground Transportation) | ||||
| $30 | $30 | 20% | 20% | |
| Air Ambulance | ||||
| $100 | $100 | 20% | 20% | |
| Durable Medical | ||||
| 20% | 20% | 25% | 25% | |
- Benefit Services
- MSC 3HRS * P.O. Box 30001 * Las Cruces, NM 88003 * Hadley Hall, Room 17
- (575) 646-8000 * benefits@nmsu.edu