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This letter is intended for Los Alamos National Laboratory retirees and current LANL employees living in Bernalillo, Sandoval, Torrance or Valencia counties.
If you are seeing a doctor who belongs exclusively to the Presbyterian Health Group (including Presbyterian Hospital), you should check to see if insurance benefits are available to you under the new LANL healthcare insurance plan provided through Blue Cross Blue Shield New Mexico as you may not be entitled to benefits from BCBSNM.
As far as I have been able to determine this is caused by Presbyterian Medical Group restricting coverage to the BCBSNM insured in these counties even if the entity providing the group policy is in a different county.
If you live in any other county in New Mexico (including Santa Fe and Los Alamos), I believe you will find that you don’t have this issue. I have called the LANL benefits office, Hewitt Associates and BCBSNM and I was informed by all three that it is Presbyterian that has placed this restriction. I am waiting for a return call from Presbyterian.
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