UNM Health

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Network Options

UNM Health network

Primary care locations throughout Albuquerque:

  • UNM Health System
  • DaVita Medical Group
  • First Choice Community Health Providers and Facilities

Coordinated Care Model

Primary Care Team coordinates care and facilitates the referral process to UNM Health System specialty care, and requires Benefit Determination for services external to the UNM Health System.

Extended Network (Tier 2)

Requires Benefit Determination from UNM Health for non-urgent/non-emergent care prior to receiving care.

Access to BCBSNM providers and hospitals (list available on BCBSNM's website).

Out-of-Network

  • If Benefit Determination for the Extended-Tier 2 network is not obtained, benefits are out-of-network.
  • Providers and facilities not contracted with your TPA.
  • Only usual and customary charges are covered.

To find out if your doctor is on the list of providers:

  • Check UNM Health's Find a Doctor page
  • UNM Health, 505-925-2432
  • DaVita Medical Group:
    • Local 505-262-7600
    • Toll-free 1-888-354-4968

Medical ID Cards

Medical ID cards will be sent directly from UNM Health.

Prescription ID Cards

UNM contracts directly with a Prescription Benefits Manager (PBM), Express Scripts, Inc., for the administration of prescription drug benefits.

Enrollment in the UNM Prescription Drug Plan is automatic once enrolled in the UNM Health, BlueCross BlueShield of New Mexico, or Presbyterian Medical Plan.

Prescription Drug ID cards will be sent directly from Express Scripts. Dependents will not receive a card with their name(s). Everyone covered will use the card with the primary member's name.

If you did not receive your ID card, please contact Express Scripts to have one sent to you.

You must remember to provide your Express Scripts ID card to your pharmacist.

For details, please visit the Prescription Drug Plan webpage.

Contact Information

UNM Health Customer Service: 505-925-2432

DaVita Medical Group:

  • Local 505-262-7600
  • Toll-free 1-888-354-4968
UNM Health Plan website