Benefits and pharmacy
Below, find links to Summary of Benefits (SOB), Evidence of Coverage (EOC) and formulary for individual Medicare Advantage products. If the product you are searching for is not on the list below, please call the number on the back of the member’s ID card.
2020 New Mexico Medicare Advantage products
Service area: Bernalillo, Sandoval, Santa Fe, Torrance and Valencia counties
Service area: Bernalillo, Sandoval, Santa Fe, Torrance and Valencia counties
2021 Amerivantage offered by Amerigroup products
Service area: Bernalillo, Sandoval, Santa Fe, Torrance and Valencia counties
Service area: Bernalillo, Sandoval, Santa Fe, Torrance and Valencia counties
Benefits partners
*LabCorp and Quest Diagnostics are independent companies providing some laboratory services on behalf of Amerigroup Community Care of New Mexico, Inc. DentaQuest is an independent company providing dental benefit management services on behalf of Amerigroup Community Care of New Mexico, Inc. AIM Specialty Health is an independent company providing some utilization review services on behalf of Amerigroup Community Care of New Mexico, Inc. Superior Vision is an independent company providing vision services on behalf of Amerigroup Community Care of New Mexico, Inc.
Pharmacy
Please refer to the formulary when prescribing for Amerigroup Amerivantage (Medicare Advantage) members. Though most medications on the formulary are covered without prior authorization (PA), a few agents will require you to obtain an authorization. For Medicare Advantage Part B, contact the Provider Services department at 1-866-805-4589, option 5, from 8 a.m. to 8 p.m. local time, Monday through Friday.