Effective July 1, 2026 Food Services C-Schedule Medical Premium Rates

Medical Premium Rates for Food Services/C-Schedule, effective July 1, 2026, through December 31, 2026.

 

Twice a Month Payroll Deductions

Deductions for your medical insurance premium will come out of your paycheck on the 10th and 25th of each month. The amount you see below is what will be taken out of each paycheck based on the Food Services/C-schedule of 18 paychecks for the year. 

Premium Rates For All Benefits Eligible C-Schedule Employees
(EE 20% - APS 80% of Total Premium)

Plan	Single	Double	Family
Blue Cross Blue Shield NM	$107.14	$214.27	$289.26
Presbyterian Health Plan	$112.50	$224.99	$303.73

Express Scripts Prescription Drug Benefits

By enrolling in one of the APS medical plans, employees and dependents are automatically covered under the prescription medication program - Express Scripts. This program offers benefits through participating retail pharmacies and home delivery from Express Scripts Pharmacy and Accredo. For 2026, there are no copay increases for preferred brand, non-preferred brand, specialty medications, or changes to out-of-pocket maximums. 

Important Notice: GLP-1 Medications for Weight Loss

GLP-1s (Glucagon-Like Peptide 1 receptor agonists) are commonly used to help adults with type 2 diabetes who are struggling to reach their A1C goals. They have recently grown in popularity for their potential to promote weight loss. To support eligible APS members with weight loss through the use of GLP-1 medication, a lifestyle modification program will be offered through Teladoc Livongo.

View the new GLP-1 medications for weight loss requirements and procedures. Once the eligible member has enrolled in the required lifestyle modification program for weight loss using a GLP-1 medication, a clinical prior authorization must be completed by a prescribing physician for a GLP-1 prescription to be processed and dispensed for weight loss.  GLP-1 medications for weight loss will not be available to eligible APS members unless they remain enrolled in, participating in, and meeting the lifestyle modification program requirements.  These requirements must continue to be met for GLP-1 dispensing and ongoing medication management for weight loss. 

GLP-1 prescriptions (with an active prior authorization) may be dispensed for up to a 30-day supply at participating in-network retail pharmacies. Once stable on therapy, up to a 90-day supply of a maintenance dose may be dispensed through Walgreens or through Express Scripts GLP-1 dedicated home delivery pharmacy called Evernorth EnGuide SM Pharmacy.

Copayments/Coinsurance

Copays for generic, preferred brand, and non-preferred brand medications for 2026.

	Coinsurance	Min (retail up to 34-day supply)	Max (retail up to 34-day supply)	90-day/home delivery or Walgreens
Generic (no change)	20%		$10	$20
Preferred Brand Formulary	30%	$50	$100	$150
Non-Preferred Brand	40%	$100	$175	$300

Specialty Medication Copays for 2026 (up to 30-day supply)

Generic	Preferred Brand	Non-Preferred Brand
$100	$125	$200

Pharmacy Out-of-Pocket Maximums for 2026

Employee Only	Emp. +1	Family
$3,000	$4,000	$4,000

If you fill a prescription for a brand-name medication when a generic equivalent is available, you will pay the applicable copayment/coinsurance plus the difference in cost between the brand and the generic. The difference in cost will apply toward the out-of-pocket maximum. 

If you need long-term medication, you are allowed two fills at an in-network retail pharmacy before you must move your prescription to a 90-day supply through Express Scripts® Pharmacy or Walgreens. 

For more information about your Express Scripts benefits, go to express-scripts.com/aps.nm. Please refer to the complete Express Scripts Summary of Benefits for more detailed information, and for information and copayment amounts specific to specialty medications. Specialty medications must be filled through Accredo, the Express Scripts specialty pharmacy.