Medical, Dental, Vision Plan Information
Medical Plan
BlueCross BlueShield of New Mexico (BCBS)
- Website: BlueCross BlueShield of New Mexico
- Phone Numbers:
- Toll-free: 1 (888) 371-1928
- Nurseline: 1 (800) 973-6329
- Provider Directory: BlueCross BlueShield of N.M. Provider Directory
- Virtual Doctor Visits, Mental & Behavioral Healthcare Services: MDLive
- Summary: BCBS Summary of Benefits 2024 (PDF), BCBS Summary of Benefits and Coverage 2024 (PDF)
- Video explaining BCBS NM health plan benefits.
Cigna
- Website: Cigna Customer Login
- Phone Numbers:
- Toll-free: (800) Cigna24 or (800) 244-6224
- Telehealth or Virtual Visit: Amwell (855) 667-9722, MDLIVE (888) 726-3171. Offers mental and behavioral healthcare services.
- Mental/Behavioral Programs: Cigna Behavioral Programs
- Summary: Cigna Summary of Benefits 2024 (PDF), Cigna Summary of Benefits and Coverage 2024 (PDF)
- Video explaining Cigna health plan benefits.
Presbyterian Health Plan
- Website: Presbyterian Health Plan
- Phone Numbers:
- (505) 923-5600
- Toll-free: 1 (888) 275-7737
- Nurse Advice Line: 1 (866) 221-9679
- Provider Directory: Presbyterian Provider Directory
- Expanded Virtual Visit Options: Primary Care, Urgent Care, Dermatology & Mental Health Services: www.getcarephs.org
- Summary: Presbyterian Summary of Benefits 2024 (PDF), Presbyterian Summary of Benefits and Coverage 2024 (PDF)
- Video explaining Presbyterian Health Plan benefits.
True Health New Mexico (THNM)
True Health New Mexico (THNM) is no longer an APS medical plan option. However, through the end of 2023, THNM will continue to take member calls, address appeals and grievances, and process and pay claims from 2022 dates of services that were incurred by APS employees and their enrolled family members.
The True Health Customer Service phone number (844) 508-4677 will remain active through December 31, 2023. Employees with questions about their 2022 coverage or claims incurred in 2022 should call True Health for assistance.
- Website: True Health New Mexico
- Phone Number: 1 (877) 210-8339 (toll-free)
- Summary: True Health Summary of Benefits 2022 (PDF), True Health Summary of Benefits and Coverage 2022 (PDF)
Prescription Drug Plan
Express Scripts Benefit Information
- Website: Express Scripts
- Website: Express Scripts for APS Employees
- Phone Number: 1 (866) 563-9297
- Mobile App: Download the mobile application
2024 Summary of Benefits & Forms:
- Video explaining Express Scripts benefits.
- Express Scripts Summary of Benefits (PDF)
- Out of Pocket Claim Form (PDF)
Important Pharmacy Network Change
Due to contractual changes between Kroger Pharmacies and Express Scripts, prescriptions under your APS plan are no longer covered at Kroger Pharmacies, which includes Smith's Food & Drug. Effective January 1, 2023, if you continue to fill prescriptions or receive immunizations at Smith's pharmacy, you will likely pay a higher cost than at Express Scripts' in-network pharmacy.
About the Prescription Drug Program
By enrolling in one of the Albuquerque Public Schools medical plans, you are automatically covered under the prescription-drug program administered through Express Scripts. This program offers you the flexibility to purchase your medications either at a participating pharmacy or through Home Delivery/Mail Order.
Dental Plan
Delta Dental of New Mexico
- Website: Delta Dental of New Mexico
- Teledentistry Virtual Visits for after-hours emergency, dental emergencies while traveling:https://www.deltadentalnm.com/individuals-family/teledentistry/
- Phone Number:
- Albuquerque: (505) 855-7111
- Outside Albuquerque: 1 (877) 395-9420
2024 Summary of Benefits:
- Video explaining Delta Dental benefits.
- Delta Dental Basic Plan Summary of Benefits (PDF)
- Delta Dental Comprehensive Plan Summary of Benefits (PDF)
Dental Benefits Handbook
- Current Dental Benefits Handbook (PDF), Although the handbook is dated 2021, this is the current version.
Vision Plan
Davis Vision
- Website: Davis Vision
- Phone Number: 1 (800) 999-5431
- Provider Directory: Log in to access the provider directory
- New Davis Vision Client Code: 2055
2024 Summary of Benefits
- Video explaining Davis Vision benefits.
- Davis Vision Summary of Benefits 2024 (PDF)
Pre-tax Insurance Premium Plan (PIPP)
What is a Pre-tax Insurance Premium Plan?
A PIPP deducts your medical, dental and/or vision plan premiums from your paycheck before taxes are calculated and deducted. This reduces your taxable income which increases your Net take-home pay.
Who can enroll?
- All APS Employees who enroll for the APS medical, dental and/or vision plans may elect to pay their premiums on a pre-tax basis through PIPP.
- New benefit-eligible employees become eligible when their medical, dental, or vision plans become effective.
Employees are automatically enrolled in PIPP unless they decline the plan by checking “Decline PIPP” when completing the Benefits Enrollment/Change Form.
Premium Deductions
Usually, benefit premiums are deducted from pay after FICA and federal taxes are deducted, which means premiums are paid with after-tax dollars. With PIPP, your premiums are deducted from your salary before FICA and federal taxes are calculated.
- This reduces your taxable income by the amount of your premiums.
- At the end of the year, your medical, dental and/or vision premiums will not be included in your reportable W-2 income (but will show in another box on your W-2), and will not be subject to federal or state income taxes.
PIPP is regulated by Section 125 of the Internal Revenue Service Code.