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Traditional Insurance

At Reform ABQ we understand that a Direct Primary Care Membership might not be for everyone so, have partnered with a few health insurance plans to offer Primary Care to you and your family. We currently do not accept Medicare or Medicaid.

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Insurance VS Direct Primary Care?

When you choose to utilize commercial insurance we have to abide by the terms and conditions set forth by the insurance company and our office will function as a traditional primary care office for you and your family. 

Reform ABQ will have to set forth the following rules:

  • No same-day or next-day appointment guarantee. 

  • Access to the provider is limited to the office visit time and only through normal business hours. 

  • No after-hour availability. 

  • No access to the medication dispensing. 

  • Telehealth will be limited by the terms of the insurance company. 

  • Co-pay will be due at the time of service. 

  • If we are unable to verify insurance eligibility your appointment will be rescheduled. 

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Accepted Plans 

Contact our office if you have questions. 

BAV - Blue Advantage HMO

FEA - Federal Employee Program

CNN - Blue Community HMO Network

HMO - Health Maintenance Organization

PPO - Preferred Provider Organization

BCBS

UHC CORE HMO/CORE ESSENTIAL HMO

UHC CORE ESSENTIAL EPO

UHC CORE POS

Choice HMO/Choice Plus HMO

Choice EPO

Choice Plus POS

UHC NexusACO NR/NRB/NRP

UHC NexusACO NR/NRB EPO

UHC NexusACO NRP POS

UHC NexusACO R/RB/RP HMO

UHC NexusACO R/RB EPO

UHC NexusACO RP POS

UHC NexusACO OA/OAP HMO

UHC NexusACO OA EPO

UHC NexusACO OA POS

UHC Doctors Plan/Plus POS

UHC Doctors Plan EPO

UHC Doctors Plan Plus POS

Options PPO

UHC Charter Plus

UHC Charter Balanced

UHC Charter

Select/Select Plus HMO

Select EPO

Select Plus POS

UHC Navigate Plus

UHC Navigate Balance

UHC Navigate

United Healthcare

HMO

PPO

Aetna