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D
o you feel like a
target for bugs
when you ven-
ture outdoors?
While you might not be able to
avoid every encounter with the insect
world, you can actually do a lot to
steer clear of bug bites and stings.
And doing so may help protect your
health. Stings can be dangerous if you
are allergic, and bug bites can spread
diseases, such as West Nile virus and
Lyme disease.
Here are some tips from the
American College of Emer-
gency Physicians and
other experts.
•
Offer no safe harbor.
Standing
water attracts mosquitoes, and soon
you have a breeding ground in your
yard. Get rid of—or frequently
empty—buckets, pet dishes and
other potential water sources. And
keep pests out of the house with
window screens or netting.
•
Apply for protection.
If you are
heading into insect territory—
such as woody, brushy or grassy
areas—repellents containing
DEET can help ward off stings
and bites. Be careful not to
use any insect repellents on
babies, however. Repellents
used on older kids should contain
no more than 30 percent DEET.
•
Be unattractive—to bugs,
that is.
Insects can be attracted
to fragrances. So don’t use heav-
ily scented products, and forgo
perfume.
•
Cover up.
Wear long sleeves and
long pants.
•
Get help.
Seek medical treatment
right away if you are bitten or
stung and experience symptoms
such as wheezing, hives,
nausea, vomiting, dizziness,
trouble breathing, chest
tightness, and itching or
swelling of any part of
the face.
Our pharmacy benefit manager, OptumRx, has made the following
changes to our formulary (list of covered drugs). You can find our
complete formulary on our website,
www.mynmhc.org/formulary.aspx .Numbers you
need to know
CUSTOMER SERVICE:
877-775-0287,
Monday through Friday,
8 a.m. to 5 p.m.
•
Benefits.
•
ID cards.
•
Payment and billing
questions.
•
Claims questions, status
and reconsiderations.
•
Changes to member
information
•
Member login help.
•
General information.
OPTUMRX,
OUR PHARMACY
BENEFIT MANAGER:
855-577-6550
BRIOVA, OUR SPECIALTY
PHARMACY:
866-618-6741
{ G O O N L I N E }
New to NMHC?
If you recently joined NMHC,
welcome! We have created a page
on our website just for you that
provides information on many of the
most common questions new members have.
Visit
www.mynmhc.org/new-members.aspxto learn:
2440 Louisiana Blvd. NE, Suite 601
Albuquerque, NM 87110
Standard
U.S. Postage
PAID
Walla Walla, WA
Permit No. 44
DOUBLE DOSE
OF TROUBLE
NMHC helped
Dominic get his
life back when
problems hit
2
LOWER YOUR
HEALTH BILL
How to avoid
paying more
for a diagnostic
test
3
Bug basics
HOW TO AVOID THINGS THAT BITE AND STING
Updates to our formulary
Moving to a
nonpreferred
brand tier
Moving to a
specialty
(nonpreferred
brand) tier
•
Cresemba
•
Invega Trinza
•
Narcan
•
Rexulti
•
Veltassa
•
Zyprexa Relprevv
•
Coagadex
•
Daklinza
•
Orenitram
•
Portrazza
•
Uptravi
•
Zepatier
•
Zykadia
Formulary changes
effective May 1, 2016
Moving to
a preferred
brand tier
Moving to a
nonpreferred
brand tier
•
Trulicity
•
Jardiance
Formulary changes
effective July 1, 2016
Moving to a
nonpreferred
brand tier
Moving to a
specialty
(nonpreferred
brand) tier
•
Incruse Ellipta
•
Kanuma
Formulary changes
effective June 1, 2016
What is a tier?
Drugs in our formulary are arranged into tiers. The tier that a drug is in
determines its cost to you, the health plan member.
WELCOME!
GLAD
YOU’RE
HERE GREETINGS
•
Tips on finding a primary care
provider or other provider in
our network.
•
How our medical manage-
ment programs can help you
with your chronic condition or
complex health needs.
•
Where to find important forms.
•
How to take a short but
important survey that will
help us learn about any
specific health concerns you
may have.
•
And much more!