New Mexico Health Connections | my connection | Spring 2016

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Spring 2016
MY CONNECTION is published as a health and wellness service for the members of
NEW MEXICO HEALTH CONNECTIONS. Information comes from a wide range of medical experts.
If you have any concerns or questions about specific content that may affect your health,
please contact your primary care provider. Models may be used in photos and illustrations.
2016 © Coffey Communications, Inc. All rights reserved. ID0372-0216
Find us online: Contact us:
Customer Service: 877-775-0287
info@mynmhc.org
Michelle McRuiz, editor
michelle.mcruiz@mynmhc.org
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A change to your mail-order
prescription copay
In 2015, you paid two copayments for a 90-day mail-
order supply of your medication, and three copayments
for the same supply in a retail location (e.g., at your
pharmacy). This benefit has changed for 2016. You now
need to pay three copayments for a 90-day mail-order
supply, just as you would at a retail pharmacy.
Have diabetes?
Take note
We cover many medications and supplies used to manage diabetes.
To get the most out of your pharmacy benefit, talk with your provider
about using the products that are on our formulary (list of covered
drugs). Using only those products can save you money.
Our preferred products include:*
•Long-acting insulin: Lantus®.
•Short-acting insulin: Novolog® .
•Novo insulins, including Novolin® N, Novolin® R, and
Novolin® 70/30.
•LifeScan blood glucose test strips, including SureStep ®,
OneTouch® , and FastTake®.
•Liberty blood glucose test strips.
*We update our formulary four times per year. To find the most up-
to-date list of the drugs we cover, go to
and scroll down to “Updates to the OptumRx Formulary (Drug List).”
Getting to knowyou
N o matter what state of health you’re
in, we want to know about it. We
have two online tools to help us under-
stand your health situation and assist
you when needed.
Healthy Check-Up questionnaire
We created this 12-question interview to get a snap-
shot of your health and what healthcare services you
have used in the past year. We keep your information
confidential. Depending on your answers, we may
contact you about health resources in your area. If
needed, we will help you find an in-network provider.
Complete the Healthy Check-Up by visiting
. Scroll to the
bottom of the page.
Health Appraisal
The Health Appraisal (HA) is longer than the Healthy
Check-Up. After you finish and submit the HA,
you’ll get results that will tell you in which areas you
are doing well, maintaining, or may need improve-
ment. The HA also is confidential. Take the HA at
.
From there, you will be directed to our secure member
portal to log in and take the HA.
How do I…
You receive an invoice (bill)
for your premium each month.
Your premium is the amount
you pay for your health plan.
You should pay your bill within
10 days of receiving it. You
can pay online, by phone, by
automated bank withdrawal,
by check and by cash. Visit
for details.
Looking for a list of the
prescription drugs we cover
(formulary), a provider directory,
or your evidence of coverage
(member handbook)? To save
resources, we don’t mail those
materials automatically. But you
can find them all on our website.
Formulary: Go online to
.
Scroll down to “Updates to the
OptumRx Formulary (Drug List)”
and click on the “Prescription
Drug Formulary + $0 Copay
Medications” link. We update
this list four times per year.
Provider directory: Go to www
You’ll find a lot of information
on this page. Click on “ONLINE
PROVIDER SEARCH TOOL” to
do a basic search, or scroll down
to find other types of providers.
Evidence of coverage
(member handbook): If you
have an individual plan, go
here: www.mynmhc.org/Member_
Handbook.aspx. If you have an
employer group plan, go here:
www.mynmhc.org/Member_and_
Employer_Handbooks.aspx. These
handbooks give you complete
descriptions of what is and is not
covered, how your plan works,
your rights and responsibilities,
the appeals and grievance
process, and much more.
Don’t have Internet access? If
you are not able to get online, we
will mail you hard copies. Send
an email to info@mynmhc.org
or call Customer Service at
877-775-0287.
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