New Mexico Health Connections | my connection | Fall 2017

2440 Louisiana Blvd. NE, Suite 601 Albuquerque, NM 87110 Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 NO FLU FOR YOU Get a shot of protection 3 SAFE USE OF OPIOIDS New limits on prescriptions 2 Message from Martin Martin Hickey, MD, CEO of New Mexico Health Connections { C A R E C O N N E C T } Take control of your health to staywell We routinely measure how our members are taking care of themselves. In 2017, we found out that while our members are doing well, they could do a better job with preventive care. Here are some of our findings: of females between the ages of 50 and 75 did not get their breast cancer screening (mammograms) in the last two years. 80 % We strive to be not just your health plan, but also your plan for health. We urge you to take control of your health and find out what care and treatment you need to stay well. As Benjamin Franklin said, “An ounce of prevention is worth a pound of cure.” We have published a set of preventive guidelines to help you know what tests, vaccines and doctor visits our members need at any age. Find them at mynmhc.org/preventive-screenings.aspx . of our adolescent members did not receive an immunization (vaccine) to protect them against cancers caused by the human papillomavirus (HPV) by the age of 13. 60 % of individuals between the ages of 18 and 65 did not get an annual flu shot. 60 % of adults with hypertension do not control their blood pressure adequately. 40 % H ealth insurance has been a volatile topic at the national level this year. Although it will continue to evolve, it appears nothing will change for 2018 at this point. The federal open enrollment period for 2018 coverage for individuals and on- exchange small businesses began on Nov. 1 and will close at midnight on Dec. 15, 2017. This is a much shorter time frame than in past years. If you want to change your health plan for 2018, avoid the last- minute rush and choose a new plan as early as possible. The article on page 1 provides details about preparing for open enrollment. NMHC remains committed to helping you find affordable insurance. The 2018 rate increases are very frustrating—for you and for us. Premiums are set through a complex equation that includes the current political uncertainty about the Affordable Care Act as a key factor. We are doing all we can to manage healthcare costs so that rates do not keep rising. True Health New Mexico We are poised for growth in 2018, most significantly through an expanded partner- ship we have created with Evolent Health. With this partnership we are launching a new health plan, True Health NewMexico, to support small and large groups. NMHC will remain focused on individual on- and off-exchange health plans. We will still offer the same service, health plans, and the same mission to keep your health our top priority. We will share more details with you in future issues of MyConnection . You can also visit mynmhc.org/In_the_News.aspx to learn more. POISED FOR GROWTH Online health tools for you Did you know that our website has tools to help you manage your health? For example, our health risk assessment helps you assess your current health and determine your risks. It also allows you to track your progress in improving behaviors and lets you know when to get preventive services. Our website also contains information to help you better understand what you can do to improve your health. Visit mynmhc.org/staying-healthy.aspx to start exploring. Numbers you need to know CUSTOMER SERVICE: 855-769-6642, Monday through Friday, 8 a.m. to 5 p.m. •   Benefits. •   ID cards. •   Billing questions. •   Claims questions, status and reconsiderations. •   Member login help. •   General information. CARE CONNECT NURSE ADVICE LINE: 844-308-2552 OPTUMRX, OUR PHARMACY BENEFIT MANAGER: 855-577-6550 BRIOVARX ® , OPTUMRX’S SPECIALTY PHARMACY: 866-618-6741