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2440 Louisiana Blvd. NE, Suite 601
Albuquerque, NM 87110
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Walla Walla, WA
Permit No. 44
{ I N S I D E }
HAVING
SURGERY?
Ways to avoid
infection
2
TESTING,
TESTING
Why get a
colonoscopy?
3
Message
from
Martin
M
any NMHC members who take routine medications prefer to
get a 90-day supply of their prescriptions. In 2014, you could
do this only by going through our mail-order pharmacy. But
this has changed for 2015. Now you can receive a 90-day sup-
ply of medications from your retail pharmacy. All you need is a prescription
for the 90-day supply from your provider. If you prefer to receive your 90-day
drug supply by mail, you can continue to do so.
Getting a 90-day supply does not change your copay or coinsurance responsi-
bilities. You’ll still need to pay three copays for a three-month supply. However,
this option allows you to keep a greater supply of your medications on hand,
which will help you stay on medications for chronic conditions. You’ll also make
fewer trips to the pharmacy.
For more information on how to get a 90-day supply of your medication, talk
to your local retail pharmacist.
N
ew Mexico Health Connections (NMHC) is a nonpro t, Consumer-
Operated and -Oriented Health Plan, or a CO-OP. What does that
mean for you?
Nonpro t
means that any money left over after paying for health
services and covering our administrative costs must be reinvested into things that
bene t our members. is includes lowering your premiums and investing in qual-
ity care. We care for you; we don’t pro t from you. is is a refreshing departure
from the old ways of health insurance.
CO-OP
means we are member-driven. e majority of our board of directors
come from our membership. We began that process late last year with the election
of two new members to our board, and we will elect two more at the end of 2015.
Our members have a voice in our growth. is is a new model of health insurance in
New Mexico. I believe it makes sense for the way healthcare is changing.
NMHC is committed to helping you stay healthy. We have a new HMO plan
that o ers a $0 copay for the rst three primary care visits. We created this option to
go with the $0 copay for many generic medications for nine chronic conditions and
the rst three behavioral health visits. Preventing illness whenever possible is better
for everyone—especially when you don’t have to worry so much about the cost.
roughout 2015, we will continue to keep our insurance as simple and a ord-
able as we can. I pledge that at NMHC, we always will put you rst. at’s why we
do what we do, as a nonpro t and a CO-OP health plan. ank you for being a
member of NMHC.
Martin Hickey, MD, CEO of New Mexico Health Connections
PRESCRIPTIONS
90-day supply available
at your retail pharmacy
We produce this newsletter three
times a year to keep in touch with our
members. Our first priority is to help
you be your healthiest. That’s where
My Connection
comes in. It’s full of
information about how you can get
the most out of your plan benefits
and help prevent major health problems.
You can find an electronic version of this newsletter on
our website:
www.mynmhc.org/forms-2.aspx .Scroll down to
“
My Connection
, Our Member Newsletter.”
My Connection
:
Your helping hand
{
FALL
2014
| FORMEMBERS OFNEWMEXICOHEALTH CONNECTIONS
}
A
tNewMexicoHealthConnec-
tions (NMHC),we focus on
helping you staywell, rather
thanwaitinguntil youbecome
ill.We offermany online resources tohelp
you live ahealthier life.
Our
StayingHealthy
site.
This section of
ourwebsite,
www.mynmhc.org/staying-healthy.aspx
,provides agreatdealof
health andwellness information.You’llfind
behavioralhealth topics and resources and
links towellness resources inyour community.
There’s also a section just formoms-to-be.
Timely topics.
Wehighlight adifferent
health topic eachmonth,basedonNational
HealthObservances.Membersofourmedical
management teamwrite an in-depth article
that includeshealth tips fromourowndoc-
tors.The article also lists community events
and resources andhealth-relatedmobile apps.
Prevention iskey.
One importantway
to stayhealthy is tohave tests and screenings
regularly.We’vepostedpreventivehealth
screeningsonourwebsite tohelp youunder-
standwhat tests youneed at every stageof
life—formen,women and children.
MeetA.D.A.M.
A.D.A.M. is a collection
of resources thatoffers themost credible
health andwellness information available.
A.D.A.M.’smultimedia learning toolshelp
you take chargeof yourhealth, learnmore
about thehumanbody and improvehealth
literacy.You can researchdiseases, surgeries,
injuries, exercise,nutrition andmore.
In-depth health and
wellness information
available 24/7
New look,
same
connection
Welcome to the first issue of your
member newsletter!We’ll be
sending
MyConnection
to you three
times a year to share important information
about your benefits, our programs and
services that help keep youwell, and general
health andwellness. You’re the reasonwhywe
exist, andwe like to keep in touchwith you.
Youmay notice thatwe have a new logo
and new colors.We’re still a new company,
andwe’re refining our look.But ourmission
has not changed.AtNewMexicoHealth
Connections, your health is our top priority
and alwayswill be.
NURSEADVICE LINE
Trusted helpwhenever you need it
For the timeswhen you have an illness or injury, can’t reach your doctor, and are not
surewhat to do, keep this toll-free number handy:
877-725-2552
.NurseAdviceNew
Mexico has experienced registered nurses availablewho can offer guidance on your health
problem and help you knowwhat steps to take. (For hearing-impaired/TTY help, call
800-659-8331
or
711
.)
As aNewMexicoHealth Connections
member, you have certain rights and
responsibilities. They range from the
right to information about your plan and
medical treatment to the responsibility to
tell your provider if youwill be late for an
appointment. You can find the entire list
on ourwebsite:
www.mynmhc.org/member-rights-and-responsibilities.aspx
.
If youhave anyquestions about your
member rights and responsibilities, call
CustomerService.
Your rights and
responsibilities
Numbers you
need to know
CUSTOMER SERVICE:
855-7MY-NMHC
(855-769-6642),
Monday–Friday,
8 a.m. to 5 p.m.
•
Benefits.
•
ID cards.
•
Billing questions.
•
Claims questions, status
and reconsiderations.
•
Member login help.
•
General information.
CATAMARAN,
OUR PHARMACY
BENEFIT MANAGER:
855-577-6550
BRIOVA, CATAMARAN’S
SPECIALTY PHARMACY:
866-618-6741