university of new mexico health benefits · university of new mexico health benefits 3. ... •...

University of New Mexico Health Benefits2014/2015 Member Guide

bcbsnm.com2

Table of Contents

WelcomeGlossary of Health Plan Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

University of New Mexico Benefit SummariesPPO Summary of Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Getting StartedBlue Access for Memberssm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Provider Finder® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Well onTarget® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Life Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11

Blue365® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13

24/7 Nurseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Additional ProgramsSpecial Beginnings® Maternity Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Blue Distinction® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

University of New Mexico Health Benefits 3

Welcome

This guide will help you: • Understandhowyourplanworks

• GetthemostfromBlueCrossandBlueShieldofNewMexico(BCBSNM)programsandservices

• Navigatetheonlinetoolsatbcbsnm.com

• FindahealthcareproviderintheBCBSNMnetwork

• Getacostestimateforover300procedures

Glossary of Health Plan TermsUnderstandinghealthinsuranceisn’talwayseasy.Herearesomecommontermsthat are helpful to understand .

Claim form: A form you may have to fill out and submit to your health insurance carrier for payment of benefits under that health care plan for non-contracted providers .

Coinsurance: A percentage of a covered charge that you are required to pay towardaservicecoveredbyyourplan.

Deductible:Afixedamountoftheeligibleexpensesyouarerequiredtopaybefore reimbursement by your health plan begins .

Provider Finder:ProviderFinderfromBCBSNMisaninnovationforhelpingmembersestimateandmanagetheircostsandselectproviderswithmeaningfulquality ratings .

Network: The group of doctors, hospitals, and other medical care professionals thatahealthcareplanhascontractedwithtodelivermedicalservicestoitsmembers .

Non-preferred providers: A non-preferred provider does not have a preferred orPPOcontractwithaBlueCrossandBlueShieldPlan.Formostbenefits,afteryou’vemetthenon-preferredproviderdeductible,youwillpayapercentageofcovered charges for services you receive from non-preferred providers .

Out-of-pocket limit:Themaximumamountyouhavetopayforallexpensescovered under your health care plan during a defined benefit period .

University of New Mexico Health Benefit Advantages

• IfyouseekcarefromaLoboCarenetworkprovideryouwillpaylessincopaymentsandcoinsurance.

• PreventivecarefromLoboCareandcontractedBCBSNMprovidersiscoveredat100percentandnotsubjecttothedeductible.

• TheBCBSNMBlueCard®ProgramgivesyounationwideandworldwideaccesstoproviderswhoarecontractedwithBlueCrossandBlueShieldPlans.

• Onlinedecisiontoolshelpincreaseyourawarenessandknowledgeofhealthissuesandhelpyoukeeptrackofyourhealthcareexpenses.

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PPO Summary of Benefits

Custom Plan BenefitsSummaryonly—listscopayments,deductible,membercoinsurancepercentageamounts,andout-of-pocketlimits.

Member’s Share of Covered Charges

LoboCare Network Providers

BCBS In-Network PPO Providers

Out-of-Network Providers

Plan Year Deductible1 (Familydeductibleisaggregateoftwotimestheindividualdeductible.Deductibleincludescopaymentandcoinsurance.)

$600$1,200/Family

$1,800$3,600/Family

Plan Year Out-of-Pocket Maximum2 (Includesdeductible,copaymentsandcoinsurance.DoesNOTincludenoncoveredchargesorpenaltyamounts.)

$2,250$4,500/Family

$7,500$15,000/Family

Primary Care Physician (PCP) and OB/GYN Office Visits $25pervisit $30pervisit 40%

Specialist Physician Office Visit $35pervisit $45pervisit 40%

OfficeSurgery(includingcasts,splints,anddressings) OfficeVisitCopay OfficeVisitCopay 40%

MentalHealthandChemicalDependencyServices $35pervisit $45pervisit 40%

AllergyInjections Nocharge Nocharge 40%

AllergyTestingandExtractPreparation $50perextract $50perextract 40%

TherapeuticInjections(insulin,heparin,andantibiotics) OfficeVisitCopay OfficeVisitCopay 40%

Preventive Care ServicesAdultWellness/PhysicalExams;WellChildCare;Immunizations;PreventiveLabTestsandX-Rays(mammogram,paptests,urinalysis,etc.);RoutineColonoscopy(outpatient/office);Smoking/TobaccoCessationCounseling;Vision&HearingScreenings

NoCharge NoCharge NotCovered

Acupuncture (max.20 visits/year) $35pervisit $45pervisit 40%

Ambulance: Ground & Emergency Air AppliestoIn-NetworkBenefits25%

Cardiac Rehab, Pulmonary Rehab $35pervisit 25% 40%

Durable Medical Equipment, Medical Supplies, Prosthetics, Orthotics N/A 25%6 40%6

Emergency Room Treatment Worldwide3 $150pervisit

Urgent Care Facility/Office $75copay 40%

Hearing Aids and Related Services: Hearingaidsformembersunderage21arepaidat100%ofcoveredchargesuptoamaximumoftwohearingaidsevery3-years;examsandtestingaresubjecttousualcost-sharingprovisions.Theseservicesarenotcoveredformembersage21andolder.

Home Health Care/Home I.V. Care (max.100 visits/year) N/A 25% 40%

Hospice Services 15%5 25%5 40%

Inpatient Hospital/Facility Services (See“SkilledNursingFacility”forskillednursingfacilityadmissions.See“TransplantServices,”ifapplicable.)

Medical/Surgical,MentalHealth/ChemicalDependencyandMaternity-RelatedRoomandBoardandCoveredAncillaries;PhysicalRehabilitation

15%5 25%5 40%5

Lab, X-Ray, Other Diagnostic Tests (office,outpatient,freestandingfacilities)

NoChargeaboveofficevisitcopay

NoChargeaboveofficevisitcopay 40%4

MRI, PET Scan, CT Scan 15%4 25%4


PPO Summary of Benefits

Custom Plan BenefitsMember’s Share of Covered Charges

LoboCare Network Providers

BCBS In-Network PPO Providers

Out-of-Network Providers

Outpatient/Ambulatory Surgical Center 15% 25% 40%

Physical Therapy (30visits/year)Speech & Occupa tional Therapy (20visits/yeareach) (outpatient/office)

$35pervisit $45pervisit 40%

Prescription Drugs AdministeredbyExpressScripts.CallExpressScriptsat1-800-232-6549.

Outpatient Treatment Facility/Other Therapy Chemotherapy,Radiation,andDialysis

Basedonplaceofservice:

Officecopayor15%

Basedonplaceofservice:

Officecopayor25%

40%

Skilled Nursing Facility(max.60 days/year) N/A 25%5 40%5

Spinal Manipulation (max.20 visits/year) $35pervisit $45pervisit 40%

Transplant Services (MustbereceivedataUNMHfacilityoraBCBSfacilityforthetransplantbeingreceived,includingafacilityinthenationalBCBStransplantnetwork.)

Cornea, Kidney, and Bone Marrow, Heart, Heart-Lung, Liver, Lung, and Pancreas-Kidney 15%4,5 25%4,5 NotCovered

FOOTNOTES:1Thedeductible(asapplicable)mustbemetbeforebenefitpaymentsaremade.FamilyDeductible:Whenonepersoninthefamilymeetstheindividualdeductibleamount,thatperson’sLoboCareclaimsorPPOclaimsstartpayingat85percentor75percent(nonpreferredclaimsat60%).Ifoneadditionalfamilymembermeetstheremainingfamilydeductibleamount,theremainingfamilymembers’claimsstartpayingat85percentor75percent(nonpreferredclaimsat60%).

2Afteramemberorfamilyreachestheapplicableout-of-pocketlimit,thePlanpays100percentofthatmember’scoveredcharge.Out-of-networkdeductibleandout-of-pocketmaximumsdonotcross-apply.

3InitialtreatmentofamedicalemergencyispaidatPreferredProviderlevel.Follow-uptreatmentandtreatmentthatisnotforanemergencyispaidatthebenefitnetworklevelandplaceofservice.

4CertainservicesarenotcoveredifbenefitcertificationisnotobtainedfromBCBSNM.SeetheParticipantBenefitBookletforalistofservicesrequiringbenefitcertification.

5Benefitcertificationisrequiredforinpatientadmissions.Someservices,suchastransplantsrequireadditionalbenefitcertification.Ifyoudonotreceivebenefitcertificationfortheseindividuallyidentifiedproceduresandservices,benefitsforanyrelatedadmissionswillbedenied.SeetheParticipantBenefitBookletfordetails.

6Rentalbenefitswillnotexceedthepurchasepriceofanewunit.

IMPORTANT: Deductible amounts and coinsurance percentages are applied to BCBSNM’s covered charges, which may be less than the provider’s billed charges. Preferred providers will not charge you the difference between the covered charge and the billed charge for covered services; nonpreferred providers may.

bcbsnm.com6

Blue Access for Memberssm

BlueAccessforMembers(BAM),ourmemberportal,offersyouinformationon your health and health plan in one convenient location . To register for BAM, go to bcbsnm.com andselectRegisterNowintheBAMlog-inbox.WithyourBCBSNMIDcardhandy,followtheon-screenregistrationinstructions.Createausernameandpasswordforinstantandsecureaccesstoyourpersonalinformation .

Afterloggingin,fromyourpersonalhomepageyoucan:

• Checkyourclaims,includingpaymentstatusandamounts,and sort/print claim information

• Confirmwhoiscoveredunderyourplan

• Downloadandprintvariousforms

• Locateadoctororhospitalinyourplans’networkusingProviderFinder

• ResearchandestimatecostsforcommonhealthcareserviceswiththeMember Liability Estimator tool

• RequestaneworreplacementIDcardandprintatemporarycard

• EmailCustomerService

Don’t have access to a computer or need to talk to a Customer Advocate?

Call:855-235-1042

Thistoll-freenumberisalsoonthebackofyourmemberIDcard.


Provider Finder®

Insight for important health care decisionsIn life. In one place.

ProviderFinderfromBlueCrossandBlueShieldofNewMexico(BCBSNM)isanewmembertoolforhelpingmembersestimateandmanagetheircostsandselectproviderswithqualityratings.

UseProviderFindereitheronlineorfromamobiledeviceto:

• Findanetworkprimarycarephysician,specialistorhospital

• Filtersearchresultsbydoctor,specialty,ZIPcode,languageandgender—even get directions from Google Maps™

• Estimatethecostofaprovider’sprocedures,treatmentsandtests—andgaugeout-of-pocketexpenses

• DetermineifaBlueDistinctionCenterforSpecialtyCare®isanoptionfor treatment

• Viewpatientfeedbackoraddaproviderreview

• Checkthequality,certificationsandrecognitionsfordoctors

• Makeanappointmenttoconsultwithaproviderinselectgeographicareas

It’seasyandimmediate—andavailableatbcbsnm.com, or a mobile phone Web browser—formembersandnon-members.

Provider Finder delivers information that puts you in charge .

• Doyouwanttoknowmoreaboutyournetworkproviders?

• Doyouwanttoknowtheactualcostandyourshareofamedicalprocedure?

• Howdoyouchoosewheretogoformedicalservices?

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Provider Finder

Provider Finder helps drive real change in behavior

Searches deliver validated data that are:

Accurate Costsreflectcontractedratesorestimatesbasedonclaimaveragesfornetworkphysiciansandfacilities.ProviderFindershowshowmuchanearbynetworkprovider charges for specific procedures .

TransparentWith this all-in-one tool, you can choose among providers and health care settings . You can also see an estimate for treatment costs . With Provider Finder, yougetsupporttohelpmakeimportantdecisions.

PersonalOut-of-pocketexpensesarebasedonyourbenefitplanandcurrentbenefitstatus .

Dataarepresentedinareadableformatthat’seasytonavigateandhelpsyoubetterunderstandhowyourbenefitswork.

Screenshotsareforillustrativepurposeonly.


Well onTarget®

TheWellonTargetprogramoffersanexpandedarrayofhighlypersonalizedtools and resources strategically designed to plan, engage, motivate, sustain and measure,withtheendgoalofdeliveringthebestwellnessexperienceforourmembers . You may find Well onTarget tools by logging into BAM .

Liveon Member Wellness PortalTheheartofWellonTargetistheLiveonportal.Itinspiresandsupportsyouthroughhealthylivingprograms,onlinecourses,tools,andtrackers.Itusesthelatesttechnologytoofferyouanenhancedonlineexperience.Thisengagingportallinksyoutoasuiteofinnovativeprogramsandtools.

onmytime Self-Directed CoursesOnlinecoursesletyouworkatyourownpacetoreachyourhealthgoals.Learnmoreonnutrition,fitness,weightmanagement,tobaccocessation,andstress.Trackyourprogressasyoumakeyourwaythrougheachlesson.Reachyourmilestones and earn Life Points .

Health and Wellness ContentHealthlibraryteachesandempowersthroughevidence-based,user-friendlyarticles .

Tools and TrackersInteractivetoolshelpkeepyouoncoursewhilemakingwellnessfun.Usefoodandworkoutdiaries,healthcalculators,andmedicalandlifestyletrackers.

onmyway™* Health Assessment (HA)TheHAfeaturesadaptablequestionstolearnmoreaboutyou.AfteryoutaketheHA,youwillgetapersonalwellnessreport.Theconfidentialrecordofferstipsforlivingyourhealthiestlife.YouranswerswillbeusedtotailortheLiveonportalwiththeprogramsthatcanhelpyoureachyourgoals.

Additional HA features: • Designedtogivemembersflexibilitytotaketheirassessmentovertime

• Assessmentmodulesmakeitsimpleandeasytouse

• Goalprioritizationtriggeredbyscience-basedalgorithms

• TiedtointeractivetrackingtoolsontheLiveonMemberWellnessPortal

• Apaperversionisavailableforemployerspreferringanonelectronicversion

*onmywayisaregisteredmarkofOnlifeHealth.Alltrademarksandservicemarksarepropertyoftheirrespectiveowners.

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Life Points Rewards for Healthy Living

WellonTargetunderstandshowharditcanbetomaintainahealthylifestyle.Sometimesyoumayneedalittlemotivation.That’swhyweofferLifePoints1tokeepyouclimbingtowardyourwellnessgoals.

WiththeLifePointsprogram,youwillbeabletoearnpointsbyregularlyparticipating in a range of healthy activities . You can then redeem your points forpopularhealthandwellnessmerchandiseandservices.

LifePointsoffersyoumanynewfeatures:

Instant recognition of pointsReal-time granting of points2givesyouwithinstantnoticeofyourhealthyefforts.

Easily manage your pointsTheinteractiveportalmakesiteasiertounderstandhowmanypointsareavailabletobeearned.Youcanalsotrackthetotalnumberofpointsearnedyear-to-date.Allofyourpointdatawillbedisplayedononescreen.

Get more Life Points The Life Points program gives you the option to supplement your Life Points balanceusingacreditcardtoredeemyourpointsforalargerreward.

Expanded selection of rewardsRedeemyourhard-earnedpointsinanexpandedonlineShoppingMall.RewardcategoriesincludeApparel,Books,Health&PersonalCare,Jewelry,Electronics,MusicandSportingGoods.Inaddition,checkoutthe“RewardsonSale”sectionfor discounted merchandise including electronics, games, luggage and more .

LifePointsandWellonTargetfeatureconvenientonlinetoolsandpersonalizedservicesthathelpsupport,informandmotivateyouonajourneytowellness.

1LifePointsProgramRulesaresubjecttochangewithoutpriornotice.SeetheProgramRulesontheWellonTargetMemberWellnessPortalforfurtherinformation.Yourcompanymayhaveadditionalrewardprogramsinplacetoencourageyoutotakeadvantageofcertainpreventivecareandwellnessactivitiesorformakinghealthychanges.Checkyouremployeebenefits.

2DoesnotincludeLifePointsearnedfromtheFitnessProgramandBiometricScreeningsactivities.

WellonTargetisaregisteredmarkofHealthCareServiceCorporation,aMutualLegalReserveCompany.

wellontarget.com


Life Points Rewarding Healthy Behavior

LookhowquicklyyourLifePointscanaddup!SampleactivitiesthathelpyouearnLifePointsinclude:

Completingtheonmywaytm3HealthAssessment(onceeverysixmonths) 2,500pointsevery6months

Takingall12lessonsofaSelf-directedCourse 1,000pointsperquarter

TrackingprogressintheonlinetoolsontheWellonTargetMemberWellnessPortal 10points

EnrollingintheFitnessProgram4 2,500points

AddingweeklyFitnessProgramvisitstoyourroutine upto500pointseachweek

CompletinganySelf-directedCourseMilestoneAssessment upto300pointspermonth

ParticipatinginaBiometricScreeningthroughtheWellonTargetprogram 2,500pointsperyear

Log on to wellontarget.com to access all the interactive tools and programs youneedtostartrackingupLifePoints.CheckouttheonlineShoppingMallwithanexpandedarrayofrewardstohelpmotivateyoutoearnmorepoints.

3onmywayisaregisteredmarkofOnlifeHealth.

4Healthways,Inc.isanindependentcontractorwhichadministersthePrimeNetworkoffitnesscenters.ThePrimeNetworkismadeupofindependently-ownedandmanagedfitnesscenters.

OnlifeHealthisanindependentcompanythatprovideswellnessservicesfortheWellonTargetprogram.

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Blue365®

A Discount Program for Members

Blue365isjustonemoreadvantageofbeingamemberofBCBSNM.Withthisprogram, you can save money on health care products and services that are mostoftennotcoveredbyyourbenefitplan.Therearenoclaimstofileandnoreferralsorpre-authorizations.

Blue365hasarangeofnewfeaturesandgreaterdiscountsfromtopnationaland local retailers on fitness gear, gym memberships, family activities, healthy eatingoptionsandmuchmore.OnceyouregisterontheBlue365websiteatblue365deals.com/BCBSNM,youwillreceiveweekly“FeaturedDeals,”whichwillofferadditionaldiscountsfromleadinghealthcompaniesandonlineretailers that are available for a short period of time .

Davis Visionsm TruVision888-897-9350 877-882-2020

Saveoneyeglasses,aswellascontactlenses,laservisioncorrectionservices,examinationsandaccessories.ForalistofDavisVisionprovidersnearyou,goto bcbsnm.com,clickFindaDoctorthenselectFindaVisionProvider.TheDavisVisionnetworkconsistsofmajornationalandregionalretaillocationsaswellasindependentophthalmologistsandoptometrists.Youandyoureligibledependents can receive discounts on laser vision correction services through the TLC/TruVisionnetwork.

Jenny Craig®877-JENNY70 (877-536-6970)

JennyCraigcanhelpyoureachyourweight-lossgoals.Youwillgetone-on-onesupportgivenbyatrainedweight-lossexpert.Yourconsultantwillgiveyouatailoredprogrambasedontheessentialcomponentsofsuccessfulweightmanagement:food,body,mind.Youcanmeetwithyourconsultantinpersonatalocalcenter.OryoucanenjoytheeaseoftheJennyCraigAtHomeprogram.

Blue365

Offersmembersandcovereddependentsaccesstosavingsonanumberofhealthcareandwellnessproductsandservices.Tolearnmore,visittheBlue365websiteatblue365deals.com/BCBSNM.


Blue365Life Time® FitnessLifeTimeFitnessoffersatotalhealthfitnessexperiencenomatteryourfitnesslevel,interests,scheduleorbudget.Fornewmembers,LifeTimeFitnessoffersa$0enrollmentfeewhenyousignuponline.*

Procter & Gamble (P&G) Dental Products877-333-0121

GetsavingsondentalpackagescontainingthelatestinOralB®powertoothbrushesandCrest®products.ThedentalpackagesfromP&Gcanhelpyouimprovethehealthofyourteethandgums.Packagesmaycontainitemssuchasanelectrictoothbrush,mouthrinse,floss,andmanymore.

TruHearing®800-687-4617

Save on digital hearing aids through TruHearing . Get a hearing test at no extrachargewhenperformedtofitahearingaid.Enjoya45-day,money-backguaranteeandathree-yearwarranty.Alsogetachoiceofhearingaidstylesatanumberofpricelevelsandenoughbatteriestolastayearwhenyoubuyahearing aid .

FormoregreatdealsortolearnmoreaboutBlue365,visitblue365deals.com/BCBSNM.

TherelationshipbetweenthesevendorsandBlueCrossandBlueShieldofNewMexico(BCBSNM)isthatofindependentcontractors.

*ProofofBlueCrossandBlueShieldofNewMexicocoverageisneeded.The$0enrollmentfeeofferisonlyfornewmemberswhoenrollonlineatblue365deals.com/BCBSNM.A$35administrativefeeappliestoallmemberships.Monthlyduesandtaxesmayalsoapply.Members’prices,duesandfeesmaychangeatanytime.OfferexpiresSeptember1,2013.Otherrulesmayapply.AlwayscheckwiththeLifeTimeFitnessclubinyourareaforthemostup-to-dateoffer.OffernotavailableinMinnesota.

Blue365isadiscountprogramonlyforBCBSNMmembers.ThisisNOTinsurance.Someoftheservicesofferedthroughthisprogrammaybecoveredunderyourhealthplan.PleasecheckyourbenefitbookletorcallthecustomerservicenumberonthebackofyourIDcardforspecificbenefitfacts.UseofBlue365doesnotchangeyourmonthlypayment,nordocostsoftheservicesorproductscounttowardanymaximumsand/orplandeductibles.Discountsareonlygiventhroughvendorswhotakepartinthisprogram.BCBSNMdoesnotguaranteeormakeanyclaimsorrecommendationsabouttheprogram’sservicesorproducts.Youmaywanttotalktoyourdoctorbeforeusingtheseservicesandproducts.BCBSNMreservestherighttostoporchangethisprogramatanytimewithoutnotice.

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24/7 NurselineAround-the-Clock, Toll-Free Support

Healthconcernsdon’talwaysfollowa9-to-5schedule.Fortunately,registerednurses are on call at 1-800-973-6329toansweryourhealthquestions,whereveryoumaybe,24hoursaday,sevendaysaweek.

The24/7Nurseline’sregisterednursescanunderstandyourhealthconcernsand give general health tips . Get trusted guidance on possible emergency care, urgent care, family care and more .

When should you call?Thetoll-freeNurselinecanhelpyouoracoveredfamilymembergetanswerstohealth problem questions, such as:

• Asthma,backpainorchronichealthissues

• Dizzinessorsevereheadaches

• Highfever

• Ababy’snonstopcrying

• Cutsorburns

• Sorethroat

Plus,whenyoucall,youcanaccessanaudiolibraryofmorethan1,000healthtopics—fromallergiestowomen’shealth—withmorethan600topicsavailablein Spanish .

Get the information you need, just when you need it.

Note:Formedicalemergencies,call911oryourlocalemergencyservicesfirst.Thisprogramisnotasubstituteforadoctor’scare.Talktoyourdoctoraboutanyhealthquestionsorconcerns.

Could your child’s fever or sore throat turn into something more serious?

Is your 1 a.m. asthma attack cause for a trip to the emergency room?

The24/7 Nurseline canhelpyoufigureoutifyoushouldcallyourdoctor,gototheemergencyroom,ortreattheproblemyourself.


Additional ProgramsSpecial Beginnings® Maternity ProgramSpecial Beginnings can help you better understand and manage your pregnancy . Available at no additional cost, this maternity program supports you from early pregnancyuntilsixweeksafterdeliverythrough:

• Pregnancyriskfactoridentificationtodeterminetherisklevelofyour pregnancy and appropriate range for ongoing communication/monitoring

• Educationalmaterialonvariouspregnancyandinfantcarerelatedtopics

• Personaltelephonecontactwithprogramstafftoaddressyourneedsandconcernsandtocoordinatecarewithyourphysician

• Assistanceinmanaginghigh-riskconditionssuchasgestationaldiabetes and preeclampsia

Takegoodcareofyourselfandyourbaby—enrollinSpecialBeginningstoday!Enrollmentiseasyandconfidential.Justcall1-888-421-7781, 7 a .m . to 5:30 p .m ., MT .

Special Beginnings is not a substitute for professional medical guidance. It is important to share any health concerns with your physician.

Blue Distinction®Anationwideprogram,BlueDistinctionhelpsconsumersfindthebestpossiblequality of medical care and encourages health care providers and facilities to improvethequalityanddeliveryoftheircare.InthegreaterAlbuquerque/RioRanchoarea,theUNMCancerResearchandTreatmentCenterhasbeennamedaBlueDistinctionCenter®forSpecialtyCareforcomplexandrarecancertreatments .

You may be referred by your doctor to this specialty care, or you may self-refer by callingtheBCBSNMHealthServicesDepartmenttoll-freeat1-800-325-8334 .

Travel and Lodging BenefitYouarenotrequiredtouseaBlueDistinctionCenter.However,youmaybeeligiblefortravel,lodging,andmealbenefitsIF:

• YouchooseaBlueDistinctionCenterand

• ServicesarepreauthorizedbyyourBCBSNMcasemanager.

Please call your case manager at 1-800-325-8334 for more information .

TolearnmoreabouttheBlueDistinctiondesignation,visittheBCBSNMwebsiteatbcbsnm.com/getting_started/making_insurance_work/blue_distinction.

bcbsnm.com

ADivisionofHealthCareServiceCorporation,aMutualLegalReserveCompany,anIndependentLicenseeoftheBlueCrossandBlueShieldAssociation

BlueCross®,BlueShield®andtheCrossandShieldSymbolsareregisteredservicemarksoftheBlueCrossandBlueShieldAssociation,anassociationofindependentBlueCrossandBlueShieldPlans.

Alltrademarksandservicemarksarepropertyoftheirrespectiveowners.

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university of new mexico health benefits · university of new mexico health benefits 3. ... •...

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