Even if you’ve been our member for a while, it can be hard to keep track of everything you need to know. 下面的清单可以帮助你.
Your Top 10 List for Getting the Most Out of Your Plan
Register for 和 log in to the 会员门户. If you’re creating a new account, you’ll need to have your 身份证 h和y.
- The portal is a gateway to many True 健康 New Mexico resources, including your plan documents, the status of your claims, 和 our member programs 和 services.
- We encourage you to read your Evidence of Coverage (also called the Member H和book) carefully 和 refer to the Summary of Benefits 和 Coverage so you underst和 how your plan works 和 make the best use of your covered services.
If you have an individual or family plan, your premium is due the first of the month for that month’s coverage. New members should expect to receive their first invoice within 15 to 20 days after the notice of approval. Consider setting up automatic bill payments to ensure your premiums stay current. 方法如下:
- 访问我们的 365bet足球比分页面.
- 点击 How to Pay Your Bill: Individual/Family Plan 成员 Only 标题.
- Read the information under 在线支付 or Pay by Automated Bank Withdrawal 和 choose the option that’s best for you.
- Note: You will need your member ID number.
4. Primary care provider (PCP)
We believe a strong relationship with a PCP will help you 和 your family get the most benefit from your health plan 和 keep you healthy. We do not choose a PCP for you or require referrals. However, some specialists may require a referral from your PCP prior to scheduling an appointment. Looking for an in-network PCP? 使用我们的 online provider directory.
- 使用我们的 Online Provider Search Tool 开始你的搜索.
- Once you have found a PCP, you should call his or her office to make sure they are accepting new patients – even if the directory says they are.
Do you need any healthcare services? Set up a time to visit your PCP or other healthcare provider.
- Take with you a list of all medications 和 supplements you’re taking.
- Jot down any questions or concerns you have.
- Find out what routine preventive healthcare you need on our Preventive 健康 Screenings page.
6. 健康 risk assessment (HRA)
登录 会员门户 然后通过你的HRA 更好的你, our new wellness platform. The HRA offers two perks:
- You can pinpoint areas w在这里 you’re doing well 和 w在这里 you can improve, 如压力, 饮食, 和睡眠. Download or print the report 和 take it with you to your next PCP visit.
- It will help you earn Better You points, which you can redeem for gift cards to major retailers.
- *The Better You platform is a separate website. Better You registration requires a unique user name 和 password.
7. 健康y Check-Up Interview
This brief questionnaire will give our medical management team a snapshot of your health. Depending on your answers, we may contact you about health resources in your area. Complete the 健康y Check-Up Interview 在这里.
You can fill your current prescriptions at a pharmacy in our network. 使用 找到一个药店 工具 on the CVS website to find a pharmacy near you.
- APS members, please visit the Express Scripts网站.
- 在我们的 药房页面, you can check our formulary to see what medications your plan covers.
If you or someone you know is suffering, please visit our 行为健康页面. You’ll find a wide range of support 工具s, including free assessments, tips for your first visit, 和 information on getting follow-up care after hospitalizations 和 ER visits. 我们的 护理管理 team can also help you with receiving appropriate services.
10. Explanation of benefits (EOB)
After you receive care, you’ll receive an EOB in the mail.
- The EOB lists the services you received, the amount covered by your health plan, 和 any cost-sharing amounts you may be responsible for.
- EOB不是账单. Wait to receive a bill from your provider before paying any cost-sharing amounts.
- You can also view your EOB information in the 会员门户.
True 健康 New Mexico members do not have to pay any cost-sharing amounts for 365bet足球比分 testing, 治疗, 或疫苗接种. Tests must be FDA-approved to be covered without cost-sharing. 查找我们的详细信息 365bet足球比分页面; scroll down to the What are my benefits for 365bet足球比分 testing 和 治疗? 和 365bet足球比分 vaccine: W在这里 can I learn more 和 sign up? 部分.