NMPSIA Associated Carriers and Consultants
Download PDF| Benefits | |||
|---|---|---|---|
| New Mexico Public Schools Insurance Authority | |||
Customer Service for Administrative issues
Issues | Claim Issues | Appeals |
1-800-548-3724 | nmpsia.com | |
| NMPSIA Eligibility Administrative Office | |||
Erisa Administrative Services, Inc.
Eligibility | Enrollment | Premium Billing | COBRA Administrator |
1-800-233-3164 | nmpsiaonline.nmpsia.com | |
| MEDICAL | |||
| Carrier | Group Number | Customer Service | Website Address |
|
N05501 – High N05502 – Low 213895 – EPO |
1.888.966.7742 | https://www.bcbsnm.com/nmpsia |
| Video Visits: mdlive.com!NMPSIA (or visit bcbsnm.com; log in as a member to locate the link) | |||
|
3343552 | 1.800.244.6224 | https://connections.cigna.com/newmexico/ |
| Video Visits: visit myCigna.com for appointment via MDLIVE | |||
|
A0000035 | 1.888.275.7737 | https://www.phs.org/health-plans/employer-plans/Pages/new-mexico-public-schools-insurance-authority.aspx |
| Video Visits: visit phs.org and click on "Login to MyPres" to locate link | |||
| PRESCRIPTION DRUGS | |||
|
RxBIN 004336 RxPCN ADV RxGRP RX22AS |
1.877.787.0652 | https://www.caremark.com/ |
| DENTAL | |||
|
8564 – Low 8565 – High |
1.877.395.9420 | https://www.deltadentalnm.com/ |
|
812022 (refer to ID card or subgroup #) | 1.888.898.0370 | https://www.unitedconcordia.com/benefits/clients-corner/New-Mexico-Public-School-Client-Corner-Dental-Benefits |
| VISION | |||
|
7129 | 1.800.999.5431 | https://www.davisvision.com/member |
| LIFE AND DISABILITY | |||
|
645549 |
1.888.609.9763 Ext. 0957 |
https://nmpsia.com/TheStandard.html |
Blue Cross Blue Shield
- 2023 NMPSIA Summary of Benefits and Coverage BCBSNM High Option
- 2023 NMPSIA Summary of Benefits and Coverage BCBSNM Low Option
- 2023 NMPSIA Summary of Benefits and Coverage BCBSNM EPO Option
- Well onTarget Overview Flyer
- BCBSNM San Juan IPA Contracting Update
- Blue Cross Blue Shield Benefit Booklet
- Physician Video Visit
- Blue Access for Members Provider Finder and Cost Estimator Flyer
- High Option Plan Summary of In-Network Pregnancy Benefits
- Blue Cross Blue Shield of New Mexico Claim Form
- Impaired Dependent Certification Form
- Catapult VirtualCheckup for BCBS Members
Member Information
Cigna
- 2023 NMPSIA Summary of Benefits and Coverage Cigna High Option
- 2023 NMPSIA Summary of Benefits and Coverage Cigna Low Option
- myCigna Registration with Fingerprint Access Flyer
- More Ways to Redeem Your myCigna MotivateMe Rewards
- Cigna Healthy Rewards Discounts
- Cigna Healthy Rewards – Active & Fit Direct
- Cigna One Guide – Benefits Overview
- Cigna Total Behavioral Health
- Cigna Virtual Care
- myCigna App Key Features
- Cigna Caregiving Support
- Cigna Health Management Outreach Calls
- Cigna Mental Health Support Assessment Tool - Navigation Instructions
- Prudential Financial Wellness Program
Member Information
Presbyterian
- 2023 NMPSIA Summary of Benefits and Coverage Presbyterian High Option
- 2023 NMPSIA Summary of Benefits and Coverage Presbyterian Low Option
- Treatment Cost Estimator
- Tutorial to Enroll in your myPRES Account
- Presbyterian Benefit Booklet
- Physician Video Visit
- For Providers Outside of New Mexico
- Presbyterian Claim Form
- Disabled Dependent Child Eligibility Questionnaire
- Notice of Nondiscrimination and Accessibility
Member Information
CVS caremark® Rx Benefit Manager
- CVS Caremark Rx benefits effective July 1, 2022
- BCBS EPO Plan - Effective July 1, 2022
- BCBS High & Low Plan, Cigna High & Low, Presbyterian High & Low Plan - Effective July 1, 2022
- How to Register at Caremark.com
- Locate a pharmacy near you
- Formulary Drug List, effective January 1, 2023
- Formulary Drug List, effective April 1, 2023
- Advanced Control Specialty Formulary Drug List, effective January 1, 2023
- Advanced Control Specialty Formulary Drug List, effective April 1, 2023
- Medications Requiring Prior Authorization Drug List, effective January 1, 2023
- Medications Requiring Prior Authorization Drug List, effective April 1, 2023
CVS Caremark® Prescription Benefits
Member Information
Past Drug Lists
October 2022July 2022
Express Scripts
- Express Scripts Rx benefits effective July 1, 2019
- COVID-19 OTC Home Test List
- 2022 Preferred Drug List
- 2022 Preferred Drug List Spanish
- 2021 Preferred Drug List
- 2021 Preferred Drug Exclusion List Changes
- Find a Pharmacy that Offers Vaccines
- Drug Reimbursement Claim Form
- Home Delivery Brochure
- Home Delivery Information Graphic
- Home Delivery Order Form
- Physician's Rx Form - (Provider can complete the Rx request and fax to Express Scripts)
- Website and Mobile App Registration
- Smart90 - Voluntary Information
Express Scripts Prescription Benefits
Member Information
Delta Dental
- Why Choose Delta Dental - Overview of Services
- 2023 Delta Dental Basic Option Summary
- 2023 Delta Dental Comprehensive Option Summary
- Delta Dental Mobile App
- Delta Dental Member Portal
- 2022 Delta Dental Out-of-Country Claim Form
- Delta Dental Out-of-Country Claims Explained
- Pre-treatment Estimate
Member Information
United Concordia Dental
- Know Your Costs Before You Go
- The Value of Going to the Dentist
- Accessing My Dental Benefits
- QR Code - Scan to Find an Alliance In-Network Dentist
- Find-a-Dentist Tool
- College Tuition Benefit Information
- How to Enroll in College Tuition Benefits
- NMPSIA Summary of Dental Benefits
- United Concordia Claim Form
- College Tuition Benefit Scholarship Opportunity
Member Information
Davis Vision
- Summary of Plan Description
- Davis Vision Online Retailers
- Enhanced Vision Benefit for Members Residing in Hobbs effective 1/1/2019
- Davis Vision vision benefits effective 7/1/2019
- NM Vision Providers
- Davis Vision Claim Form
- Coverage Certificate and Amendment
- 2021-2022 Student Eye Exam Notice to School Nurses
- 2021-2022 Davis Vision Student Eye Exam and Eyeglass Voucher
- Why Children Need Regular Vision Screenings and Eye Exams
- Your Hearing Benefit for Davis Vision
