Carrier Contacts
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 | 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 | connections.cigna.com/newmexico/ |
| Video Visits: visit myCigna.com for appointment via MDLIVE | |||
|
A0000035 | 1.888.275.7737 | 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 | www.caremark.com |
| DENTAL | |||
|
8564 – Low 8565 – High |
1.877.395.9420 | www.deltadentalnm.com/ |
|
812022 (refer to ID card or subgroup #) | 1.888.898.0370 | www.unitedconcordia.com/benefits/clients-corner/New-Mexico-Public-School-Client-Corner-Dental-Benefits |
| VISION | |||
|
7129 | 1.800.999.5431 | www.davisvision.com/member |
| LIFE AND DISABILITY | |||
|
645549 |
1.888.609.9763 Ext. 0957 |
nmpsia.com/TheStandard.html |
Applying for Life and LTD Coverage
For Additional Life or Long Term Disability that is declined or if the employee chooses to enroll AFTER the 31 day enrollment deadline, to add these coverages the emlpoyee needs:
- 1. A Change Card
- 2. Evidence of Insurability (Medical History Statement)
- 3. Approval by The Standard
What is evidence of insurability?
EOI is a statement or proof of a person's physical condition that is required to obtain certain types of insurance.
This applies to requests for LTD coverage or Additional Life for the employee and Dependent Life coverage for spouse.
Step 1
Complete the attached NMPSIA
Employee Change Card
Step 2
Complete the attached Standard
Medical History Statement
Step 3
Submit both forms to your
employer's Benefits Office. They will send to the NMPSIA administrator who will expedite to The
Standard for review.
If you do not want to send the Medical History Statement to your employer's Benefits Office, you may mail it to the address on the form. You MUST submit the NMPSIA Employee Change Card to your employer's Benefits Office before you mail the Medical History Statement to The Standard.
Note: The late enrollment process is available anytime, but for faster decision turnaround, apply between January and August. The annual Fall Open/Switch Enrollment is not the ideal time to apply.
Important Carrier Benefit Information
Blue Cross Blue Shield
- Member Portal Login
- WellonTarget™ Member Wellness Portal
- 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
- BCBSNM San Juan IPA Contracting Update
- WellonTarget™ Overview Flyer
- 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
- The Social Side of Your Health Insurance
- El lado social de tu seguro médico
- Adult Wellness Guidelines - Making Preventative Care a Priority
- Children's Wellness Guidelines - Laying the Groundwork for a Healthy Tomorrow
- Guía para el bienestar de los adultos - Dele prioidad a la atención médica preventiva
- Guía para el bienestar de los niños - Cómo sentar las bases para un futuro saludable
Member Information
Cigna
- Member Portal Login
- 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
- 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 Healthy Rewards™ LASIK Vision Correction
- Cigna Virtual Second Opinions from Cleveland Clinic Specialists
- Prudential Financial Wellness Program
- Cigna Mental Health Support Assessment Tool - Navigation Instructions
Member Information
Presbyterian
- Member Portal Login
- Wellness at Work Login
- 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
- Member Portal Login
- 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
- Transform Diabetes Care (TDC) Program
- How to Register at Caremark.com
- Locate a pharmacy near you
- Advanced Control Specialty Formulary, effective October 1, 2023
- Medications Requiring Prior Authorization, effective October 1, 2023
- Performance Drug List – Advanced Specialty Formulary, effective October 1, 2023
- Advanced Control Specialty Formulary, effective July 1, 2023
- Medications Requiring Prior Authorization, effective July 1, 2023
- Performance Drug List – Advanced Specialty Formulary, effective July 1, 2023
CVS Caremark Prescription Benefits
Member Information
Past Drug Lists
April 2023January 2023
October 2022
July 2022
Delta Dental
- Member Portal Login
- Delta Dental Mobile App
- The Risks of Oral Piercings
- Why Choose Delta Dental - Overview of Services
- 2023 Delta Dental Basic Option Summary
- 2023 Delta Dental Comprehensive Option Summary
- 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
- Diabetes and Your Oral Health
- Summary of Benefits - High Option
- Summary of Benefits - Low Option
- Find an In-Network Dentist
- Member Portal Login
- Smile for Health® Wellness
- Teledentistry Services from Teledentix
- The Value of Going to the Dentist
- Accessing My Dental Benefits
- Cost Feature Flyer
- College Tuition Benefit Information
- How to Enroll in College Tuition Benefits
- United Concordia Claim Form
- College Tuition Benefit Scholarship Opportunity
Member Information
Davis Vision
- Member Portal Login
- 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
- 2022 - 2023 Student Eye Exam Notice to School Nurses
- 2022 - 2023 Davis Vision Student Eye Exam and Eyeglass Voucher
- Why Children Need Regular Vision Screenings and Eye Exams
- Your Hearing Benefit for Davis Vision