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Sandia National Laboratories puts money each calendar year into an HRA fund that is integrated with your medical STH plan. These funds are used to pay for covered health care expenses, including all eligible 213d expenses. Money you spend from this account for covered services counts toward your deductible and coinsurance. If you enroll in the Flexible Spending Account (FSA), these FSA funds will be used first toward any eligible health care expenses and 213d expenses.
Plan benefits begin after you meet the annual deductible. You have the freedom to see any doctor without a referral.
Preventive care and certain cancer screenings benefits received by an in-network provider are fully covered – nothing is deducted from your HRA and you don't need to meet the deductible to enjoy these benefits.
Online decision resources help increase your awareness and knowledge of health issues and help you keep track of your HRA and health care expenses. Once you are a BCBSNM member, log into Blue Access for Members to take a health risk assessment, access health and wellness information and tracking tools, and more. Your HRA and FSA are administered by Connect Your Care, a preferred vendor of BCBSNM. To access information on the HRA, and FSA if enrolled, go to connectyourcare.com .
Certain services require approval from BCBSNM. If approval is not obtained, BCBSNM will not pay for them. This approval is called “preauthorization.” The list of services that require preauthorization is in the Benefit Booklet. To request preauthorization, you or your provider must call BCBSNM Health Services. Call 1-505-291-3585 in Albuquerque, or toll-free at 1-800-325-8334, Monday through Friday, from 8 a.m. to 5 p.m. Mountain Time.
Note: Your plan includes behavioral health and chemical dependency services. Preauthorization is required for inpatient, residential treatment, partial hospitalization and some outpatient services. Request preauthorization from the BCBSNM behavioral health services administrator. Call toll-free at 1-888-898-0700. Phones are open 7 days a week, 24 hours a day.