Federal Employees
Welcome, Agency Benefit Officers!
True Health New Mexico salutes our federal employees. We appreciate the important work you do for our country and our state, and we want you to know that we are here for you as well. We are committed to providing you with the resources you need to educate federal employees.
This page gives you access to the specifics on the True Health New Mexico Federal Employees Health Benefits (FEHB) Program plan coverage, marketing materials, and 2021 Open Season resources that help you effectively inform your federal employees to enroll in True Health New Mexico.
We are excited to continue being a Federal Employees Health Benefits (FEHB) carrier in 2021 and are committed to providing benefits, services, and programs that meet our members wherever they are on their health journeys. Above all, we strive to improve our members’ overall physical and mental health and overall well-being.
Existing and new True Health New Mexico members will find our coverage comprehensive, affordable, and straightforward with a robust network of more than 10,000 providers across the state and in the New Mexico-Texas border areas. True You, our collection of physical and mental health and wellness programs, offers challenges, activities, tools, and more for members to form and maintain healthy habits. We prioritize “well-care” as much as “sick-care,” meaning we emphasize preventive care and guide members to the services that keep them out of the hospital and emergency room – unless they really need to be there. Good preventive care is more important than ever during the COVID-19 pandemic.
We look forward to being your great, locally operated choice for federal employees – both now and into the future. Have a healthy and safe rest of 2020.
Mark Epstein, MD, MBA
President and CEO
Your Account Manager
Michelle Chase, (505) 900-3452, mchase@truehealthnewmexico.com
2020 Open Season
The 2020 FEHB Program open season will run from November 9 through December 14, 2020. Changes made during this time will become effective January 1, 2021.
During this open season period, eligible federal employees and annuitants can enroll, change plans, or plan options, change their enrollment type, or cancel their enrollment for the FEHB program.
Please review all FEHB program guidelines for enrollment and canceling your plan before making your selection. Remember, if you are an annuitant and you cancel your FEHB coverage, you may not re-enroll in the FEHB Program.
Open Season Events (content to come)
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Open Season Frequently Asked Questions (content to come)
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2021 Benefit Changes
Do not rely only on these change descriptions; this Section is not an official statement of benefits. For that, go to Section 5, Benefits, of your True Health New Mexico FEHB official 2021 brochure. Also, we have edited and clarified language throughout the brochure. Any language change not shown here is a clarification that does not change benefits.
- Organ/tissue transplants: We now provide reimbursement for travel expenses related to an approved organ or tissue transplant received by a member at a center of excellence up to $10,000 per lifetime. Previously there was no reimbursement.
- Specialty drugs: We removed the deductible for specialty drugs (tiers 4 and 5).
- Injectables: To help you plan for prescription costs, injectables received via a retail, mail order, or specialty pharmacy are now a flat copay as follows:
- Generic (tier 1): $5 copay
- Preferred brand (tier 2): $30 copay
- Non-preferred brand (tier 3): $70 copay
- Preferred specialty (tier 4): $350 copay
- Non-preferred specialty (tier 5): $450 copay
- Insulin: You now pay a maximum of $25 copay for a 30-day supply of insulin purchased at a retail pharmacy or $50 copay for a 90-day supply purchased through mail order.
Marketing Materials
- 2021 True Health New Mexico High-Option HMO Plan, Official Brochure, RI 73-902
- 2021 True Health New Mexico Benefit Summary and Resource Guide for Federal Employees
- 2021 Summary of Benefits and Coverage (coming soon)
Value-Added Benefits
For information on our health and wellness programs, formulary, pediatric vision benefits, and more, please visit the Federal Employees page.
Search for Providers
To find in-network pharmacies, hospitals, urgent-care centers, lab draw stations, and more, please visit the Quick Search PDFs page.