Sandia Total Health

Sandia Total Health  

OVERVIEW

Introducing Via Benefits from Willis Towers Watson

Trusted advisor for hundreds of thousands of retirees

Via Benefits (formerly known as Extend Health) is a leading provider of retiree health benefit administration services and will give you and your eligible non-Medicare dependents personalized assistance to help you navigate through your health care options.
 

Sandia has partnered with Via Benefits to offer access to the Sandia Total Health plan option for our PreMedicare retirees. If you would like to learn more about this plan option, please call Via Benefits at 1-888-598-7809 (TTY: 1-866-508-5123), Monday-Friday 7 a.m. – 7 p.m. MT.
 

Sandia Kaiser Summary

UHC Program Summary

BCBSNM Program Summary

Sandia Retiree SPD

Sandia Dental Care Program Summary

Sandia Vision Discount Plan Summary

 

As a Sandia PreMedicare retiree, you have the option to participate in the Sandia Total Health plan. This plan is administered through three separate insurance companies:


If you retired in 2010 and were a union-represented employee, please contact Via Benefits regarding your benefit choices.
 

Sandia Total Health is a health care plan that offers flexibility and choice – features we know are important to you. It is administered by Blue Cross and Blue Shield of New Mexico, Kaiser Permanente and United Healthcare. Sandia Total Health has two components – comprehensive health care coverage and a Sandia-funded Health Reimbursement Account (HRA).
 

Sandia Total Health is a Consumer-Directed Health Plan (CDHP). It’s a key component of Sandia’s strategy to manage health care costs by encouraging health care consumerism and improving overall health through an integrated approach to health and wellness. This includes a focus on prevention and healthy lifestyles, the management of chronic conditions, and behavior modification aimed at changing risk factors.

Contact Us

Via Benefits from Willis Towers Watson

 Phone
1-888-598-7809
1-866-508-5123 (TTY)
 Website
www.medicare.oneexchange.com/sandia

 

UnitedHealthcare Member Service

 Phone
1-877-835-9855
 Website
www.myuhc.com

 

Blue Cross and Blue Shield of New Mexico Member Services

 Phone
1-877-498-SNLB (7652)
 Website
www.bcbsnm.com

 

Kaiser Permanente Member Services

 Phone
1-800-464-4000
 Website
www.kponline.org

 

OptumHealth Behavioral Solutions

 Phone
1-866-828-6049

 

Optum NurseLine

 Phone
1-800-563-0416

Sandia Total Health / UnitedHealthcare

This Sandia Total Health plan is administered by UnitedHealthcare (UHC) and allows members to see any licensed provider, although benefits are greater when care is received from a UHC network provider. This program includes an employer funded Health Reimbursement Account (HRA).
 

You can obtain information on this plan (including a provider directory, drug formulary list, etc.) by contacting UnitedHealthCare Member Services at (877) 835-9855. UHC member services are available 24 hours a day, seven days a week. You can also obtain information by visiting their website at www.myuhc.com.


Eligibility

This plan is available to PreMedicare retirees, surviving spouses, LTD terminees, and their PreMedicare Class I and Class II dependents.
 

Key Points

  • In New Mexico, this plan provides access to Presbyterian facilities and providers, as well as UNMH, and many independent providers.
  • The prescription drug program is administered through Express Scripts.
  • Prior notification to UHC is required for certain medical services, procedures, and hospitalizations.
  • Members are responsible for the first $300 of covered charges for failure to follow notification and/or precertification procedures.
  • Certain in-network preventive care is covered at 100%. You do not need to meet a deductible amount for covered preventive care.
  • This plan provides in- and out-of-network benefits.
  • Coverage is available worldwide for emergency and urgent care.
  • Behavioral health benefits are provided through the OptumHealth Behavioral Solutions network of providers.

Sandia Total Health / Blue Cross and Blue Shield of New Mexico (BCBSNM)

This Sandia Total Health is administered by BlueCross BlueShield of New Mexico (BCBSNM) and provides access to a broad nationwide network of providers. This plan allows members to see any licensed provider, although benefits are greater when care is received from an in-network provider, and even greater when care is received from a Sandia Health Partner Network (HPN) provider. Pre-Medicare retirees enrolled in Sandia Total Health administered by BCBSNM will have access to New Mexico providers in the Sandia HPN. This program includes an employer-funded Health Reimbursement Account (HRA).
 

Member resources are available for this plan through Blue Cross and Blue Shield of New Mexico Member Services by phone at 1-877-498-SNLB (7652) or online at www.bcbsnm.com.
 

Eligibility

This plan is available to PreMedicare retirees, surviving spouses, LTD terminees, and their PreMedicare Class I and Class II dependents.
 

Key Points

  • In New Mexico, this plan provides access to Lovelace facilities, UNMH, the Heart Hospital and Albuquerque Health Partners, as well as many independent providers.
  • California members enrolled in this plan will have in-network access to the John Muir Physician Network, Palo Alto Medical Foundation, San Ramon Valley Regional, ValleyCare Health Systems, as well as many independent health care providers.
  • Find the list of providers in the Sandia HPN at hbe.sandia.gov
  • The prescription drug program is administered through Express Scripts.
  • Prior notification to BCBSNM is required for certain medical services, procedures, and hospitalizations.
  • Members are responsible for the first $300 of covered charges for failure to follow notification and/or precertification procedures.
  • Certain in-network preventive care is covered at 100%. You do not need to meet a deductible amount for covered preventive care.
  • This plan provides in- and out-of-network benefits.
  • Coverage is available worldwide for emergency and urgent care.
  • Behavioral health benefits are provided through the BCBS network of providers.

Sandia Total Health / Kaiser Permanente

This Sandia Total Health plan is administered by Kaiser Permanente and allows members to see any licensed provider, although benefits are greater when care is received from a Kaiser network provider. This program includes an employer funded Health Reimbursement Account (HRA).
 

For additional information on the Kaiser Permanente Sandia Total Health plan, please contact the Members Services Call Center, available at 1-800-464-4000 weekdays between 7 a.m. and 7 p.m. or weekends between 7 a.m. and 3 p.m. Visit the comprehensive website at www.kponline.org, for the ability to make appointments, consult an advice nurse or pharmacist, online health assessment, health-care information, customized online health improvement programs, and more.
 

Eligibility

This plan is available to PreMedicare retirees, surviving spouses, LTD terminees, and their PreMedicare Class I and Class II dependents who live within a Kaiser-designated service area (currently, Alameda, Contra Costa, Marin, Sacramento, San Francisco, San Joaquin, San Mateo, Solano, and Stanislaus counties are entirely inside a Kaiser service area; service areas for other Northern California counties are determined by specific ZIP codes within those counties).
 

Key Points

  • Offers integrated health care with one-stop access to medical offices, specialty offices, laboratory, and pharmacy.
  • Self-referral to selected specialty departments; others require a referral from your Plan physician.
  • You must reside within a Kaiser Permanente service area to be eligible for the Plan and may only leave the service area for a maximum of 90 continuous days. Exception: Students attending school outside the service area.
  • Coverage is available worldwide for emergency and urgent care.
  • Members are responsible for the first $300 of covered charges for failure to follow notification and/or precertification procedures.
  • Certain in-network preventive care is covered at 100%. You do not need to meet a deductible amount for covered preventive care.
  • This plan provides in- and out-of-network benefits.
  • Behavioral health benefits are provided through the OptumHealth Behavioral Solutions network of providers.

FAQs