We are here for you, New Mexico

Turquoise Rewards allows members to earn points for completing certain health activities. You can use your reward points to shop for hundreds of fun, healthy items in the Turquoise Rewards catalog.

For example, you can earn reward points for:

• Attending an annual checkup with your primary care provider
• Getting a flu shot
• Completing health screenings, like a mammogram, cervical cancer screening, and others
• Keeping up to date on your children’s immunizations

Visit turquoiserewards.com to see all the eligible activities.

This fitness program for members 18 and up, provides unlimited access to many local gyms, including the YMCA. Change locations at any time, or explore workout plans and join classes online.

One Pass makes fitness fun and flexible. Members can:

• Visit many local gyms including the YMCA
• Change locations at any time
• Explore workout plans online
• Join live classes virtually, from the comfort of home
• Have fun while getting fit

• Car Seats -- Pregnant members can get a car seat for safe infant travel (limit 1 car seat per baby).
• Transportation -- We cover trips to medical appointments, WIC appointments and more
• Pregnancy and infant support -- Our maternal child health team will help you learn what to expect when you see your doctor and how to take care of your changing body. We will help you learn about: 
  • Local resources
  • Nutrition, weight, and well-being
  • Fitness
  • Sexual health
  • Substance abuse
  • Domestic violence
• Healthy First Steps® (HFS) -- This specialized case management program is designed to provide assistance to all pregnant members and those experiencing an uncomplicated pregnancy. It also helps manage medical, behavioral and social risks.
• BabyScripts -- An education and reward program for pregnant members and new parents 
• Doula and breastfeeding support -- We offer in person and virtual support. Doula services offer care and guidance to moms during and after pregnancy.
• Well-child visits – Provide screenings, like speech and hearing tests, and immunizations. These routine visits are also a great time for you to ask any questions you have about your child’s behavior and overall well-being. 
• Wellhop -- Helps expectant moms connect with others through online chat and group videos. 

If you are currently receiving behavioral health services, please let your UnitedHealthcare Community Plan Care Coordinator know. It is important for them to be aware of all the services you are receiving or need.

Also, please let your behavioral health provider know that you are enrolled in UnitedHealthcare Community Plan’s Turquoise Care program. They may have questions about the services you are receiving through Turquoise Care and how we can work together to help you get the care you need.

Behavioral Health services

Behavioral Health screenings are performed as medically necessary for diagnosis and treatment. We cover:

• Individual, group, and family therapy
• Outpatient behavioral health services
• Inpatient behavioral health services
• Specialized behavioral health services for children with autism

Substance use disorder services

Substance use disorder services are performed as medically necessary for diagnosis and treatment. We cover:

• Outpatient opioid (pain medication) treatment
• Residential treatment
• Targeted case management

Visit https://member.uhc.com/communityplanfor addtional resources. Find the balance, support, and care you need to live the healthiest life possible.
If you believe you need access to behavioral health services, talk with your PCP or call Member Services for help.

SeniorLink is a program for unpaid and family caregivers. The goal is to make sure caregivers have the tools and resources they need to succeed. Caregivers complete an assessment of their knowledge and skills. SeniorLink compares this assessment with the member’s health needs and challenges. Then SeniorLink builds a care plan that will allow each member to live safely at home.

Community Benefit is the home and community-based services (HCBS) benefit package from Turquoise Care. These services allow eligible members to receive care in their home or community as an alternative to being placed in a long-term care facility. They are intended to supplement natural supports and support community living reducing unnecessary nursing home admissions.

Eligibility

To qualify for this benefit, you must:

• Have a full Medicaid category of eligibility or approved waiver
• Meet nursing facility level-of-care criteria
• Be a resident of New Mexico

OMW helps prepare youth members for living on their own. Things like finding housing, getting a job and managing money. OMW teaches important life skills to help:

• Set and achieve personal goals
• Manage money
• Find housing
• Create a resume
• Get a job
• Apply for college

Members who have questions about their health have access to a nurse 24 hours a day, 7 days a week by calling a hotline. 

Our nurses will:

• Listen to your symptoms
• Help with self-care
• Advise if you can get care at your next doctor visit or need urgent care
• Help you know when it is time to go to the emergency room

Benefits include assistance with transportation. We cover round trips to:

• Medical appointments
• Food banks and pantries
• Pharmacy visits
• Women, Infants and Children (WIC) appointments
• Medicaid eligibility appointments
• Birthing classes
• Places of worship
• Grocery stores
• Job-related activities
• Support group meetings

You may also qualify for a bus pass or mileage reimbursement for friends and family.

Call Member Services to schedule a ride or ask questions about getting transportation services.

Reimbursement to member or healer for Traditional Healing services performed are covered. Benefits include:

$300 per year for Traditional healing services. This benefit includes but is not limited to:

• Native American Healing and Ceremonies
• Curandismo Healing

Your provider will need to submit a form to get a reimbursement. Forms can be requested by calling Member Services at 1-877-236-0826. For hearing impaired: TTY 711.