6 Reasons

1. Worksite Wellness Initiatives

Lovelace Health Plan offers a variety of wellness program, including behavioral health programs, which help plan members keep life in perspective. Through programs on stress management, communication skills, caring for aging loved ones, managing depression and more. We provide practical advice on the problems of daily living.

• Healthy Weight
• Baby Love
• Case Management
• Discovery Hospital online library
• Healthy Steps Coaching
• Ask Me 3
• Health & Fitness member newsletters
• Healthy Roads
• Healthy Steps
• Healthy Steps PHA
• Healthy Trails
• Personal Health coaches
• Nurse Advice & Health Information Line
• Online educational tool
• Onsite worksite wellness presentations
• Onsite behavioral health wellness presentations
• Tobacco cessation (STOP)

2. Product Portfolio

Whether your clients are up-and-coming businesses or major corporations, Lovelace can create health coverage solutions that meet the needs of their employees and families. Plans are available to employer groups in New Mexico with a minimum of two eligible employees.

• HMO Plans
• High-Deductible Health Plans (HDHP)
• Point-of-Service (POS) Rider
• Classic PPO Plans
• Self-Insured/ASO Plans
• Group SCI
• Group Medicare

3. Medical Care Management

From check-up reminders to help with multiple or complex health care needs, we provide case management services to members at no cost. Case coordinators and nurse case managers help members navigate the health care system to address their needs.

• Care concierge
• Care planner
• Case management/case coordinators
• Disease management
• Online/automated prior authorizations

4. Network

We’re committed to providing our members with easy access and convenience, exceptional care and resources that help them take charge of their care. Whether your clients’ employees live in Albuquerque or Zuni, we have them covered.

• 38 hospitals statewide
• A large network of health care providers in New Mexico, including providers in bordering states
• PHCS and MultiPlan
• Lovelace Medical Center
• Lovelace Rehabilitation Hospital
• Lovelace Westside Hospital
• Lovelace Women’s Hospital
• SED Medical Laboratories
• University of New Mexico Medical Center
• Online Provider Directory updated daily. Printed directories updated monthly and available on request.

5. Customer Care Center

Lovelace Health Plan provides its members local support and assistance. Friendly, knowledgeable customer care is just a call or a short drive away

• Access to walk in to speak with a representative
• View claims and accumulators online
• Help with benefit questions
• Help choosing or finding a primary care provider
• Designated lines for the State of New Mexico, UNM and APS members

6. Analytics & Reporting

In our ongoing effort to improve health care, Lovelace offers plan members continuous checks-and-balance reports that monitor and explain the care they receive.

• Healthy Steps Report
• HEDIS
• Medical utilization
• Various reports available depending on the size of the group

Reports subject to federal and state laws protecting members' personal health information.