Beginning with the upcoming plan year (July 1, 2026 – June 30, 2027), the University of New Mexico (UNM) Prescription Drug Plan will no longer cover GLP-1 medications when they are prescribed solely for weight management. Coverage continues when GLP-1 medications are prescribed for other medical conditions such as diabetes. This change was made to ensure long-term financial sustainability of the UNM health plan while continuing to support employee health and wellbeing. Click here for more information on GLP-1 medications for weight management.
UNM recognizes the impact this change may have on employees currently using GLP-1 medications for weight management. To support affected employees, UNM will be offering short-term financial support and transition assistance through a Health Reimbursement Arrangement (HRA), administered by WEX Health Inc.
An employer-sponsored Health Reimbursement Arrangement (HRA) is a UNM-funded benefit that helps eligible employees pay for qualified medical expenses by reimbursing them for costs incurred. HRAs are owned and funded entirely by the employer, are not taxable income to employees, and provide flexibility to help offset out-of-pocket healthcare expenses in coordination with an employee's medical plan.
Benefits eligible employees hired before July 1, 2026, who remain actively enrolled in either the UNM LoboHealth or Presbyterian health plans will be automatically enrolled and eligible to submit claims. The HRA will reimburse up to $150 per month (for a 30-day supply) or up to $450 per quarter (for a 90-day supply) for expenses incurred for medically necessary GLP-1 medications prescribed for weight management. Unused amounts cannot be cashed out.
Under IRS regulations, if a dependent's expenses are reimbursed from the participant's HRA, the dependent must be enrolled as an eligible dependent in the health plan and listed as the recipient or patient on submitted documentation. For more information about eligible dependents, visit the Eligibility webpage.
Claims for reimbursement must be submitted to WEX Health Inc. for review, substantiation, and processing. The IRS requires you to provide documentation to make sure expenses are eligible for reimbursement from your Health Reimbursement Arrangement (HRA). If you provide documentation but it's not sufficient to substantiate the claim, you'll receive a request for more information.
You are required to substantiate:
Be prepared to provide the last four digits of your UNM ID (in lieu of SSN) so WEX can access your FSA account details.
