Welcome to 2010 Presbyterian Medicare Advantage Plans

Visit the following links to learn more about:

Presbyterian Senior Care (HMO)  En Espanol  is Presbyterian's Medicare Advantage Health Maintenance Organization with plan choices that include healthcare coverage and healthcare coverage with prescription drugs.Presbyterian Senior Care (HMO) is available in; Bernalillo, Valencia, Sandoval, Torrance counties, and the following ZIP codes in Cibola County (87007, 87014, 87020, 87026, 87038), Socorro County (87062, 87831) and Santa Fe County (87010, 87015, 87056, 87540).

Presbyterian MediCare PPO  En Espanol  is Presbyterian's Preferred Provider Organization with plan choices that include healthcare coverage and healthcare coverage with prescription drugs.

Presbyterian MediCare PPO is available in all counties in New Mexico.
 

Best Available Evidence (BAE) Federal regulations at 42 CFR § 423.800 specify the requirements of Part D sponsors in the administration of the Low-Income Subsidy program, including the reduction of cost sharing for subsidy-eligible individuals. In certain cases, CMS systems do not reflect a beneficiary's correct Low-Income Subsidy (LIS) status at a particular point in time. As a result, the most up-to-date and accurate subsidy information may not have been communicated to the Part D Plan.
To address these situations, CMS created the Best Available Evidence (BAE) policy. This policy requires sponsors to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary's information is not accurate.

Please use the link below to look through the downloads that relate to the CMS BAE policy.
 

Best Available Evidence Policy

Presbyterian Medicare Part D Transition Policy (Draft)

Contact Us
Mail Correspondence to:

Presbyterian Senior Care (HMO)
P.O. Box 27489
Albuquerque, NM 87125
 

The Presbyterian Customer Service Center and Presbyterian Medicare Sales Consultants are available to assist you on the following days and times:

November 15 through March 1 - 8 a.m. to 8 p.m. Monday through Sunday
March 2 through November 14 - 8 a.m. to 8 p.m. Monday through Friday
A voice response system is available 8 a.m. to 8 p.m. Saturday, Sunday and Memorial Day, Independence Day and Labor Day. Messages left will responded to within one business day.
 

Customer Service: please call (505) 923-6060 or 1-800-797-5343
TTY Users: 1-888-625-8818

Presbyterian Medicare Sales Consultants*: please call (505) 923-8458 or 1-800-347-4766
TTY Users: 1-888-625-6429

* Calls are directed to licensed sales representatives.

E-mail: jdecker@phs.org
 

Presbyterian Customer Service Center
E-mail: info@phs.org

You may also use our Contact Form that is available online 24 hours a day at info@phs.org