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Presbyterian is proud to offer a range of product choices to meet the needs of different Employer Groups and individuals. Choose among plan features such as lower premiums, varying copayment/co-insurance amounts, deductibles and options for seeking care outside the Presbyterian provider network.
Presbyterian's employer group plans include HMO, POS and PPO Plans for New Mexico businesses. Our HMO products include standard HMO copayment style plans; our Smart Care plan offers a combination of copayments and deductible/co-insurance; and our POS plans allow members the opportunity to access in and out-of-network providers. We also offer several different deductible and co-insurance level PPO plan choices.
Allows groups with 2-50 employees to custom design a benefit plan to best meet the unique needs of their employees. To create a plan as distinctive as their business, groups can select from eight deductibles, three co-insurance levels, five out-of-pocket maximums and three pharmacy options.
Is a traditional HMO plan that offers comprehensive coverage with simple copayments, no deductible, and a comprehensive provider network.
Offers a low cost alternative to traditional copayment plans. This option helps to reduce monthly premiums by placing a deductible and co-insurance on specific services like hospital stays. Other commonly used services, such as routine care and office visits, are offered at predictable copayments.
Value Care and Custom Care
Are traditional HMO Plans that offer coverage with simple copayments, no deductible, and a comprehensive provider network.
Offers simple copaymetns for office visits, and preventive care. For more advanced medical needs a co-insurance and deductible would apply and may vary depending on whether the care is provided in or out of Presbyterian's contracted network.
Is a qualified High Deductible Health Plan (HDHP) that can be used with a member-owned, portable Health Savings Account (HSA) for possible tax advantages.
Self-funded is an arrangement whereby the employer assumes some or all of the risk in providing health benefits for the employees. In New Mexico, self-funding can save the employer 2-6% in premium taxes which do not apply in self-funded plans, potential freedom from costly state-mandated benefits and investment earnings which accrue typically tax free in the employer-established health trust.For additional information on self-funded plans please contact your Account Executive.
Presbyterian Health Plan’s Individual and Family Plan fits just about any situation, not to mention budget. If you're looking for a choice of deductibles, built in dental and vision benefits, or predictable copayments for primary care office visits, we've got you covered.
Did you know Presbyterian offers Multiple Employer Group Medicare Advantage plans?
This plan offers affordable healthcare coverage to low-income working adults who meet the SCI eligibility criteria, either through their employer or as an individual.