Are you an employer looking to buy insurance?

Employer Groups have a variety of options when joining Presbyterian Health Plan or Presbyterian Insurance Company. Currently more than 2,000 employer groups throughout New Mexico offer Presbyterian plans to their employees.

Presbyterian offers the following products:

Small Group Plans

• HMO Plans - Presbyterian Health Plan's Value Care, Custom Care, Smart Care, and My Care plans offer comprehensive coverage with simple copayments, no deductible, and a comprehensive provider network.
• Point-of-Service Plans - Presbyterian Health Plan's Flex Care and Choice Care plans are HMO plans with an out-of-network option. The member can choose at the time of service to access in-network or out-of-network benefits.
• Preferred Provider Organization Plans (PPO) - Presbyterian Insurance Company's Preferred Care offers simple co-payments for services such as preventive care and doctor visits. For more advanced medical needs, like hospital services, members first meet a deductible, then pay co-insurance payments that will vary depending on if the care is provided in our out of Presbyterian's network.
• High Deductible Health Plans (HDHP) - Presbyterian Insurance Company's Advantage Care plans are qualified high deductible health plans that can be used with a member-owned, portable Health Savings Account, a savings option that may provide tax advantages.
• Administrative Services Only (ASO) - Various plan options available to self-funded groups.

State Coverage Insurance (SCI)
A solution for lower-income working adults

Whether you are applying as an individual or as an employer, Presbyterian's State Coverage Insurance allows you to purchase affordable medical coverage. This program is a premium-assistance program, with the individual or the employer and employee paying one-third of the premium, and state and federal funds paying the remainder.

To be eligible, the employee must earn a family income of up to 200% of the Federal Poverty Level (FPL) and not be eligible for certain government health insurance benefits. Cost to the employer is $75 per month per employee; the employee and/or employer pays $0-$35 per month depending on income level.

Depending on the size of your employee population, Presbyterian also offers customized plans and various types of funding arrangements.

Presbyterian Insurance Company-Individual Plans - For information on individual plans, call toll-free 1-866-869-7737 (1-866-8My-Pres), option 4, or (505) 923-8224, option 4.

How do I get more information about Presbyterian's plans?

Submit the Online Request for Information Form and our sales staff will provide you with further assistance, or you can also call our Sales Department at (505) 923-8200, option 3, or toll-free 1-866-388-7737, option 3.

We look forward to helping you!

Fraud and Abuse

The Presbyterian Health Plan and Presbyterian Insurance Company's Special Investigative Unit (SIU) is responsible for the detection, investigation and reporting of potential fraud and abuse activity. We are required to cooperate with regulatory and law enforcement agencies in reporting any activity that appears to be suspicious in nature. According to the law, any information that we have concerning such matters must be turned over to the appropriate governmental agencies. Find out more.