Presbyterian Health Plan for State of New Mexico

Welcome to the State of New Mexico Presbyterian health plan!

We know you have a choice when it comes to selecting the best health plan for you and your  family.  Presbyterian is here to provide you with the resources you need to stay healthy and be informed.   

Schedule of Benefits Resources:

The current summary plan description is a full description of your coverage.

Current HMO Summary Plan Description

Current HDHP Summary Plan Description

Health Savings Account for HDHP Members Only

HDHP Presbyterian Pharmacy Locations

HDHP Presbyterian Pharmacy Formulary

HDHP Presbyterian Mail Order Pharmacy Program

Benefit Plans Effective 7/1/2013

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If you have any questions, please contact our Presbyterian Customer Service Center representative.

Phone: 505-923-5600  or 1-888-ASK-PRES (275-7737 )
TTY: 1-877-298-7407
Email: info@phs.org
Hours: 7:00 am to 6:00 pm, Monday - Friday

OTHER RESOURCES
 

myPRES Secure Member Portal
No waiting, no hassles, just information when you need it.  Sign in to your myPRES member account to access benefit information, membership status, claims, and much more.  Go here for instructions on how to set up your account.

Prescription Drug Benefits
Your prescription drug benefits are available through Express Scripts.  Visit the Express Scripts website for more information.

NurseAdvice New Mexico
Free, confidential, medical advice.  Call 1-866-221-9679 for direct access to medical advice 24 hours a day, 365 days a year.

Know Your Health Plan- Resource library for members
Frequently asked questions, health plan educational videos and other healthcare resources are available to you through the online member resource library, Know Your Health Plan.

Find a Doctor
You have access to an integrated system of physicians, hospitals, and health plans all working together to keep you healthy.  In 2012, Presbyterian hire 18 new mid-level providers and 32 additional physicians.  Our patient scheduling system was streamlined and automated all to assist you with getting the care you need when you need it.  Search for a Doctor or Specialist.

Urgent Care Facilities
An urgent care clinic is a vital part of our healthcare network, relieving pressure on Emergency Rooms and helping you receive the care you need if your primary care physician is unable to make same day arrangements.  Go here for a list of Urgent Care Facilities.

MultiPlan/PHCS Instructions
Do you or a covered family member need medical services outside of New Mexico?  Go to the MultiPlan web site to begin your search for a doctor or facility.

WebMD
WebMD is one of the most trusted sources of medical information and because you are a Presbyterian member, you have access to WebMD Health Manager.  Log in to your myPRES Member Account and create your personal health record and receive access to health and medical information that is important to you.

HealthEquity- Health Savings Account
HealthEquity is the nation's oldest and largest dedicated health savings trustee.  If you are currently on a high deductible health plan go here to access or set up your HealthEquity account.

Member forms and flyers
The Women's Center at Presbyterian
Presbyterian Rust Medical Center in Rio Rancho