Health Plan for NM Retiree Health Care Authority

Non-Medicare

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   Presbyterian Health Plan Provider Online Directory

   2010 Summary Plan Description - Premier & Premier Plus Plan (.pdf)

This Current Summary Plan Description is a full explanation of coverage. If you have questions after reading this Summary, please call the Presbyterian Customer Service Center at 1-888-275-7737 (1-888-ASK-PRES) from anywhere in New Mexico.

National PPO Network

NMRHCA members enrolled in the Premier or Premier Plus Non-Medicare Plan receive in-network benefits outside of New Mexico through our partnership with the national MultiPlan/PHCS network. The MultiPlan/PHCS network has more than 500,000 providers and facilities around the country.  Visit www.phcs.com for a complete listing and more details.  Once you have accessed the MultiPlan/PHCS website, please follow these instructions.

Click on the MultiPlan link
Click in the upper right hand corner "Search for a Doctor or Facility"
Scroll down to the lower box titled "Back of Card"
Click the first PHCS logo first
Click the MultiPlan Triangles to view the extended network

 
Services received from these providers will now be available at the in-network level of benefits.  Benefit Certifications, if applicable, will still be the NMRHCA participant's responsibility.