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Employer-Offered Plans
City of Albuquerque

Employer-Offered Plans

Need Help?


Phone:

 or 

Fax:

505-213-0246 or 1-888-923-9550

TTY:

711

Email:

cabqinquiry@phs.org

Hours:

Weekdays 7:00 a.m. - 6:00 p.m.

Issues or Concerns?

Have you had a problem with your coverage?


Fraud & Abuse

Notices of Privacy Practices

City of Albuquerque

Presbyterian Health Plan, Inc. is pleased to be a health partner with the City of Albuquerque. As a Presbyterian Health Plan member, you'll be connected to the coverage options, providers, healthcare facilities, and care services you and your family need to stay healthy.

  • Access to Mobile Health Center

  • Schedule a video visit

  • Gym memberships, good at more than 8,500 national, regional and local fitness, recreation and community centers. Learn more

  • Convenient health plan information available through myPRES, including Wellness at Work, a web-based application offering personal health assessments, health education tools, and more.

  • Help with managing chronic conditions through Presbyterian Healthy Solutions, an innovative disease management program Call

    , from 8 a.m. to 5 p.m. Monday through Friday.

  • Direct access to medical advice 24 hours a day, 365 days a year through 

    PresRN

  • If you are a Presbyterian Health Plan member, chat with a dedicated Customer Service Representative. Chat Now


CHOOSING A PLAN

Need help choosing a plan? Use the Plan Decision Tool to help you make your decision.

CABQ Medical Plan Decision Tool

UNDERSTANDING YOUR PLAN

These benefits documents provide detailed information on the coverage and payments required for each plan.

My Care Active Plan Benefit GuideMy Care Family Plan Benefit GuideMy Care Independent Plan Benefit GuideMy Care Active and Family Summary Plan DescriptionMy Care Independent Summary Plan Description

Watch this video to learn how cost sharing works.


SERVICE OUTSIDE OF NEW MEXICO

Presbyterian members receive in-network benefits outside of New Mexico with our collaboration with Aetna Signature Administrators® to offer access to Aetna’s PPO network with more than 1.5 million participating physicians and ancillary providers, including over 6,000 hospitals. To search for providers in the national network please use the link below.

National Network of Medical Providers National Network of Behavioral Health Providers


SUMMARY OF BENEFITS AND COVERAGE (SBC) DOCUMENT

Check with your benefit administrator if you have a gym membership with your health plan benefit.

ACTIVE PLAN Summary of Benefits & Coverage (SBC)FAMILY PLAN Summary of Benefits & Coverage (SBC)INDEPENDENT PLAN Summary of Benefits & Coverage (SBC)
Prime® Fitness FAQ

Unique Services Reimbursement Program. Applies to Independent and Active plans only. Benefits are on a calendar year versus plan year, have limitations, and requests must be submitted within one year from the date of service.

Form for Unique Services Reimbursement