Forms and Product Materials

• Individual Plan Member Forms and Product Materials
• Medicare Forms and Product Materials
• Medicaid Forms and Product Materials

My Pres Online
Log on to My Pres Online to*:

• Change your Primary Care Practitioner (PCP)
• Request a replacement ID card
• Check claim status
• View authorizations
• View your benefit plan
• Verify your eligibility

* The availability of Pres Online functions is dependent upon your employer's preferences.

If you have not yet registered for "MyPresOnline" you can sign up now.

RxPortal

Use RxPortal to:

• Check your prescription benefits
• Get mail-order prescriptions
• Find pharmacies
• Find out about your medications and possible side effects
• Check your medication history

Pres e-Care
Learn more about communicating with your physician's office online through Pres e-Care.

Find a Doctor
Use our online Provider Directory to:
• Find a physician or specialist in your area
• Get your physician's address and telephone number

Improve Your Health
Get answers to health questions through A.D.A.M., our Nurse Advice Line, request appointments, find out about your medications, find healthy recipes and much more.

Life Masters  

If you are enrolled in Presbyterian's Diabetes or Coronary Artery Disease program, LifeMasters® Online can help you keep track of your vital signs. It can also help to communicate significant changes to your care provider. Presbyterian members with other chronic conditions can find information and tracking tools for diseases such as Asthma, Hypertension, COPD, Depression, and Heart Failure. The tools are designed to help you track your information, privately and securely with the following:

• A Personal Medical Record
• A Health Report
• A Health Calendar
• A Vital Signs tool
• A Medications tool

Your Presbyterian ID card Just Became More Valuable
Presbyterian has partnered with BenefitSource and Vision Service Plan (VSP) to bring you new, member-only discounts for alternative medicine and vision services. There is nothing to sign and no hidden charges, so you can take advantage of these discounts today. Simply present your Presbyterian Member ID card to a participating provider to receive pay-as-you-go services at discounts from 15% to 35%.

The discounts described are neither offered nor guaranteed by either Presbyterian Health Plan Inc, or Presbyterian Insurance Company, Inc. Questions or concerns should be directed BenefitSource and Vision Service Plan (VSP)

• Acupuncture, Chiropractic and Massage Therapy Discounts
  In addition to the benefits covered under your Presbyterian medical plan, all Presbyterian Commercial and Administrative Services Only members have access to discounted acupuncture, chiropractic and massage therapy services through BenefitSource. Information on these discounted services is available at BenefitSource online or by calling BenefitSource at (505) 237-1501, toll-free at 1-888-862-8659.
• Vision Discounts - Vision Service Plan (VSP) Access Plan
  In addition to any benefits covered under your Presbyterian medical plan, all Presbyterian Commercial and Administrative Services Only members (ASO)* can receive discounts on eye exams, glasses, contact lens exams, and Laser Surgery (LASIK and PRK) through VSP's Access Plan. Information on these discounted services is available at VSP online or by calling VSP at 1-800-877-7195.

*The VSP Access Plan is not available to Presbyterian employees or to Presbyterian members who are currently enrolled in a Presbyterian/VSP vision rider program.

Kick the Habit and Commit to Your Health
Presbyterian Health Plan and Presbyterian Insurance Company members who want to quit smoking or using tobacco products can now call the Tobacco Quit Line at 1-888-840-5445 for the confidential and convenient support they need. Find out more about this service.

Explore Presbyterian's Services
You'll find information like maps and hours of our facilities, including pharmacies. There's information about our special programs for seniors, women, and children. You can sign up for health education classes online.

Interacting with the Health Plan
If you have questions regarding your benefits, please contact Member Services for assistance.

Appeals and Grievances
If you want to appeal a decision made by PHP, contact our Appeals and Grievances department at gappeals@phs.org. We will do our best to address your problems quickly and to your satisfaction.

Health Information Privacy Policy
Presbyterian is serious about protecting the privacy of your health information. Please read our Privacy Policy (English) or Aviso Sobre La Privacidad (Spanish).

Terms
The Glossary of Terms explains technical terms you may encounter when talking about your plan or healthcare benefits.

Member Rights and Responsibilities
PHP members are entitled to certain rights and services. You are also responsible for participating in your health care. Read the Member Rights and Responsibilities document.

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.