Resources for members impacted by fires

Presbyterian Health Plan Individual and Employer Group Members

Presbyterian is with you during this difficult time and we’d like you to know about additional flexibilities provided to members on an individual plan or their employer’s plan that reside in one of the affected areas.

The affected areas are:

• Lincoln County

• Mescalero Apache Reservation

If you reside in one of these areas, the following flexibilities may be extended to you:

• You may receive a grace period of 120 days and payment plan for up to 6 months, if unable to pay your premiums

• Cost-sharing and deductibles waived for 120 days

• Prescription refill early for 120 days and will allow for replacement for lost or damaged medication

• One eyeglass or contact lens and one hearing aid replacement, according to your benefits

• Denture or other prosthodontic device replacement, according to your benefits

• Disposable medical supplies and durable medical equipment (DME) replacement

• Presbyterian will postpone cancellations and non-renewals for no less than 120 days

• Presbyterian will waive referrals and prior authorization requirements for medically necessary services, whether it’s an emergency or not

These flexibilities may be subject to your employer’s plan. If you’ve been impacted by the wildfires and would like to take advantage of one of these flexibilities, please call us at 

 or toll-free at .

Presbyterian Health Plan Medicaid Members

Medicaid members in need of immediate emergency services can contact Presbyterian Health Plan directly for help at

or toll-free at . Resources are also available here: https://www.hca.nm.gov/ruidoso-evacuation-assistance/. Presbyterian Health Plan can provide help with care coordination, medication refills, medical equipment such as oxygen, and help scheduling health care appointments, as needed.

The New Mexico Department of Homeland Security and Emergency Management has an emergency services center at the Roswell Convention Center, open 8:00 a.m. to 6:00 p.m. daily. The Health Care Authority and Medicaid Turquoise Care health plan representatives will be on site to assist SNAP and Medicaid recipients with replacement ID cards or other needs.

Presbyterian Health Plan Medicare Members

For Medicare members residing in one of the affected areas, the following flexibilities have been extended:

• You may seek services from an out-of-network provider without the need for a referral and your services will be covered at the in-network rate

• You may refill your prescriptions early and receive the maximum extended-day supply

• You may fill a prescription at any pharmacy in New Mexico

If you need assistance or if you have any questions, please call us at 

 or toll-free at .

PresRN Nurse Advice Line

Presbyterian Health Plan members have access to trained registered nurses who can answer questions and guide you to the right care when needed. The line is available 24 hours a day, 7 days a week, including holidays. Please call us at

or .

Mental Health Support

It is okay to feel anxious, fearful or sad about the impact of these natural disasters. Call

to talk to a mental health specialist and get the mental and emotional support you need. This service is available Monday through Friday, 8 a.m. to 8 p.m. CST.

Telehealth

Presbyterian offers a variety of virtual health care options for physical and mental health. Please visit phsgetcare.org to find the right level of care for you.