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Home|Doctors & Services|Covering Your Care & Financial Assistance

Covering Your Care & Financial Assistance

 

To maintain our ability to provide the best healthcare possible to New Mexicans, the following payment expectations apply for non-emergency services for both insured and uninsured patients seeking care at Presbyterian-owned facilities. In the event of an emergency, Presbyterian will provide the necessary medical treatment regardless of one's ability to pay.

Important: If your insurance is not in the Presbyterian Healthcare Services network, you must obtain prior authorization for all services. Prior authorization is not a guarantee of payment or a guarantee of an in-network benefit. Patients outside of their primary network may be subject to a higher co-pay/deductible. Call your insurance provider directly to confirm coverage.

  1. For insured patients: Your deductible, co-payment and/or co-insurance, if applicable, are due at the time of service. A deductible is the amount you must pay before your benefit plan starts paying any portion of your medical services. After your deductible is met, you may have to pay a co-payment (a set dollar amount) or co-insurance (a percentage of the cost) for your medical care. Some plans do not require a deductible. Please refer to your benefit plan documents for the amounts that you must pay for different services. If you are scheduled for a non-emergency medical procedure or surgery, we may contact you before your appointment to provide you an estimate of your cost and to collect your co-payment, deductible, and/or co-insurance.
  2. For uninsured patients: You will be asked for payment in full. Presbyterian offers uninsured patients a 30% discount on all services. We will provide you an estimate of the cost so you are able to make an informed decision as to whether or not you would like to proceed with the requested services.
  3. Presbyterian hospitals and clinics (including Presbyterian Medical Group) accept cash, checks, debit and credit cards for payment.
  4. If you are unable to pay on the day of your appointment, or earlier if requested, we can reschedule your appointment.
  5. If you are approved for payment arrangements, you must pay according to the agreement terms. If you do not pay according to your agreed upon commitment, your account will be considered delinquent and will be subject to additional collection terms. Please note this may include the inability to schedule future appointments with your physician, as well as referral to an outside collection agency. This action may impact your credit status.

PATIENT FINANCIAL ASSISTANCE

Financial assistance and counselors are available to our patients who are uninsured or underinsured, and have difficulty paying for care. Presbyterian offers payment options, including payment plans for those who quality, and financial assistance.

HOW TO APPLY FOR FINANCIAL ASSISTANCE

To apply for financial assistance, please complete an online application or fill out the printable application below. You may also visit the nearest Presbyterian facility and ask to speak with a Patient Service Representative or you may call us at 505-923-6600 or toll free at 1-800-251-9292.

Financial Assistance Policy

Las normas y los procedimientos de la ayuda financiera

Patient Billing and Collection Policy

La División de Cobros y Recobros de Impagados de los Pacientes

Financial Assistance Application

Financial Assistance Determination

Determinación de ayuda financiera

Online Financial Assistance Application

Solicitud de Ayuda Financiera

Upon completion of the application, a Presbyterian representative will review your request based on Presbyterian's Financial Assistance Determination guidelines and policies.

Presbyterian Healthcare Services financial assistance policy utilizes the Federal Poverty Guidelines (FPG) as a basis for establishing eligibility for free or reduced cost of medically necessary services. Presbyterian's policy provides for free care where the family income is at or below 200% of the FPG. In cases where the family income falls at 201% to 300% of the FPG, a sliding scale is utilized to determine eligibility. The process requires completion of an application which requires the disclosure of financial information necessary to determine eligibility.

Financial Assistance Determination Guide

Determinacion de Ayuda Financiera