Presbyterian
Employers & Producers
Group Insurance Plans

Group Insurance Plans

Small Group Health Plans

The Summary of Benefits and Coverage documents are featured below. If you need further assistance or need to obtain benefit information for a Small Group, please contact your account representative.

2024 Plan Information

Coming soon

2023 Plan Information

APPLICATION KIT

Small Group Application KitSmall Group Employer ApplicationSmall Group Employee Action FormAttestation of Small Group Size Form

PLAN OVERVIEWS

HMO Small Group OverviewPPO Small Group OverviewEngage Plan OverviewResource Guide

Small Group Engage Plan

RATES

HMO RatesPPO RatesEngage Rates

METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)

METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)

On Exchange

HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSAEngage HMO GSA

Off Exchange

HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSAEngage HMO GSA

LEVEL FUNDED PLANS

Level Funded Booklet

LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)

LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)

HMO Plan SPDHDHP (HMO) Plas SPDPPO Plan SPDHDHP (PPO) Plan SPDEngage Plans SPD

OPTIONAL BENEFITS

Health Savings Account (HSA) InformationVision Benefit SummaryStandard Option Dental Benefit SummaryHigh Option Dental Benefit SummaryDental Benefit Authorization Form

TRANSPARENCY IN COVERAGE

Transparency in Coverage - Claims Payment Policies

QUESTIONS?

Call our knowledgeable associates on our Employer/Producer hotline:

505-923-5656 or 1-866-246-9877

Submit Online Form Requesting Information


2022 Plan Information

APPLICATION KIT

Small Group Application Kit

PLAN OVERVIEWS

HMO Small Group OverviewPPO Small Group Overview

Small Group Engage Plan

HMO & PPO RATES

HMO RatesPPO Rates

METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)

METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)

On Exchange

HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSA

Off Exchange

HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSA

LEVEL FUNDED PLANS

Level Funded Booklet

LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)

LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)

OPTIONAL BENEFITS

Health Savings Account (HSA) Information

TRANSPARENCY IN COVERAGE

Transparency in Coverage - Claims Payment Policies

QUESTIONS?

Call our knowledgeable associates on our Employer/Producer hotline:

505-923-5656 or 1-866-246-9877

Submit Online Form Requesting Information

Is My Provider in-Network?

Presbyterian Health Plan members can log into myPRES to determine which providers in Presbyterian’s network of more than 9,000 providers are covered by their plan.

Presbyterian Medical Group Providers

Presbyterian Medical Group has more than 950 providers in 50 specialties at more than 100 clinics throughout New Mexico – all dedicated to your health and comfort.

What's Happening at Presbyterian

Find out about the newest staff and the latest technology, and all the other happenings at Presbyterian.