Presbyterian Health Plan Provider Directory
We know it is vital that you and your family find the care you need.
To assist members, we use the most current lists of in-network providers and facilities in our online provider directories. Your health plan materials are the best source to help you know your covered services and providers.
To see which providers are in network for your plan, select your Insurance plan in the Insurance filter.
Language Translation Services: Free interpreter services are available to answer any questions you may have about our health plans and participating network providers. Please call 1-855-592-7737 (TTY 711).
Search the PHP Provider DirectoryOr select a plan (below) to see the providers and facilities included in that network.
GETTING CARE WHEN OUTSIDE OF NEW MEXICO
All plans cover urgent care and emergency care services wherever you are, whether you are in or outside of New Mexico.
However, your plan may or may not include coverage for non-emergency care outside of New Mexico. Please call the Presbyterian Customer Service Center using the number on the back of your ID card. You can also review your plan materials to learn more about your plan's out-of-state coverage.
Whether you have out-of-state coverage or are paying out-of-pocket, you can access care through our national network of healthcare providers. Use the directories below to search for care in your area. These directories are publicly accessible and do not require a log-in.
Important Information About Costs and Coverage
Your copayments, coinsurance, and deductibles will apply based on your health plan’s benefits.
If your plan has different cost-sharing rates for services outside of your primary service area, those rates will apply.
Some services may require prior authorization before they are covered. You are responsible for confirming authorization requirements. Failure to obtain authorization may result in reduced or denied coverage.
Provider Directory Disclaimer
Provider directories from the National Network of Medical Providers and National Network of Behavioral Health Providers are updated regularly, but provider participation, availability, and network status may change at any time. Always confirm with the provider and your health plan that the provider is in-network and that your services are covered before scheduling care.
National Network of Medical Providers National Network of Behavioral Health Providers
NOT A PRESBYTERIAN HEALTH PLAN MEMBER?
If you are covered by another health plan, you can use the provider directory to find a Presbyterian Medical Group provider to fit your needs.