Accepted Insurance
Presbyterian Española Hospital provides services for customers of Medicare, Turquoise Care, Presbyterian Health Plan, and the following insurance:
Commercial/Group Products |
---|
Medicare Advantage Products |
---|
Managed Medicaid/Turquoise Care |
---|
Other Government Programs |
---|
*Indicates Limited Plan Acceptance
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.
For insured patients: Your deductible, copayment 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 copayment (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 copayment, deductible, and/or co-insurance.
For uninsured patients: You will be asked for payment in full. Presbyterian offers uninsured patients a 25% 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.
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 qualify and charity assistance. If you would like information about our financial assistance policy, please call
. We offer financial assistance and sliding scale discounts for essential services based on family size and income. [En esta clínica brindamos servicios de atención médica esenciales a todos los pacientes, independientemente de su capacidad de pago. Ofrecemos asistencia financiera y descuentos para servicios esenciales basados en el tamaño de la familia y los ingresos.]Presbyterian hospitals and clinics (including Presbyterian Medical Group) accept cash, checks, debit and credit cards for payment.
If you are unable to pay on the day of your appointment, or earlier if requested, we can reschedule your appointment.
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.
For help understanding whether your plan is contracted with Presbyterian Española Hospital or answers to other questions, please contact:
Presbyterian Española Hospital Business Office
Weekdays, 8:00 a.m. to 5:00 p.m.
Need an estimate for your medical services?
Presbyterian is committed to transparency in healthcare, including helping to answer your questions about the amount you may be charged for medical services.