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City of Albuquerque

 

Presbyterian Health Plan, Inc. is pleased to be a health partner with the City of Albuquerque. As a Presbyterian Health Plan member, you'll be connected to the coverage options, providers, healthcare facilities, and care services you and your family need to stay healthy.

  • Access to Mobile Health Center
  • No cost preventive care
  • Convenient health plan information services available through myPRES any time, day or night.
  • Help with managing chronic conditions through Presbyterian Healthy Solutions, an innovative disease management program Call 1-800-841-9705, from 8 a.m. to 5 p.m. Monday through Friday.
  • Direct access to medical advice 24 hours a day, 365 days a year through PresRN
  • Unique Services Reimbursement Program. Applies to Independent and Active plans only. Benefits are on a calendar year versus plan year, have limitations, and requests must be submitted within one year from the date of service.
    Unique Services Reimbursement Program
  • Our friendly, locally based Presbyterian Customer Service Center is completely dedicated to you and available to answer your benefit questions.

Choosing a Plan

Need help choosing a plan? Use the Plan Decision Tool to help you make your decision.


Understanding your plan

The Benefit Guide, a booklet outlining the most important things to know about your health plan, is available for download. Look for this upon enrollment before your effective date.

Watch this video to learn how cost sharing works.


Service Outside of New Mexico

To receive services outside of New Mexico, Independent Plan members can search for a doctor through our national network of medical providers or our national network of behavioral health providers.

National Network of Medical Providers
National Network of Behavioral Health Providers


Summary of Benefits and Coverage (SBC) Document


Prescription drug coverage

The City of Albuquerque's Presbyterian Health Plan includes prescription drug coverage. A complete list of the drugs covered can be found in the Formulary documents available for download in our Forms & Documents library»


Mail Service Pharmacy Benefit

Presbyterian offers mail-order prescriptions in partnership with OptumRx. Order up to a 90-day supply of maintenance drugs (as prescribed by your physician) and get free delivery to your home with OptumRx Mail Service.