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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
  • Schedule a video visit
  • Free gym memberships, good at more than 8,500 national, regional and local fitness, recreation and community centers. Learn more
  • Convenient health plan information available through myPRES, including Wellness at Work, a web-based application offering personal health assessments, health education tools, and more.
  • 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
  • If you are a Presbyterian Health Plan member, chat with a dedicated Customer Service Representative. Chat Now

Choosing a Plan

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


Understanding your plan

These benefits documents provide detailed information on the coverage and payments required for each plan.

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

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.


Mail Service Pharmacy Benefit

Prescription drugs are covered thru Express Scripts. For questions/information about your prescription drug coverage, please contact Express Scripts at:
Customer Service:1-877-860-9256
Website: www.express-scripts.com


Need Help?

Phone:
505-923-7787 or 1-855-261-7737
Fax:
505-213-0246 or 1-888-923-9550
TTY:
711
Email:
cabqinquiry@phs.org
Hours:
Weekdays 7:00 a.m. - 6:00 p.m.

Issues or Concerns?

Have you had a problem with your coverage?