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Employer-Offered Plans
New Mexico Retiree Health Care Authority Medicare Ppo

Employer-Offered Plans

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New Mexico Retiree Health Care Authority (Medicare)

​​​​Presbyterian Health Plan, Inc. is pleased to provide the Presbyterian Senior Care HMO-POS New Mexico Retiree Health Care Authority (NMRHCA) Plans I and II. Enrollment in these plans must be made directly through NMRHCA. To enroll, call NMRHCA at 

 or visit their website.

Presbyterian Senior Care HMO-POS NMRHCA Plans I and II are available only to individuals who live in our plan service area, which is the entire state of New Mexico.


MEMBER HANDBOOK

The Presbyterian Senior Care HMO-POS NMRHCA Plan I and II Member Handbook provides a detailed overview of the coverage and payments required at each specific deductible level. Important information to check out includes:

  • Copayments required for the types of care visits you usually make.

  • Whether the plan covers your specific conditions or circumstances.

  • Prescription coverage, especially if you are on an unusual drug.

2023 Senior Care HMO-POS NMRHCA Plan I and II Evidence of Coverage (EOC)2024 Senior Care HMO-POS NMRHCA Plan I and II Evidence of Coverage (EOC)

PROVIDER DIRECTORY

The Provider Directory lists the doctors available to you in-network as part of your Presbyterian Senior Care HMO-POS NMRHCA plan. Check to make sure your doctor is covered to receive the highest level of coverage.

Search Online Senior Care (HMO-POS) Provider Directory​


SUMMARY OF BENEFITS

A summary of this plan is included in the detailed plan information in the following document.

2023 Senior Care HMO-POS NMRHCA Plan I and II Summary of Benefits2024 Senior Care HMO-POS NMRHCA Plan I and II Summary of Benefits

PRESCRIPTION DRUG COVERAGE

The Presbyterian Senior Care HMO-POS NMRHCA health plans include prescription drug coverage. A list of the drugs covered can be found in the Formulary lists.

Medicare Formularies

2023 Medicare Formulary (List of Covered Drugs) - Updated 12/1/2023

Formulary Updates

2023 Medicare Drug Formulary Changes - Updated 12/1/2023

Supplement Formulary Information

Drug Coverage Determination Request FormPolicy for Medicare Part D Drug TransitionsForm Requesting Prior AuthorizationSpecialty Pharmacy & Medical Drugs Coverage

U.S. Food and Drug Administration (FDA) Safety Alerts

U.S. Food and Drug Administration (FDA) Drug Recalls


MAIL SERVICE PHARMACY BENEFIT

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

Form for Optum Home Delivery Prescriptions

Visit the Forms & Documents library for additional information related to your Presbyterian Health Plan