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 505-222-6400 or visit their
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.
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.
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.
2018 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.
2018 NMRHCA Senior Care (HMO-POS) Plan 1 & 2 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.
2018 Medicare Formulary (List of Covered Drugs)What If My Drug Is Not on the Formulary?
2018 Medicare Drug Formulary Changes2018 Medicare Drug Prior Authorization Criteria2018 Medicare Quantity Limits Criteria2018 Medicare Step Therapy Criteria
Supplement Formulary Information
Drug Coverage Determination Request Form
Policy for Medicare Part D Drug TransitionsForm Requesting Prior Authorization
Specialty Pharmacy & Medical Drugs CoverageU.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 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.
Form for OptumRx Mail Order Prescriptions
Visit the Forms & Documents library for additional information related to your Presbyterian Health Plan