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Employer-Offered Plans
Pnm Resources

Employer-Offered Plans

​​​​​Need Help?


Need Help Selecting a Provider?

​Phone:

Access to Care

 or 

Understand Your Benefits

 or 

Fax:

505-213-0246 or 1-888-923-9550

TTY:

711

Email:

info@phs.org

Hours:

Weekdays 7:00 a.m. - 6:00 p.m.

Issues or Concerns?

Have you had a problem with your coverage?


Fraud & Abuse

Notices of Privacy Practices

PNM Resources

Presbyterian is pleased to be a health partner with PNMR.

As a Presbyterian Health Plan member, you'll be connected to the coverage options, providers, healthcare facilities, and care services you and your family needs to stay healthy.

  • Annual preventive screening reminders and periodic wellness newsletters sent directly to you

  • No cost preventive care

  • Help with managing chronic conditions through Presbyterian Healthy Solutions, an innovative disease management program. Call 

    , Monday through Thursday, 8:00 a.m. to 5:00 p.m.

  • Direct access to medical advice 24 hours a day, 365 days a year through PresRN

  • Discounts from select providers for acupuncture, massage therapy, chiropractic care, vision services, and more

  • Access your health plan benefits and myChart with a PMG provider through myPRES any time, day or night

  • Our friendly, locally based Presbyterian Customer Service Center is completely dedicated to you and available to answer your benefit questions

  • Video Visits offer a new way to see a medical provider for non-emergency medical conditions via secure video through a smartphone, tablet or computer webcam.

    Schedule a video visit now

  • Access to medical care 24 hours a day, 365 days a year through Get Care Today


UNDERSTAND YOUR COVERAGE

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

We want you to be informed and in control when it comes to your health plan. These documents provide you with the information you need to make smart decisions.

Benefit Summary

Summary of Presbyterian Health Insurance Benefits

Summary of Benefits and Coverage

2024 PNMR PPO Summary of Benefits and Coverage (SBC)2024 PNMR CCP Summary of Benefits and Coverage (SBC)2024 PNMR Retiree PPO Summary of Benefits and Coverage (SBC)

Summary Plan Description

Summary Plan Description on PNMRBenefits.com

Provider Directory

New Mexico Providers on the PNMR Network


NEW BENEFITS

Fitness Pass

Access to more than 10,000 national, regional and local fitness, recreation and community centers for you and your enrolled dependents 18 and over for only $22.50/mo. per member.

*Some gyms may charge a registration or annual fee.

Learn more about the Fitness Pass

Login to myPRES to enroll in Fitness Pass


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:

Website: www.express-scripts.com


SERVICE OUTSIDE OF NEW MEXICO

Presbyterian members receive in-network benefits outside of New Mexico with our collaboration with Aetna Signature Administrators® to offer access to Aetna’s PPO network with more than 1.5 million participating physicians and ancillary providers, including over 6,000 hospitals. To search for providers in the national network please use the link below.

National Network of Medical Providers National Network of Behavioral Health Providers


Form for Coordination of BenefitsForm to Transition Care Services

PNMR Benefits Express Scripts/Pharmacy Benefits