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 1-800-841-9705, 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
Schedule a video visit
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.
2018 Summary of Presbyterian Health Insurance Benefits for PNMR
Summary of Benefits and Coverage
2018 PNMR PPO Summary of Benefits and Coverage (SBC), Individual2018 PNMR PPO Summary of Benefits and Coverage (SBC), Double2018 PNMR PPO Summary of Benefits and Coverage (SBC), Family2018 PNMR CPP Summary of Benefits and Coverage (SBC), Individual2018 PNMR CPP Summary of Benefits and Coverage (SBC), Double/Family
Summary Plan Description
Mail Service Pharmacy Benefit
Prescription drugs are covered thru LDI. For questions/information about your prescription drug coverage, please contact LDI at:
Customer Service: 1-866-583-4647
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
Form for Coordination of Benefits
Form to Transition Care Services