Albuquerque Public Schools
Presbyterian Health Plan, Inc. is pleased to be a health partner with Albuquerque Public Schools.
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 $17.50/mo. per member.
Dedicated Member Service Team
You now have access to a highly trained, dedicated customer service team that can help:
Navigate you to the most cost-effective level of medical care, whether it’s a virtual visit, outpatient options, or urgent or emergency care.
Find in-network primary care providers (PCPs) and specialists and schedule appointments.
Answer questions about your benefits and help coordinate benefits for your personalized needs.
Assist with follow-up care and claims resolution.
Community Health Worker Program
Our community health workers work and live in the same communities as you and are specially trained to help you get what you need to stay as healthy as possible. They can help you find housing, food, utility assistance, transportation and translation services, and they will help you schedule a visit with a healthcare provider. They can also help you better manage other health conditions such as pregnancy, asthma, diabetes, high blood pressure, behavioral health, and substance use problems.
This service is confidential and provided at no additional cost to you. For more information, call (505) 923-8567.
Disease Management Programs
As a member, you have access to several comprehensive disease management programs at no additional cost to you. If you have diabetes, asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or coronary artery disease (CAD), our licensed nurses will work collaboratively with your healthcare provider to provide you with coaching and self-management tools.
To enroll in one or more of these Healthy Solutions programs, call 1-800-841-9705 or email firstname.lastname@example.org. Our care coordinators also provide support for managing cancer or low back pain/musculoskeletal conditions.
You have the protection of Assist America’s global emergency travel assistance services 24 hours a day, 365 days a year. This unique program immediately connects you to services when experiencing a medical emergency while traveling 100 miles or more away from a permanent residence or in another country. First, download the free Assist America Mobile App, then log in with reference number 01-AAPXI-10071. For questions, contact Assist America’s Operations Center at 1-800-872-1414 (or +1-609-986-1234 outside of the USA).
ACCESS HEALTHCARE SERVICES
As a Presbyterian Health Plan member, you will have peace of mind knowing that you have access to the care and services you need.
PresRN nurse advice line is an easy way to speak with a registered Presbyterian nurse 24 hours a day, 7 days a week including holidays.
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.
Online visit Powered by SmartExam, is an online service for members 18 years and older. This online questionnaire takes about 10 minutes for most conditions with a treatment plan ready in an hour or less. The service is available 24/7 with Presbyterian Medical Group providers responding between 7 a.m. and 6 p.m. weekdays and 8 a.m. and 3 p.m. weekends.
UNDERSTAND YOUR COVERAGE
Specific information on each of the two plans is included in the detailed plan information in the following documents. 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.
Summary of Benefits and Coverage
PRESCRIPTION DRUG COVERAGE
Albuquerque Public Schools' Presbyterian Health Plan includes prescription drug coverage through Express Scripts.
Login to your account at http://www.express-scripts.com/ Express Scripts Phone: 1-866-563-9297
SIGN UP FOR MYPRES
As a Presbyterian Health Plan member, you will have peace of mind knowing that you have access to the care and services you need with myPRES
Review your claims history
Request a new Member ID card
Access your health plan materials so you know what is covered
Estimate your health care costs with our treatment cost calculator
And much more!