This legal document explains the benefits and Coverage of your Medicare Advantage Plan. It tells who to call for service, covered benefits, permitted drugs and out-of-pocket expenses that may apply.

2025 Senior Care HMO-POS NMRHCA Plan I Evidence of Coverage (EOC)

 This booklet tells about the changes to your Senior Care (HMO-POS) NMRHCA Plan I.

2025 Senior Care HMO-POS NMRHCA Plan I Annual Notice of Changes (ANOC)

Summary of the Senior Care plan and the associated out-of-pocket expenses for services and prescriptions.

2025 Senior Care HMO-POS NMRHCA Plan I Summary of Benefits

All Medicare health and prescription drug programs are rated each year based on the plan's quality and performance. This can be used to compare plans. Ratings are done each year and may change from one year to the next.

Presbyterian Senior Care Star Ratings

Medicare Formulary

Medicare Drug Formulary Changes

Drug Coverage Determination Request Form

Explanation of the Transition Policy for prescribed drugs from other Plan D providers to the Presbyterian Medicare Advantage Plans.

Policy for Medicare Part D Drug Transitions - Presbyterian Senior Care (HMO) / (HMO-POS) and Presbyterian MediCare PPO

Form Requesting Prior Authorization

Specialty Pharmacy & Medical Drugs Coverage 

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Register for Sword, a digital physical therapy program to treat back, joint, and muscle pain, offered to you at no cost as part of your Presbyterian Health Plan benefits. 

Sword Health

Form to register for 3 months of prescriptions to be mailed to you. This service is available for most drugs.