New Mexico Retiree Health Care Authority (Medicare)
Presbyterian Health Plan, Inc. is pleased to provide the Presbyterian Senior Care HMO-POS New Mexico Retiree Health Care Authority (NMRHCA) Plan I. Enrollment in this plan must be made directly through NMRHCA. To enroll, call NMRHCA at 505-222-6400 or visit their website.
Presbyterian Senior Care HMO-POS NMRHCA Plan I is available only to individuals who live in our plan service area, which is the entire state of New Mexico.
MEMBER HANDBOOK
The Presbyterian Senior Care HMO-POS NMRHCA Plan I 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 ANOC booklet outlines the changes to expect from the current plan year.
PROVIDER DIRECTORY
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.
Search Online 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.
STAR RATINGS
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.
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.
Medicare Formularies
Formulary Updates
Supplement Formulary Information
U.S. Food and Drug Administration (FDA) Safety Alerts U.S. Food and Drug Administration (FDA) Drug Recalls
Sword Health
We’re excited to introduce 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 pairs you with a physical therapist for clinically proven at-home treatment. *Available at no cost to you and PHP-enrolled family members, who are age 13+.
Watch a video and learn more Schedule a video call with a physical therapist and get started
MAIL SERVICE PHARMACY BENEFIT
Presbyterian offers mail-order prescriptions in partnership with Optum Home Delivery. Order up to a 90-day supply of maintenance drugs (as prescribed by your physician) and get free delivery to your home with Optum Home Delivery.