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Employer-Offered Plans
State Of New Mexico

Employer-Offered Plans

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State of New Mexico

Presbyterian Health Plan, Inc. is pleased to be a health partner with the State of New Mexico.


Benefit Guide

2024 Summary of Benefits for State of New Mexico Employees

Provider Directory

Tier 1 Provider Network Tier 2 Provider Network


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

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

Virta: Type 2 diabetes reversal, fully covered by the SONM

Virta reverses type 2 diabetes and prediabetes, and helps with weight loss.

  • Fully covered by the SoNM

  • Type 2 diabetes/prediabetes reversal

  • Control blood sugar, and weight loss

Learn more about Virta

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

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.

Contact us at 

 or 1-888-ASK-PRES (), TTY 711, Monday through Friday from 7 a.m. to 6 p.m.

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 


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

or email Our care coordinators also provide support for managing cancer or low back pain/musculoskeletal conditions.

To enroll in one or more of the care coordination programs, call 

 or email

Assist America

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 

 (or  outside of the USA).


As a Presbyterian Health Plan member, you will have peace of mind knowing that you have access to the care and services you need.


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.

  • Prescription coverage, especially if you are on an unusual drug.

Summary of Benefits and Coverage

2024 HMO Summary of Benefits and Coverage (SBC)

Summary Plan Description

2024 Summary Plan Description


HMO Prescription drug benefits are administered through CVS Caremark. Login to your account at CVS Caremark Phone: