TriCore

Presbyterian Health Plan, Inc. is pleased to be a health partner with TriCore. As a Presbyterian Health Plan member, you'll be connected to the coverage options, providers, healthcare facilities, and care services you and your family need to stay healthy.

UNDERSTAND YOUR COVERAGE

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.

Benefit Brochure

Summary of Benefits and Coverage (SB​C)

Summary Plan Description​

Provider Directory

Find in-network providers and facilities within New Mexico.

TriCore Labs Provider Directory

MEDICAL SERVICES OUTSIDE OF NEW MEXICO

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.

Aetna Provider Directory

Out-of-State Behavioral Health Care

To get Behavioral Health Care Services outside of New Mexico, members can search for a provider in the National Network of Behavioral Health Providers by clicking the link below.

National Network of Behavioral Health Providers

ACCESSING CARE

Presbyterian Health Plan offers you several convenient ways to access healthcare.​

• Direct access to medical advice 24 hours a day, 365 days a year through PresRN

• See a provider any time, day or night, with ​virtual care

• Convenient health plan information available through myPRES, including Wellness at Work, a web-based application offering personal health assessments, health education tools, and more.

To easily access benefit information or MyChart​, log in to our secure online member portal, myPRES any time, day or night. Login ​Now​

PRESCRIPTION DRUG COVERAGE

Your health plan includes prescription drug coverage administered by Presbyterian Health Plan, Inc. Details on this coverage can be found in your Summary of Benefits and Coverage (see links above).

For more information on prescription drug benefits, see:

• Formulary

• Forms & Documents library

HELPFUL LINKS