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Individual & Family Plans

 
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A healthy tomorrow starts today.

Presbyterian Health Plan, Inc. offers health insurance plans to fit both your health needs and your budget. From full coverage to basic essential health care, our plans fall into four categories, which differ based on the way you and the health plan share your health care costs.


Ready to start shopping for plans? Get a Quote​​

 

Platinum

The Platinum plan often has the highest monthly premium and lower out-of-pocket costs for care.

Gold

Gold plans often have lower monthly premiums and higher out-of-pocket costs than Platinum.

Silver

Silver plans often have lower monthly premiums and higher out-of-pocket costs than Gold.

Bronze

Bronze plans often have the lowest monthly premiums and highest out-of-pocket costs for care.

Catastrophic

The Catastrophic plan for individuals under age 30 (or with a hardship exemption) protects against very high medical costs.

All Plans Include

  • Improve your health with Wellness at Work, a web-based tool offering personal health assessments, healthy lifestyle tools, educational resources and more.
  • Confidential supports for complex personal challenges. You and your family members living in your household can get up to three employee assistance visits per issue.
  • Access to Presbyterian’s integrated health system of eight hospitals, a large medical group, and a health plan network of more than 17,000 providers and facilities all over New Mexico.

Already know which
plan you want?

If you’ve shopped before and are ready to enroll, begin your application online right away.

Enroll Online Now

Other ways to enroll:

2018 ENROLLMENT FORM

Send your completed form by mail or fax:
Presbyterian Health Plan
P.O. Box 27489
Albuquerque, NM 87125 | FAX: 505-923-8252

Call 866-869-7737 or TTY 711 to apply with one of our representatives.
Special Enrollment is available year-round.
Special Enrollment is a time outside of the open enrollment period during which you and your family have a right to sign up for health coverage. You must enroll within 60 days of a qualifying life event to be eligible. Supporting documents will be required at the time of application. Examples of qualifying life events include:
  • Marriage or divorce
  • Having a baby, adopting a child, or placement a child for adoption or foster care
  • Moving your residence, gaining citizenship, leaving incarceration
  • Losing other health coverage due to losing job-based coverage, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances.
Important: Voluntarily ending coverage doesn’t qualify you for a Special Enrollment Period.
 
Special Enrollment is a time outside of the open enrollment period during which you and your family have a right to sign up for health coverage. You must enroll within 60 days of a qualifying life event to be eligible. Supporting documents will be required at the time of application. Examples of qualifying life events include:
  • Marriage or divorce
  • Having a baby, adopting a child, or placement a child for adoption or foster care
  • Moving your residence, gaining citizenship, leaving incarceration
  • Losing other health coverage due to losing job-based coverage, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances.
Important: Voluntarily ending coverage doesn’t qualify you for a Special Enrollment Period.
Special Enrollment is a time outside of the open enrollment period during which you and your family have a right to sign up for health coverage. You must enroll within 60 days of a qualifying life event to be eligible. Supporting documents will be required at the time of application. Examples of qualifying life events include:
  • Marriage or divorce
  • Having a baby, adopting a child, or placement a child for adoption or foster care
  • Moving your residence, gaining citizenship, leaving incarceration
  • Losing other health coverage due to losing job-based coverage, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances.
Important: Voluntarily ending coverage doesn’t qualify you for a Special Enrollment Period.

 

If you have experienced a major life event within the past 60 days – such as loss of healthcare coverage from another plan, getting married, having a baby, or moving – you may qualify for special enrollment.

Note: To be eligible for health coverage, you and your dependents must be US citizens, US nationals, or lawfully present immigrants. For help, visit Healthcare.gov .