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Home|Insurance Plans|Our Plans|Employer Offered Plans|Presbyterian MediCare (PPO) New Mexico Retiree Health Care Authority

Presbyterian MediCare (PPO) New Mexico Retiree Health Care Authority

Presbyterian Health Plan, Inc. is pleased to provide the Presbyterian MediCare PPO New Mexico Retiree Health Care Authority (NMRHCA) Plans I and II. Enrollment in these plans must be made directly through NMRHCA. To enroll, call NMRHCA at 505-222-6400 or visit their website.

Presbyterian MediCare PPO NMRHCA Plans I and II are available only to individuals who live in our plan service area. To remain a member of our plan, you must keep living in this service area. The service area includes the entire state of New Mexico.


Member Handbook

The Presbyterian MediCare PPO NMRHCA Plan I and II 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.

Presbyterian MediCare PPO NMRHCA Plan I and II Member Handbook


Provider Directory

The Provider Directory lists the doctors available to you in-network as part of your Presbyterian MediCare PPO NMRHCA plan. Check to make sure your doctor is covered to receive the highest level of coverage.

Provider Directory


Summary of Benefits

A summary of this plan is included in the detailed plan information in the following document.

Summary of Benefits


Prescription Drug Coverage

The Presbyterian MediCare (PPO) NMRHCA health plans include prescription drug coverage. A list of the drugs covered can be found in the Formulary lists.

2014 Medicare Formularies

Formulary Updates

Supplement Formulary Information

For more information on prescription drug benefits, see Understanding Formularies and Formulary Terms.


Mail Service Pharmacy Benefit

Presbyterian is pleased to offer mail-order prescriptions in partnership with Walgreens. Order up to a 90-day supply of maintenance drugs (as prescribed by your physician) and get free delivery to your home with the Walgreens Mail Service Pharmacy.

Walgreens Mail Service Tips and Forms
Walgreens En Español


Questions?

Contact Presbyterian's friendly Customer Service Center
Weekdays, 7:00 a.m. - 6:00 p.m.
505-923-6060
1-800-797-5343
TTY: 1-888-625-8818
E-mail: info@phs.org