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Home|Insurance Plans|Our Plans|Medicare Advantage Overview

Medicare Advantage

You're Covered. Presbyterian's Medicare Advantage options provide outstanding coverage to recipients of Medicare Parts A and B. Relax knowing we've got you covered. Select one of our plans for exceptional care and coverage:

Ready to enroll in a Presbyterian Medicare Plan?

3 Ways to Peace of Mind

Medicare Eligibility

Medicare is a government sponsored healthcare program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). To check your eligibility and enroll, see the Official U.S. Government Site for Medicare

Low Income Subsidy Premium Information

Fraud and Abuse

Our Special Investigative Unit (SIU) is responsible for the detection, investigation and reporting of potential fraud and abuse activity. We are required to cooperate with regulatory and law enforcement agencies in reporting any activity that appears to be suspicious in nature. According to the law, any information that we have concerning such matters must be turned over to the appropriate governmental agencies.

Notices of Privacy Practices

The 'Notices of Privacy Practices' describe how Presbyterian safeguards your Protected Health Information, and your rights with regard to that information.

Appeals, Grievance, and Exception Process

You have the right to make a complaint if you have concerns or problems related to your coverage or care. "Appeals" and "grievances" are the two different types of complaints you can make.

Need an Interpreter?

Presbyterian Medicare Advantage Plans offers free interpreter services to members.

Free Interpreter Services to Members

New Benefits Covered by Medicare

Laparoscopic Sleeve Gastrectomy – Effective June 27, 2012

Helpful Links:

Member Rights and Responsibilities

Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO are Medicare Advantage plans with a Medicare contract. Enrollment in Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO depends on contract renewal. Please contact Presbyterian Customer Service Center at 505-923-6060 or 1-800-797-5343 for additional information. This information is available for free in other languages. Please contact the Presbyterian Customer Service Center at 505-923-6060 or 1-800-797-5343 for additional information. TTY users should call 1-888-625-8818. Hours are Monday through Sunday from 8 a.m. to 8 p.m. Esta información está a su disposición de manera gratuita en otros idiomas. Sírvase llamar al Centro de Atención a los Clientes del Presbyterian al 505-923-6060 o al 1-800-797-5343 1-888-625-8818. Las horas hábiles son de lunes a domingo, de las 8:00 de la mañana a las 8:00 de la noche.