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?
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
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.
The 'Notices of Privacy Practices' describe how Presbyterian safeguards your Protected Health Information, and your rights with regard to that information.
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
Member Rights and Responsibilities
Presbyterian Senior Care (HMO) is a Medicare Advantage plan with a Medicare contract. Enrollment in Presbyterian Senior Care (HMO) depends on contract renewal.
Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO are Medicare Advantage organizations with a Medicare contract. 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.