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Y0055_MPC082571_Approved_M_09012025
Last Updated: 10/1/2025

Presbyterian Dual Plus (HMO D-SNP)

Dual Eligible Special Needs Plan (SNP) for people who have both Medicare and Medicaid. How much Medicaid covers depends on your income, resources and other factors. Some people get full Medicaid benefits, while others get help paying for certain Medicare costs. Those costs may include premiums, deductibles, coinsurance, and copays.


Eligibility

To enroll in Presbyterian Dual Plus (HMO D-SNP) H3204-013-004, H3204-013-005 or H3204-013-006: 

  • You must be entitled to Medicare Part A and enrolled in Medicare Part B. Learn more about Medicare

  • You must live in any county in New Mexico. The plan you will be enrolled in will depend on the county you live in.

  • You must be in one of the Medicaid categories below.

If you are eligible for Medicare and qualify for full Medicaid coverage, you are not responsible for paying any out-of-pocket costs for Part A and Part B services.


Dual Plus Benefits


2026 Presbyterian Dual Plus (HMO D-SNP) Summary of Benefits