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Home|Medicare|Medicare Advantage Plans - HMO & PPO|2017|Forms, Plan Information, and Policies

2017 Forms, Plan Information, and Policies



Plan Information

Evidence of Coverage (EOC)

Annual Notice of Change (ANOC)

Summary of Benefits




Formularies (Drug Lists) and Plan Information

Extra Help



​Presbyterian Senior Care (HMO) is an HMO plan with a Medicare contract. Presbyterian MediCare PPO is a PPO plan with a Medicare contract. Enrollment in Presbyterian Senior Care (HMO) or Presbyterian MediCare PPO depends on contract renewal. Presbyterian Dual Plus is an HMO Special Needs Plan (SNP) with a Medicare Contract and a contract with the New Mexico State Department of Human Services Department Medicaid program. Enrollment in Presbyterian Dual Plus (HMO SNP) depends on contract renewal. || This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, co-payments and/or co-insurance may change on January 1 of each year. || The physicians and other medical professionals in our provider network participate through contractual arrangements. A provider may leave the network because of retirement, relocation, or other reasons before your next enrollment date. || The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. || You must continue to pay your Medicare Part B premium. || ​Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

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Last Updated: 09/30/2016