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2017 Prescription Drug Coverage

Part D drug coverage is included with both Presbyterian Senior Care (HMO) Plan 2 and Plan 3 and Presbyterian MediCare PPO Plan 2 and Plan 3. There is NO drug coverage in either Plan 1.


Drug Formulary Safety

If you're considering prescription drug coverage with one of our Medicare Advantage plans, you'll be happy to know that we use a drug formulary developed by a team of health care providers. They regularly look at the safety and cost of drugs, selecting the most effective and cost-effective drug in each class. It's one of the most important ways we safeguard your health and help keep drug costs affordable.


​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 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