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Y0055_MPC092667_APPROVED_M_09302026
Last Updated: 10/1/2026

Presbyterian Dual Plus (HMO D-SNP)

Dual Eligible Special Needs Plan (D-SNP) are for people who have both Medicare and Medicaid. To enroll in the Presbyterian D-SNP plan you must have full Medicaid benefits. You also need to be a Presbyterian Turquoise Care (Medicaid) member.


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 New Mexico. The plan you will be enrolled in will depend on the county you live in.

  • New for 2027: Members now must have both Presbyterian Medicare and Presbyterian Turquoise Care (Medicaid) to enroll.

  • 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


  • 2027 Presbyterian Dual Plus (HMO D-SNP) Summary of Benefits

*You may be eligible to receive money for a special supplemental grocery benefit if you have been diagnosed with a chronic condition of diabetes, congestive heart failure (CHF), hypertension, or hyperlipidemia. You must have had an annual wellness visit in the last 12 months. Eligibility is determined by your plan, and you may not be eligible even though you have one of these conditions.