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Last Updated: 10/1/2023

Presbyterian MediCare PPO

Presbyterian Medicare Advantage plans combine safe ways to get care from home with many $0 and low-cost options, so you can get the care you need. Presbyterian offers you the value that comes with our integrated system of physicians, hospitals and health plan – all working together to keep you healthy.

With our PPO plans, you receive more benefits than Original Medicare and several valuable services for $0 copay.

Presbyterian MediCare PPO Benefits

$0 in-network copay for these valuable benefits and more!

  • Dental cleanings, X-rays, and exams

  • Routine eye exam

  • Hearing exam (hearing aids also available with a copay)

  • Telehealth visits with in-network providers

  • Lab services and diagnostic tests

  • Foot care

  • Diabetic test strips and lancets

  • Annual physical exam

Providing You with the Benefits You Need

$0 Telehealth Benefit

Access that works for you anytime, anywhere.

Need to see your in-network Primary Care Provider or Specialist but don’t want to go into the office? There’s no charge for any visit over video, telephone or online with your in-network providers.

Telehealth options include visits with:

  • Your Primary Care Provider

  • Specialists

  • Urgent Care

  • Outpatient Rehabilitation Services

  • Behavioral Health Providers

Dental Plans to Meet Your Needs

Presbyterian MediCare PPO plans include basic dental coverage through a contracted provider. An additional comprehensive option is available for a monthly cost.

Enjoy Better Hearing and Comprehensive Care

Good hearing is important to your overall health. That’s why we cover a routine annual hearing exam for no copay. Presbyterian MediCare PPO plans include coverage for up to two hearing aids per year (one per ear per year).

Improve Your Fitness with Free SilverSneakers® Memberships

The SilverSneakers Fitness program is included at no additional cost to you. Visit more than 15,000 participating nationwide locations, including Planet Fitness, Anytime Fitness, Defined Fitness, Chuze Fitness, YMCA, and more.

Travel Worldwide and Be Protected with Assist America®

Enjoy the protection of Assist America’s global emergency travel assistance services 24 hours a day, 365 days a year, for up to 90 days per emergency. This unique program immediately connects you to doctors, hospitals, pharmacies and other services when experiencing a medical emergency while traveling 100 miles or more away from your permanent residence or in another country.

Presbyterian MediCare PPO Eligibility and Enrollment

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

  • You must live in New Mexico.