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Current Presbyterian Medicare Advantage Members

Manage Your Healthcare

Login to myPRES, Presbyterian's secure online member and patient portal, to pay your health plan premium, order prescriptions, access Video Visits, and more.


Member Resources

Evidence of Coverage (EOCs)

For complete information about Exceptions, Grievances, Appeals, and Coverage Determinations see the Evidence of Coverage for each Plan we offer.

Presbyterian Senior Care (HMO)

Employer Offered Group Plans

Annual Notices of Change (ANOC)

Each fall, Medicare allows you to change your Medicare health and drug coverage during the Annual Enrollment Period. It’s important to understand coverage changes.

Presbyterian Senior Care (HMO)



Your Member ID Card

After enrollment, you are given a Presbyterian Medicare Advantage plan identification card. You must use your membership card for our plan whenever you get any services covered by this plan. Here’s why this is so important: If you get covered services using your red, white, and blue Medicare card instead of using your Presbyterian Medicare Advantage membership card while you are a plan member, you may have to pay the full cost yourself.

If your Presbyterian Medicare Advantage plan membership card is damaged, lost, or stolen, call Presbyterian Customer Service Center, available from daily, Sunday through Saturday, 8:00 am to 8:00 pm at 505-923-6060 or 1-800-797-5343 (TTY 711) and we will send you a new card.

Remember: As long as you are a member of our plan you must not use your red, white, and blue Medicare card to get covered medical services (with the exception of routine clinical research studies and hospice services). Keep your red, white, and blue Medicare card in a safe place in case you need it later.

Presbyterian Members Approaching Age 65

If you're a Presbyterian member and are starting to think about Medicare, we'll help you plan ahead so your Presbyterian Health Plan coverage continues without interruption.

Medicare Basics explains the basics of how Medicare works. Keep these 3 steps in mind to stay on track for enrollment:

6 Months Before You Turn 65

Confirm your Medicare eligibility with Social Security and request your Medicare card.

3 Months Before You Turn 65

Explore your Medicare plan options using the Rates and Benefits section of this site, and then start the enrollment process.

65th Birthday

Complete your enrollment. You can enroll up to three months after the month of your 65th birthday. For example, if you turn 65 on March 5, you have until the end of June to enroll.

To learn more about your Medicare plan options, attend a seminar or
contact us.

 

​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. || 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: 12/18/2015