Presbyterian Dual Plus (HMO D-SNP) Members
Learn more about your plan benefits, managing your plan and how to access care.
Your Plan Documents
Find important plan information related to your 2026 Dual Plus (HMO D-SNP) plan.
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Accessing Care
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You have many options for accessing care through your health plan. Visit the Care Options webpage for help finding the best care option for your situation.
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Check out the Provider Directory for a list of in-network providers and pharmacies.
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Dental Coverage
Presbyterian Dual Plus (004) and Presbyterian Dual Plus (006) plan members have preventive and comprehensive dental coverage at no additional cost to you. Services include:
Oral exams, cleanings, and fluoride treatments (two every 12 months)
Dental X-rays (frequency varies by type)
Periodontal maintenance (four every 12 months)
Emergency treatment of minor pain (as needed)
*You must obtain dental services through a contracted DentaQuest provider.
Dental Coverage for Presbyterian Dual Plus (004) is limited to $3000 annually.
Dental Coverage for Presbyterian Dual Plus (006) is limited to $1800 annually.
Dental services are based on a rolling year and not a calendar year. For example, if you receive your dental cleanings in January 4th and July 7th of 2026, your eligible for your next dental cleaning in January 7th of 2027.
Over-the-Counter (OTC) Healthy Benefits+ Card
Presbyterian Dual Plus (004) and Presbyterian Dual Plus (006) plans only
Plan members are eligible to receive a Healthy Benefits+ card loaded with OTC allowances that can be used to buy approved over-the-counter health-related items. Items can be purchased in store, online or from catalog. Prices in catalog are subject to change.
Presbyterian Dual Plus (004) receives $165 per quarter/$660 annually
Presbyterian Dual Plus (006) receives $50 per quarter/$200 annually
Online
Find all catalog items, plus hundreds more, when you shop online. Place your order anytime, from anywhere.
Web: www.phs.org/myPRES App: Download the Healthy Benefits+ app on your phone or tablet.
Catalog
You should have received a catalog with available OTC products in the mail.
Call 1-866-757-2043 (TTY 711) to place an order by phone.
*Prices in catalog are subject to change.
In-store
Use your Healthy Benefits+ card when you shop thousands of participating retail stores including Walgreens, CVS, Walmart and more. Learn more about using your Healthy Benefits+ card or find participating stores near you when you visit www.phs.org/myPRES. Note: not all retailers can accept your Healthy Benefits+ OTC card. You can find participating stores near you when you visit www.phs.org/myPRES.
Special Supplemental Benefits for the Chronically Ill (SSBCI) - Grocery Benefit
Presbyterian Dual Plus (004) and Presbyterian Dual Plus (006) plans only)
Qualifying members could receive a quarterly grocery allowance. You must have been diagnosed with of these chronic conditions: diabetes, chronic hypertension, chronic hyperlipidemia and/or congestive heart failure CHF). You must also have completed an Annual Wellness Visit (AWV) 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.
Presbyterian Dual Plus (004) receives $170 per quarter/$680 annually
Presbyterian Dual Plus (006) receives $100 per quarter/$400 annually
Have Questions?
Call your local Presbyterian Customer Service Center at: (505) 923-7675 or 1-855-465-7737 (TTY 711) Hours: October 1 to March 31: 8 a.m. to 8 p.m., seven days a week (except holidays) April 1 to September 30: 8 a.m. to 8 p.m., Monday to Friday (except holidays)