Attend Seminar
Request Info Kit
Contact Us
Presbyterian Dual Plus (HMO D-SNP) Members


  • Forms, Plan Information, Policies
  • Prescription Drugs
  • Provider Directory
  • Appeals and Grievances
  • Request Pharmacy exception
  • Fraud and Abuse
  • Form for Medicare Complaint
  • Nondiscrimination
  • Multi-Language Interpreter Services
Last Updated: 1/1/2024

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 2024 Dual Plus (HMO D-SNP) plan.

Didn't find what you are looking for?

View all plan documents

Manage Your Care

Accessing Care

Get Care

You have many options for getting care through your plan. Visit the Get Care webpage for help finding the best care option for your situation.

View Get Care Options

Need to find a provider?

Check out the Provider Directory for a list of in-network providers and pharmacies.

Find a Provider in my plan’s Network

Dental Coverage (H3204-013-004 plan only)

H3204-013-004 plan members have basic dental coverage, up to $3,000, included through a contracted* provider 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.

Find a DentaQuest provider

Over-the-Counter (OTC) Card (H3204-013-004 plan only)

H3204-013-004 plan members are eligible to receive a debit card that can be used to buy over-the-counter health-related items. This includes:

  • $1,260 in annual credits

  • Health-related items purchased in-store, by catalog, or online

  • Prices in catalog are subject to change


Find all catalog items, plus hundreds more, when you shop online. Place your order anytime, from anywhere.

Web: App: Download the Healthy Benefits Plus app on your phone or tablet.


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 or fill out the order form included with the catalog and mail it in. *Prices in catalog are subject to change.

2024 Presbyterian Dual Plus (HMO D-SNP) OTC Catalog

Use your flex card when you shop thousands of participating retail stores including Walgreens, CVS, Walmart and more. Learn more about using your flex card or find participating stores near you when you visit Note: not all retailers can accept your flex card including but not limited to Costco and Amazon.

Have Questions?

Call your local Presbyterian Customer Service Center at: (505) 923-7675 or 1-855-465-7737 (TTY 711) Hours: 8 a.m. to 8 p.m., Sunday - Saturday