Presbyterian Senior Care (HMO) 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 Presbyterian Senior Care (HMO) plan.
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Manage Your Care
Accessing Care
Find Care
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.
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 & Providers
Your Presbyterian Senior Care (HMO) plan includes basic dental coverage 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)
For more detailed information about your plan's dental benefits and limitations, please refer to your 2026 Evidence of Coverage.
*Senior Care (HMO) members must obtain services through a contracted DentaQuest provider.
Start using your preventive dental benefits today!
Add Additional Dental Coverage
A Comprehensive Dental Plan is available for an additional monthly premium. You may enroll online anytime to receive extra benefits including:
All the coverage of the basic dental plan
No waiting period, use services right away.
No deductible
$4,000 calendar-year benefit maximum (Unused portion does not carry forward to next year's benefit)
No Prior Authorization needed for covered services
Services not covered include implants, cosmetic procedures, bone grafts and tissue regeneration.
Enroll to receive these extra benefits. Already enrolled? You don’t need to do anything.
Enroll in Comprehensive Dental Coverage
Over-the-Counter (OTC) Card (Presbyterian Senior Care HMO Plan 2 and Plan 3 only)
Presbyterian Senior Care Plan 2 and Plan 3 members are eligible to receive an OTC card that can be used to buy over-the-counter health-related items. This includes:
$25 quarterly/$100 annual allowances
Health-related items purchased in-store, by catalog, or online
Shop at over 60,000 retail stores
Prices in catalog are subject to change
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, if not you can find it online here:
Call 1-866-757-2043 (TTY 711) to place an order by phone.
*Prices in catalog are subject to change.
In-store
Use your OTC benefit with 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+ card including but not limited to Costco and Amazon.
Manage Your Plan
Interested in changing your plan?
Annual Enrollment Period (AEP) is from October 15 - December 7, which allows you to switch your Presbyterian Medicare Advantage plan. The coverage start date is January 1 of the next year. For more information about coverage, please visit Medicare Basics.
Medicare Advantage Open Enrollment Period (MA OEP) is from January 1 – March 31. If you are enrolled in a Medicare Advantage plan, you can switch plans or elect to switch to original Medicare. The coverage start date is the first of the month after we get your request.
Special Enrollment Periods are available year-round but are only for specific situations that happen in your life, like moving to a new address outside of a service area, getting Medicaid, or qualifying for Extra Help. The coverage start date varies but generally is the first of the month after we get your request.
To get started, please have your 11-digit Presbyterian member ID number and date of birth. For more information about coverage, please visit Medicare Basics.
Online Plan Change FormHave Questions?
Call your local Presbyterian Customer Service Center at: 505-923-6060 or 1-800-797-5343 (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)