Presbyterian Senior Care (HMO)

Presbyterian Medicare Advantage plans combine safe ways to get care from home with many $0 and low-cost options, and $0 premium 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 HMO plans, you receive more benefits than Original Medicare (Part A and Part B) and several valuable services for $0 copay.

Presbyterian Senior Care (HMO) Benefits

$0 copay for these valuable benefits and more!

• No cost Primary Care Provider visits

• Dental cleanings, X-rays, and exams

• Routine eye exam

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

• Telehealth visits

• Preferred generic drugs for Plan 2 and 3 and AssistPlus

• Lab services and diagnostic tests

• Outpatient mental health visits

• 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 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 network providers.

Telehealth options include visits with:

• Your Primary Care Provider

• Specialists

• Urgent Care

• Outpatient Rehabilitation Services

• Behavioral Health Providers

Up to $265 Vision Eyewear Allowance

Use your annual allowance with a contracted provider to help pay for:

• Frames

• Lenses

• Contacts and contact lens fitting

• Prescription sunglasses

Dental Plans to Meet Your Needs

Presbyterian Senior Care (HMO) plans include basic dental coverage through a contracted provider. An additional comprehensive option is available for a monthly cost.

More Plan Advantages

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. Senior Care plans cover 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 Senior Care (HMO) Eligibility and Enrollment

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

• You must live in one of these New Mexico counties:

  • Bernalillo

  • Cibola

  • Rio Arriba

  • Sandoval

  • Santa Fe

  • Socorro

  • Torrance

  • Valencia