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Presbyterian Health Plan Medicare Plans

Presbyterian Health Plan is New Mexico’s largest health care provider. They have been providing health insurance since 1985, giving them over 24 years of experience. They operate throughout New Mexico from their headquarters in Albuquerque. They have over 6,000 participating physicians and healthcare providers in their network to serve the more than 450,000 enrolled members. They also operate seven hospitals throughout New Mexico. They believe in offering a high quality of care to their members, for which they received national recognition from the National Committee for Quality Assurance (NCQA). They offer New Mexico a number of healthcare options. They offer plans to individuals who qualify for Medicaid, Medicare, individuals, and to employers looking to offer employee coverage.

Presbyterian is a Medicare Advantage Organization that contracts with the Centers for Medicare and Medicaid Services to offer HMO, PPO and prescription drug plans that all provide more benefits to seniors than Original Medicare. They currently have more than 17,000 seniors in New Mexico covered with their HMO plan. Their statewide PPO plan offers preventive care benefits and allows the choice of any doctor or hospital that accepts Medicare. Presbyterian MediCare PPO provides reimbursement for covered benefits regardless of whether they are received in-network, with the exception of emergency or urgent care. However, your out-of-pocket costs may be higher if you use choose to use out-of-network doctors, specialists, or hospitals.  The Presbyterian Prescription Drug plan allows Medicare beneficiaries to gain prescription drug coverage while keeping their Original Medicare for health coverage.